As paramedic in Mexico, I really appreciate your videos. We do some “simple” procedures like this one on the field, in austere environments, those diagrams at the end are super helpful and educational, thanks a lot!
I keep an exacto and pliers in my tackle box just for this. Best thing I have found besides the string technique is to use an exacto and cut a slit and just pull it out.
A quite simple and effective modification of this technique is trying to cover the barb of the hook with the needle you are using to release it. It's an injection needle, it's empty inside, so the barb can slide into it quite neatly and then you can slide the hook with the needle protecting the tissues from the barb hooking into it. In ancient and medieval times in case of a barbed arrow stuck in the body, they had special forceps with a cavity to insert into the wound along the shaft of an arrow to cover barbed ends of arrows to be able to remove the arrow the way it came in without causing further damage. That's almost the same technique modified for modern context just without specially made equipment ;)
The advance and cut technique was one of the first things my dad taught me when i started fishing with him at age 8 , it proved helpful a few years later .. when i had the exact same thing happen to me miles away from a hospital in the Fjords of patagonia .. the other lesson is always wear wrap around sunglasses when fishing or around people launching ..
so if I'm understanding, the intent of the needle barb release technique is to lift the skin away from the barb with the bevel of the needle, rather than try and get the barb into the lumen of the needle (which is difficult to do, and once accomplished then traps skin between the needle and hook making removal more difficult). Correct?
I love your videos. I would really enjoy you doing a list of classic presentations and management for other neurological and internal medicine conditions (e.g. COPD) if you can.
You know even this is a good experience. Ya at the moment it might hurt but you are making a memory along the way. It is even a good story to tell and laugh about. I mean maybe you enjoy staying at home but I don't know if I would be sane if I never go out and have some fun and try new things.
I have stuck myself with a fishing hook before and its not fun. But never was it stuck like that. I always was able to pull mine out of my thumb or finger. I forget which finger it was but it was easy to pull out on my own.
One of your most “alluring” videos. I had to work that pun in there. As soon as she removes it I thought that he could still use it again since the barb wasn’t cut! Another observation, hospital stretchers are really awful for doing procedures on hands. There’s always height issues and never a great place to Put the hand.
@@kellyjoiner4418 it’s a lot easier to remove the hook that way. Using the needle to get the bath back out the way it came causes more damage than pushing it through.
After giving local anaesthesia you need to cut through the fishing needle on the shank and then pull the barb from the front in the direction the fish hook penetratrated the never backwards. I have seen some many similar cases.
El procedimiento está mal realizado. Y lo otro mal es que la anestesia no la colocaron en las caras laterales por donde discurren los nervios del dedo. Coincido con usted.
If you where to do that that could lead to an infection if not done in an sterilized environment with sterile equipment. If the fishing hook was used then you would need a form of antibiotic as well. You also don’t know how deep it is and if you where to “Man up, loop some fishing line on that hook, yank it” you could do more damage then if you where to go and do it safely with medical professionals. If it was deeper then you thought it could rip the skin and you could need stitches. If it was done by a professional it would also leave minimal scaring then if you where to “man up”. So instead of promoting doing something unsafe don’t even bother commenting.
@@John-iw3qs Uh, I disagree with the commentator, but some of the removal techniques listed in textbooks involve exactly what the commentator said. Clearly, the ED Physician did a better job.
As paramedic in Mexico, I really appreciate your videos. We do some “simple” procedures like this one on the field, in austere environments, those diagrams at the end are super helpful and educational, thanks a lot!
Nice! So glad to hear that it is helpful!
I keep an exacto and pliers in my tackle box just for this. Best thing I have found besides the string technique is to use an exacto and cut a slit and just pull it out.
I can only hope to have such caring professionals working at the ER should I ever need their services!
Thank you!
Keep up the good work doctor Larry 👍🏼
Thanks Shashi!
Ouchhhhh!!!! Good job Dr. Mellick and team!! Awesome video ❤️❤️
Thanks!!
@@lmellick you're welcome ❤️❤️
I start as a student nurse tech in the ER in two weeks! Im so excited and love watching your videos!
Yay! Thank you! Best of luck!
A quite simple and effective modification of this technique is trying to cover the barb of the hook with the needle you are using to release it. It's an injection needle, it's empty inside, so the barb can slide into it quite neatly and then you can slide the hook with the needle protecting the tissues from the barb hooking into it.
In ancient and medieval times in case of a barbed arrow stuck in the body, they had special forceps with a cavity to insert into the wound along the shaft of an arrow to cover barbed ends of arrows to be able to remove the arrow the way it came in without causing further damage. That's almost the same technique modified for modern context just without specially made equipment ;)
The advance and cut technique was one of the first things my dad taught me when i started fishing with him at age 8 , it proved helpful a few years later .. when i had the exact same thing happen to me miles away from a hospital in the Fjords of patagonia .. the other lesson is always wear wrap around sunglasses when fishing or around people launching ..
so if I'm understanding, the intent of the needle barb release technique is to lift the skin away from the barb with the bevel of the needle, rather than try and get the barb into the lumen of the needle (which is difficult to do, and once accomplished then traps skin between the needle and hook making removal more difficult). Correct?
Yes, correct!
I have always liked your educational videos Prof. Continue the good work. Am watching from Malawi🇲🇼
Thank you very much!
Welcome
I love your videos. I would really enjoy you doing a list of classic presentations and management for other neurological and internal medicine conditions (e.g. COPD) if you can.
Great job! I love the new series “Stuck”!
The mom looks like she is real concerned and she is doing a good job at consoling her kid
Doesn’t look like he needs consoling.
Great video! I watched it on “Stuck”…Great series I hope they have h
Once fishhook stuck on my 8 years old nephew. Sooner I taken him to a fisherman. He took it out in a sec without even single drop blood
Mom couldn’t look at all 😂😂 I thought it was fascinating
This is why I stay in the house. No hospital visits or pain :)
Actually people who just stay at home and do nothing have the highest hospitalization rates.
@@ChristianPA I haven’t been to the hospital besides the time I was born Christian I appreciate your concern tho
You know even this is a good experience. Ya at the moment it might hurt but you are making a memory along the way. It is even a good story to tell and laugh about. I mean maybe you enjoy staying at home but I don't know if I would be sane if I never go out and have some fun and try new things.
I have stuck myself with a fishing hook before and its not fun. But never was it stuck like that. I always was able to pull mine out of my thumb or finger. I forget which finger it was but it was easy to pull out on my own.
One of your most “alluring” videos. I had to work that pun in there.
As soon as she removes it I thought that he could still use it again since the barb wasn’t cut!
Another observation, hospital stretchers are really awful for doing procedures on hands. There’s always height issues and never a great place to
Put the hand.
Hah! Nice pun!
Nice technique
Thanks
He did very well during that ordeal. Mom on the other hand...🤢 lol 🌞
What kind of bait did he use?
What's the difference between the needle barb release technique and the needle cover barb technique?
The needle cover barb technique does not work. It is almost impossible (in my experience) to find the barb to cover.
@@lmellick thanks.
That would be half a million.
Whatever happened to push it through snip it and pull is back out?
When it doesn't pop through, why make another hole? 🌞
@@kellyjoiner4418 it’s a lot easier to remove the hook that way. Using the needle to get the bath back out the way it came causes more damage than pushing it through.
@@Urmom-jb6zc In this case I have to agree with you 😬🌞
Poor mom!
Cute lure!
It’s called taking needle, nose, pliers, and wiggling it back out the way it came in just like you do that with a fish.
Man I know everyone one deals with stuff different but when we fished we called that a beer break.
Googan squad needs to hook your boy up with a care package after this one!
After giving local anaesthesia you need to cut through the fishing needle on the shank and then pull the barb from the front in the direction the fish hook penetratrated the never backwards. I have seen some many similar cases.
El procedimiento está mal realizado. Y lo otro mal es que la anestesia no la colocaron en las caras laterales por donde discurren los nervios del dedo. Coincido con usted.
Thats painful
28-
Had this happen with a custom lure that had 8 hooks all in my hand and palm
I just feel how painful used it to be.
there's a trick you can use fishing line and you don't even know it doesn't hurt nothing at all.
Why didn't they flush
Was expecting the mom to have a syncopal.
Poor Mom doesn't look well! HA!
Man I just pull em out before I give myself time to second guess it
Well, where i work we do see a good number on fishhook in the eye
Been there in alot worse condition trying to make a new lure
Mom is funny! :)
Wish the mother would have held his hand
Awesome
Thanks!!
Mom wanted no part of this
That was very clear!
I’ve seen fishermen get them out in 1 second
While that's true, they probably cause irreparable damage in doing so.
I couldn’t watch this either ???
ouch. this looks painful 😢
Well, now we know what the fish feels. 🥺😕
dumb comment
Didnt know fish could have the human nervous system.
@@oshiezz Our nervous system is very similar. Evolutionarily related.
Bend down the Barb. Easier on the fish, and easier to take out if you get the hook in you.
0 eww
Today's society, this is an emergency. Man up, loop some fishing line on that hook, yanks right out!
Leave that young man alone.
If you where to do that that could lead to an infection if not done in an sterilized environment with sterile equipment. If the fishing hook was used then you would need a form of antibiotic as well. You also don’t know how deep it is and if you where to “Man up, loop some fishing line on that hook, yank it” you could do more damage then if you where to go and do it safely with medical professionals. If it was deeper then you thought it could rip the skin and you could need stitches. If it was done by a professional it would also leave minimal scaring then if you where to “man up”. So instead of promoting doing something unsafe don’t even bother commenting.
@@John-iw3qs Uh, I disagree with the commentator, but some of the removal techniques listed in textbooks involve exactly what the commentator said. Clearly, the ED Physician did a better job.
It’s called, using the needle nose pliers, and pulling it out the opposite way that it went in. Just like when you’re pulling one out of a fish.
Needle release seems more practical but needs good imagination and correct positioning
As always, well done sir. 🤍
It does! Thanks!