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, part 2). The remainder of the hook can then be withdrawn along its original
path of entry ( Fig. 130.42A , part 3).
2. String removal ( Fig. 130.42B ). When the fish hook lies too deep to force
through a second wound, an alternate method can be used.
Explain the procedure and restrain the child as necessary. Cleanse the area with
antiseptic solution. Achieve local anesthesia by injecting 1% lidocaine needle
into the surrounding skin.
Loop a piece of string around the hook (part 1). With the nondominant hand,
depress the shaft of the hook against the skin (part 2). Grasp the end of the
string with the dominant hand and pull sharply (part 3). This action should
disengage the barb, and the hook can be removed through the entry wound.
Following removal, cleanse the area and apply a dressing. Give active or
passive tetanus immunization as indicated. Consider antibiotic prophylaxis in
immune-compromised patients.