b'Fish Hook InjuryChapterA fish hook in the hand or part of the body is a fishermans nightmare. It is often very difficult to remove because the pain is severe and the barb is often buried deep. You should only attempt to remove it if medical assistance is unavailable. An embedded fish hook carries a risk of infection including tetanus.How to ManageReassure the patient. Cut the fishing line as close aspossible to the hook. Apply firm pressure around the hook preferably with a clean pad. Gently build the padding up on either side of it. Carefully bandage over and around the padding so the hook is firm, stable and cannot accidentally be knocked or bumped.Support the injured limb in a raisedposition with a sling or bandage as this will help minimise swelling and ease pain. Refer to medical assistance.If medical assistance is unavailable (long distance to shore):You should not pull out a fish hook unless you can cut off the barb.In special cases and only if the patient is agreeable:Gently push the hook forward so it curls around andpushes through the wound exposing the barb above the skin.Gently cut the barb clean with wire cutters or pliers. Carefully withdraw the hook from the wound by its eye. You will need to slowlycurl the hook backward to allow it to withdraw at the same angle it entered. Clean the wound thoroughly and cover with a clean, preferably sterile dressing and bandage.Refer to medical assistance.If the barb is visible:Providing the patient is agreeable, the same removaland management procedure can be applied.168 Foreign Objects'