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10.17 Fishhook Removal


Presentation

The patient has been snagged with a fishhook and arrives with it embedded in his skin.

What to do:

What not to do:

Discussion:

With the string, retrograde and needling techniques, there is no lengthening of the puncture track or creation of an additional puncture wound. The quickest and easiest method for removing a fishhook is the string technique. It is a technique you can use in the field because no special equipment or anesthesia is required, but it is not recommended when the hook is positioned on a skin surface that is likely to move when the string is pulled. This movement will cause the vector of force to change and therefore the barb may not release.

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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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Craig Feied, MD
Mark Smith, MD
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Michael Gillam, MD