Fishhook removal fingers, feet, anywhere!

• Cleanse hook and puncture wound site with betadine

• 1% lidocaine injected at the point of hook

• Fishhook removal

  Back out technique-only barbless hooks (people often deal with on their own) Push through technique- most effective when point of the hook is near the skin surface

  String technique- commonly done in field-use when embedded in a body part that can be firmly secured

  Needle technique- superficially embedded, best with larger hooks. Try to use a large gauge needle to fit over barb and pull out together with a hemostat. The needle is making a small tract.

  Cut it out technique- make a small tract with a scalpel to remove hook (most common technique)

  1. Treble hook? Safety concerns: clip or cover barbs with corks or snip to protect patient or others

  2. Assess tetanus status and give as needed

  3. No need for antibiotics unless hook was deeply embedded in an infection-prone area (fingertip, ear cartilage) same abx as uncomplicated cellulitis

  4. Warm water soaks 2-3 x day, follow up for signs of infection