Provider Prepared’s Weekly Pearl of Wound Wisdom #23 Hook, line and sinker!

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Provider Prepared’s Weekly Pearl of Wound Wisdom #23 Hook, line and sinker!
A 7 year old male is brought into the Emergency Department with a fish hook stuck in the bottom his left foot. He apparently stepped on the hook when it was accidentally left on the floor of his family’s home.

There are several techniques for fish hook removal. Among these are: the back out technique, the push through technique, needle technique, string technique. If these techniques fail then as a last resort the hook is cut out. Our preferred technique is the push-through technique, described as follows:

After anesthetizing the the area, using a hemostat the hook is advanced until the barb is exposed. Wire cutters are used to cut the barb off, wear eye protection while doing so. The reminder of the hook is then backed out of the wound. The resultant injury is then treated as a puncture wound.
Bothner, JO et al. Fish-hook removal techniques. UpToDate, November 2016.

This patient tolerated the push-through technique without any complications.

Provider Prepared’s laceration kits give you the capability and portability to remove fish hooks anytime anywhere.

Provider Prepared
Nathan Whittaker, MD

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  • Brandon Durfee
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