A) Anesthetize the skin adjacent to the embedded fish-hook barb. B) Advance a large gauge needle through the skin so that it covers the barb (see inset). C) Back the fish-hook and needle out of the skin.
Reproduced with permission from: Diekema DS. Fishhook removal. In: Textbook of Pediatric Emergency Procedures, 2nd ed, King C, Henretig FM (Eds), Lippincott Williams & Wilkins, Philadelphia 2008. Copyright © 2008 Lippincott Williams & Wilkins.
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