Removing a fishhook from the skin can be a difficult procedure. There are hundreds of different hook patterns. Hooks vary in size and shape according to their purpose. The parts of a hook include:
point, which is the sharpened end of a hook that penetrates the fish's mouth barb, or the projection extending backward from the point of the hook bend, which is the bottom or curved part of the hook shank, or the upper portion of the hook that extends from the bend to the eye eye, or the hole or loop at the end of the shank through which the line is tied
Who is a candidate for the procedure?
Fishermen are at greatest risk for having a fishhook injury. Common areas of the body to have a fishhook injury are the hands, the face and the head. Occasionally a fisherman will hook a bystander as the line is cast.
How is the procedure performed?
The area around the fishhook is cleaned.
Local anesthesia can be used to numb the area. The procedure used depends on the location and type of hook.
There are three techniques for fishhook removal. These inlcude:
- push and clip technique. The barb of the hook is pushed through the skin. Once exposed, the barb is cut off and the hook is withdrawn.
- needle over barb technique. A large bore needle, or one with a large opening, is passed through the entrance wound of the hook. The hollow tip of the needle is then placed over the barb, covering its sharp point. The hook is advanced slightly to dislodge the barb from the tissue. Then, the hook and needle are pulled out together through the entrance wound.
- simple pull technique. This procedure is used for fishhooks that are barely hooked under the skin. A small incision is made to enlarge the entry wound at the site of the barb. The hook is pulled straight out.
"Treble hooks" are particularly difficult because they have three points and barbs per hook. Special removal techniques are used for these.
Simon, Robert, Emergency Procedures and Techniques, Third Edition, 1997