# Fishhook Removal

## Overview

This module describes how to remove fishhooks that are shallow (not embedded beyond the curvature of the hook) or deep (embedded beyond the curvature of the hook).

## Indications

## Contraindications

## Patient information and consent

### How do I explain this procedure?

“This fishhook needs to be removed, but the barb at the tip makes it difficult. Because this fishhook is shallow, I can remove it just by manipulating it. OR: Because this fishhook is deep, I need to push it further until the barb comes out of the skin so I can cut it off and remove the hook.”

### What can my patient expect?

“I will give you an injection for pain, then remove the fishhook.”

### What is my patient’s role?

“Let me know if you have any allergies. Fearing blood or needles is normal, but tell me if you have fainted from it. Tell me if you feel any severe pain. Afterwards, keep the bandage on for two days and keep the wound clean and dry.”

## Preparation

### Documentation

### Equipment

## Site & Positioning

Position the patient supine or reclining with the fishhook in easy reach.

## Procedure

Follow medical asepsis with non-sterile gloves Due to the nature of embedded fishhooks, sterility may not be possible.

### String method

### Barb covering method

### Deep fishhook method

## Troubleshooting

The hook is deep and under a nail.

You may need to remove part of the nail under a digital block to remove the fishhook.

## Risks

## References