Experience with various techniques for fishhook removal in the emergency department

Patients and their friends or relatives may try to remove the hook which can often cause more damage to the soft tissues, and many are not medically trained and do not provide appropriate wound care [1]. Patient demographics, location of injury, treatment in the ED, and final disposition were record...

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Bibliographic Details
Published in:The American journal of emergency medicine 2019-05, Vol.37 (5), p.979-980
Main Authors: Beasley, Kyle, Ouellette, Lindsey, Bush, Colleen, Emery, Matthew, Wigstadt, Stephanie, Ambrose, Lisa, Jones, Jeffrey
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Anesthesia, Local - methods
Antibiotic Prophylaxis - methods
Antibiotics
Child
Child, Preschool
Cohort Studies
Conscious Sedation
Demographics
Demography
Emergency department
Emergency medical care
Emergency medical services
Emergency Service, Hospital
Female
Fishhook
Foreign Bodies - therapy
Hook removal
Humans
Infant
Injuries
Male
Methods
Michigan
Middle Aged
Patients
Retrospective Studies
Skin
Soft tissues
Trauma
Wounds, Penetrating - therapy
Young Adult
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Summary:Patients and their friends or relatives may try to remove the hook which can often cause more damage to the soft tissues, and many are not medically trained and do not provide appropriate wound care [1]. Patient demographics, location of injury, treatment in the ED, and final disposition were recorded using standardized abstraction forms. Barb-sheath method A needle tip (18-guage generally provides adequate size) is inserted toward the embedded barb, covering it while the hook is removed along the original path of entry (see illustration).
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2018.09.028