Cruising Medical Emergencies - Free Range Sailing Ep 30
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- Опубликовано: 8 сен 2024
- **Correction after publishing**
17:35 - Written on screen is 10% saline irrigation solution; should be 1.0%.
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This is an unusual episode in that it does skip forward from our usual timeline to the Torres Straits in Northern Queensland, but we wanted to present this information sooner rather than later for yachties who may be departing soon. Future episodes will resume from the start of the crossing of the Gulf of Carpenteria.
Here we've had the good fortune to meet one of the excellent medical officers practising in this remote and challenging region. For doctors and nurses in the Torres Straits, arrival to an emergency by helicopter and dealing with severe marine related injuries are a common occurrence.
We take the opportunity to talk with Dr. Scott about what we can do as long range sailors to address a number of injuries that may occur on board- as well as get a demonstration on stitching a wound and two methods of removing embedded fish hooks.
We wish to thank Dr. Scott for the time he granted us for this discussion as well as some great, inventive, practical instruction! We are also grateful for his selfless hospitality and the chance to meet his lovely family.
All topics discussed are the opinion of Dr. Scott in an informal setting and in no way represent the official policy of the Queensland Health Department. None of this information can, or is intended to substitute for professional medical advice, with your specific circumstances being considered. Again, we encourage everyone venturing offshore to seek First Aid Training from an accredited training provider and to seek further advice from your Doctor.
Topics covered:
3:09 - Using super-glue to close lacerations
8:13 - Demonstrating stitching a wound
13:30 - Pain relief advice
17:05 - Wound cleaning and care
19:30 - Signs of infection
20:00 - Open wound management
23:11 - Stingray sting and other venomous puncture wound treatment
26:39 - Demonstrating two techniques for the removal of embedded fish hooks.
Finally a topic we felt well informed on! As you know we are inland farm dwellers, but we are also nurses with ED background! We have met many cool doctors like Andy. Rural GP'ing is a touch gig. Need to be a jack of all trades and master of many to get by! Always see your GP before any big travels. They are your friendly medico! Thinking about your knives Troy and how their sharpness can make surgical incisions, have a look into medical grade staplers (what surgeons use to close their incisions) For those who don't feel comfortable stitching and the cut is too big and deep for glue, this could be another option. Look into it, love to know your thoughts.
Brilliant and hilarious! Only a couple of Aussies could nail a nippled pork to a chopping board swig beer and educate !! Cheers doctor Troy! 👍
Niccat, absolutely spot on. Although I think they were a little nipple obsessed!
Just wondering how their nippled pickled pork recipe turned out after tenderizing it.
Very good and practical information in this video.
Regarding removal of fishhooks, they are much easier to remove from skin (both humans and fish) if they have no barbs to begin with. Years ago there was a change in fishing regulations where I fish that prohibits the use of barbed hooks for salmon fishing. Salmon are strong fast fish that put up a good fight. To my surprise I discovered that I hooked and caught more salmon than before because the barbless hooks are sharper and penetrate easier than barbed hooks. Hooks don’t really need barbs to stay in when you are fishing with hand held rod and reel. The line is never really slack even when the fish comes toward you because of the drag of the line in the water. You should try it for yourself, just mash down the barbs and make sure the points are needle sharp. Much safer for a fisher trying to handle struggling fish on a rolling boat far from medical assistance.
Cheers, Arnie
This is just brilliant, fantastic guide. Im going to buy some pork belly!
The most helpful video I have ever seen on a sailing channel. Again you guys rock
Excellent. When I did stitching wounds for Shipmasters Medical, the nurse said she had never seen anything like it !
I'm going to hope because it was machine like in its perfection!
Great info guys, learning so much from your channel. Earlier this year I was sailing single handed. While on anchor and asleep I was bitten by a redback spider. Needless to say it ruined the trip and brought home the importance of being prepared for a first aid situation on board. Similar to what you said with stingray injuries, the best relief seemed to be warm/hot showers.
I left the same comment on the Patreon page but it occurred to me that more people from North America might see it here when it is published to the wider community.
What an awesome topic and some great advice from both of you. I loved how Dr Andy admitted to learning something too! Without the benefit of an anesthetic, I'd definitely go for Troy's Method #1 for anything other than a shark hook! For those of you that aren't used to the drug names used (I.e. from North America vs the rest of the world), Paracetamol (Panadol brand name) is the same stuff as Acetaminophen (Tylenol brand name). Ibuprofen is the same globally but in North America is often known as Advil or Motrin (brand names). Ibuprofen is better at treating inflammation. I personally cope with Ibuprofen much better as Paracetamol/Acetaminophen causes me to vomit in doses large enough to manage even minimal pain (probably from overuse at one point for migraine treatment). Dr Andy, kudos for actually volunteering your excellent advice. Another fantastic episode all round.
Brent you must have read my mind- i read your comment over on Patreon and was about to ask if you could include it here because of the information it contained. Thanks very much for sharing your knowledge.
What about when the barb has gone through and out in another spot? I've heard that snipping the barb off with wire cutters and then pulling the hook back is best. Any truth to that?
If the barn is visible or close to the surface, cutting it off and drawing the hook is the way to go. Embedded hooks are generally the ones that cause the worst damage and tissue trauma.
Such a good video, thanks. Not just for sailing. Dr. Scott is an expert despite his modesty, those stitch knots were nicely done!
Most edumacational! Goes to update first aid kit... Thanks
I'm sitting in an office (video editing, Bristol, UK) watching this intently, thinking this is going to be useful one day :) Thanks guys
Practising your first aid skills on dinner is a great ice breaker for that important party
You guys sure picked a great time to be in Thursday Island.
Best Wishes and be safe.
David.
Snug as a bug etc. thanks David.
Very interesting regarding the super glue... Back in the late side of the '70's, I was getting involved in the Radio Control aircraft hobby. I built the my first airplane, connected the battery to the glow plug on the engine, flipped the prop over, and started the engine. After I was sure it would continue it would run and holding the airplane back, I reached over the prop, flipped the battery connector back, then pulled my hand back, dragging my right index finger through the prop arc... Broke the prop and left a nasty across the end of the finger just under the fingernail, about a quarter inch deep... It was a Sunday, I was in the Navy, didn't want to go back to the ship yet, so I grabbed up my super glue and stitched the half inch closed... On Monday I went to sickbay and the Hospital Corpsman laugh... Suggestion: Leave a small weep hole to allow some blood can weep out preventing a buildup of pressure in the wound... Love the episodes... You guys are wonderful company for too short a period of time!!!
The old navy saying;
We've been doing so much with so little for so long, that soon we'll be able to do everything with nothing forever.
don't like needles this is the only episode I had to make myself sit through thanks for your educational and lovely sailing videos. I'm buying a Careel 22 don't plan to go far out lol. Must have been a sailor in some past life as all of a sudden I gravitated to sailing. Been watching vids all through ab 4 weeks of lockdown.
I even cried watching a certain boat going through the water couldn't believe it. Anyway thanks for your time and making these graet videos. Will be a sorry day if you started doing charters as you'd have less time to do vids 🤣. You'd have a line up at the wharf. All that lovely cooking and food. Thanks 🙂
This is the stuff that sets you apart from the rest on youtube & it's relevant to us landlubbers who get away from help too. Two yrs ago I had to super glue my hand & hike out over two days after rolling my truck in outback Wyoming.
Sounds like a good story for if we cross paths one day. I like to hear how people overcame dangerous or adverse circumstances. Always instructive.
The Southern Ocean should have claimed me in the 70's so I don't go to sea any more. Since then I've used up my 9 live's & then some. Next year I should be ready to take a shot at 500 mph. You only live once Mate & you guys are doing it proud.
500mph! If you have a way of following your attempt, would you mind dropping us a line at
mail@freerangesailing.com
That sounds incredible!
More people have been on the moon than gone 400 mph. I'm building alone out of my own pocket but there are some extremely well funded cars already running & falling short. I was responsible for this one back in the 90's & some others since. ruclips.net/video/GyEfDr_9AVg/видео.html
I do like that a few beers were consumed during the demo... 🍺
Doc Scott is a legend. So good to have someone just give a chat about medical stuff without A. being impossible to understand and B just having 1 opinion and no variation on the question. Scott was do this but think of this ohh and remember this.
Meeting Scotty has been one of the highlights of the trip (don't tell him that). He knows he's competent so has nothing to prove and is genuine to a fault.
In other words, a top bloke!
This was great. Fantastic video.
Thanks so much.
Another hook method is to push it around and up through the skin. Then cut the tip and Barb off then slide it back out. Best for small hooks of course, make sure you can cut the shank of the hook before you push it through.
Yes- thats a good common method if possible. Now you know 3!
Great education on removing the hook . I’ve always when possible pushed the hook through but it isn’t nice and causes more tissue damage and a lot of pain. I’ll show this to my poor kids I think they all have had hook or two pushed through.
Great.Useful.Funny.Thanks!
Super interesting. Thank you!
Again 1st class that small demo could save lives and the trick to remove the hook was great, Troy's trick I reckon you should call that lol. And I take my hat off for the doc to help you out. A lot of doctors would run a mile for liability reasons.
Dr Scott was very pleased to share his expertise in the hopes of helping keep people from harm out there. The video also shows that with a bit of ingenuity you can simulate some of these injuries for practise.
I’ve done First Aid courses, learned something every time. But this video trumps the lot of them .... really informative, practical and - dare I say - entertaining. Thanks, Troy and Dr A - that was awesomely useful. And/but Troy (please, hope you won’t be offended), you’ve done a great job in her absence, but looking forward to your crew mate Pascale returning soon! Sail on ... and hoping you’ve avoided the worst of that breeze lately. Roy
Thanks Roy and don't worry, it is definitely both (all) of us looking forward to Pascale coming back.
Brilliant info, like all of your postings
Good job Andrew! Love it.
Excellent episode👍
Brilliant guys.. enough said.
2 great methods for hook removal , in the past I have cut back on the hook to ease the barb out but much smaller hooks
Excellent as usual!!!
Far out another awesome informative video, I always wondered how i would get a decent hook out of my or someone elses skin. Thanks again i learned something once again love your videos.
I have loved 27 of your videos to date and are searching for the few I missed (curse my random ass watching them in random order in the beginning!) This was another awesome vid, always so interesting and relevant. Thank you for putting these together, wishing you all the possible success in the future.
Thanks TS we hope you continue to enjoy our show.
Thanks for putting this presentation together. I've absolutely never seen hook removal like you and the doctor demonstrated. I've always heard about pushing the hook back out and cutting off the barb before pulling it out. Sugar is another backwoods solution to severe cuts. Sugar in the wound promotes healing and you won't end up with scars either. I've had doctors explain it to me and the medical description is beyond me to try to describe the science behind it.
You're most welcome. Sugar is used in preserving as well. It sets up a concentration gradient that pulls moisture out of meat. Perhaps it kills bacteria by drawing out their fluids by osmosis. Just a guess.
We like backwoods trad- knowledge.
Honey is often used as well. Certainly in the deep.jungle of PNG and even in tertiary hospitals (they buy the expensive medihoney though).
That's a big 'ouch' from me! Educational, and a good reminder to take lots of care when out there either off-shore, or solo. Thank you for sharing this.
Fantastic information.
Positively, two thumbs up!
I nervously drank a beer with you guys while I watched this ...why is the best medical advice always given over a "cold beer" and good company? .. fascinating and informative .. in places where professional medical help is far away and you have to go at it .. with the tools at hand ... where there is no doctor ... this information is very important.. great video!
Also you can push the hook further in and round so that the sharp point and barb reemerges. Then pull through. I've done this a couple of times with admittedly smaller hooks.
That was in the original filming but the video was already going to be pretty long. We wanted to address things not widely known. We probably could have made two videos!
I'm surprised by the amount of embedded hook and stitching up stories in these comments. We've got some tough folks in the audience.
I learn something new every time I watch. One of the most informative sailing channels on the tube. Thanks
Great Video. Can be applied in so many circumstances. Thanks to you and the Doc. Stay well & happy.
Well done, Refreshing. Thanks for taking your time and consideration of real and related topics for potential real life crisis aboard.
I've had a chest drain and 4 stitches to close it with no anesthesia due to also having a ruptured liver in the same accident, That was not pleasant. It was made less pleasant by having it done completely naked on a freezing winters day lol. I might have died inside but I didnt cry lol. cheers.
Bloody brillant!!! Say no more.
I don't think that there is even one of your videos where I haven't learned something helpful/interesting/important. Thumbs up to you, Pascal and the kind doctor.
That's music to our ears, thank you George.
Love your vids because you don't constantly drink and they are always informative
I know it was 4 yrs ago Troy but thanks to yourself and Dr Andrew for that very informative session. Im never going on a boat nor getting hooks caught in me but never say never...its always good to know new things. Maybe some lignocain ointment is better than nothing for numbing too, think that is a pharmacy product. And as you said...ice ....would be better than nothing. Think I preferred your way of removing the hook to Andrews though, not sure I would want someone poking around to find the hole in the hook to push the needle or other hook into mmmmm...
I wonder in 2023 where Dr Andrew is now..probably back in civilisation where the only pork belly is on the bbq
Great episode I was told that wnen you use that technique to remove a hook make sure that you have a good secure knot that will not come out and that when you pull the hook out to pull like you only have one chance or it will hurt like hell the next time.
Cheers
Nice Troy, good episode and it is always best to be prepared for if and when time comes.
Great information! With both of my parents being MDs you should have seen the first aid kit on out little 18' bow rider . It filled a decent sized tackle box. Dad was prejudiced against stitches from his time in Korea. (Where he was decorated for Valor I have to say. Very few MDs got a Bronze Star with V for Valor. I miss you Pop!)
Here's to your dad then, glad you remember him fondly.
Essential knowledge to have for any cruising experience. Maintaining a calm and focused mind set during any emergency is also key to maximizing the effectiveness of what you have onboard to deal with a medical emergency as well. Thank you for sharing and making us fellow cruisers aware and to think and prepare.Cheers
Great info thanks
I thought for the demo you were going to get Pascal on the table🤗....great info! Thanks
PascalE...oops!
learnd a lot thank you again
The MOST INFORMATIVE sailing channel. Love it!!!! thanks guys
I had a hook in once and the doctor went to his car to get a pair of pliars. He pushed the tip back out of the skin, completing the arc of the hook, and cut the loop so it would not follow through. You pierce the skin again but you don't rip it on the way out backwards.
My experience is based on working with animals but generally we attempt to push the barb through the skin, then cut the barn off and pull it back through - minimizes the trauma especially because in a lot of my patients the hook is half swallowed! Don’t want to tear out a jugular! Very informative, I take for granted having this knowledge sometimes, and forget that for other cruises it’s not as simple as pulling out your big veterinary kit, thanks for sharing
Thanks Vet Tails. My own past experience with hooks was like that as the hook was only mm away from going all through. I was happy to practise the first method for hooks not deeply embedded and had never considered Dr Scott's ER method.
Maybe that pork belly workshop might get some cruisers to consider going barbless!
Use ground white pepper to stop bleeding. It works unbelievably well , as it gets in to the cut and helps block and coagulate the wound.
Good tip.
Outstanding, thanks, you don't have to be sailing to benefit from that wisdom. I don't know about that being the first time you have taught anything Troy, In just about every video both of you graciously teach and explain so much. Thanks again.
Hi Troy, ask your doctor mate about using acetone for cleaning badly infected cuts, seems to work very well in my experience.
Steve
Just brilliant! This is all important info, even if you are no where near a boat !! Thanks !!!
Fantastic. I have always had a problem removing fish hooks, next time I will try one of these two methods.
i have seen stuff called Bachs "rescue remedy" some weird flower essence in alcohol, relieve stress, panic etc from injury in seconds amazing stuff never travel wthout it.My first experience was crosscountry skiing with some serious athletes training for a big comp. The most promising female tripped over some skiis in the dark and broke her arm, the pain and the realisation a years training was in vain pushed her into a highly emotional shock and panic state, pretty confronting and generally awful they put a few drops on her tongue and in less than 5 mins she was calmly waiting for the ambulance, still in pain but calm, many more examples since, use it!
Very well presented and a great bit of info. Thanks to the good doctor for helping out. Thanks for sharing and fair winds.
Brings back memories of that size hook completely buried up to the straight shanks, in my foot. At Waddy Point on Fraser Island. No doctor on island. Drove back to Toowoomba and 25 hours later hobbled into the emergency department at the base hospital. My feet are like leather having grown up in Queensland where shoes are optional. Definitely a surgical procedure that one. Doctor was shaking his head at me having this hook in my foot for so long and especially given that it was a crusty old hook with bits of cod meat still attached to it. Huge volumes of antibiotics were pumped into me. Quack had to grab the security guard to go out to his tool box to grab a big enough set of pliers to cut the shank off before pushing the hook through an incision in my foot skin leather. Local anaesthetic and the green whistle were used for pain relief. I'll never forget the look on the receptionist at the hospital too. She leaned over the counter and took one look at it and went straight away and grabbed a wheel chair and wheeled me straight into theatre. Would hate to have the same thing happen and have to deal with that far out to sea.
Bit of a horror story Phil! Thanks for sharing nonetheless.
One item that I *always* keep in my first aid kit is _Maternity Pads_ which are the feminine hygiene pads they give to mothers, postpartum. They come individually wrapped and are usually sterile, or at least very clean. They have long "tails" which can be used to tie together and then used as a tourniquet to staunch bleeding. Variants were used in Vietnam by medics. The *only* difference? They were Army green and some were larger to cover wounds to the torso, but essentially identical.
kudos to Dr Andrew,
Thanks so very much for this upload, the simple fact of having vaccinations up to date before embarking is something I had not even considered.
cheers for the upload.
stay safe
this is the most valuable information i have seen on any sailing or even survival channels show us more there is lots to learn in my own opinion first aid should be taught at every level in school and cpr .
I couldn't agree more. At the very least you turn 18- you learn 1st Aid
Congrats on cracking 8000 subscribers!! Thank you for sharing your adventures!!
Thanks Bruce!
Wow ! That is fantastic knowledge ! I haven't seen anybody so informative on emergency open wound management weeks from hospital ! I've had the fun of a saw running half way through my hand slicing through bone nerves and tendons. Then fighting off a huge infection where it blew open my stitches and red meat sticking out all over which took months of daily soaking in peroxide to bring it back to life ! Your surgeon was a little fast tying those knots. That's years of practice. I'm going to try some of those stitching knots too. Thanks for going out of your way to get your doctor to share some of his knowledge with us. He made a lot of sense. That thing about the hot water on venom was epic. Who knew ? Boy Scout motto "Be Prepared" Cheers
YUP...I say it ALL THE TIME TOO! Boy Scout motto "Be Prepared"
Holy hell! I hope you have full function of that hand again! We are happy to have made this video as I can use it to run practise sessions later as my memory gets a little jumbled. The case of simulating common injuries with your dinner is a fun exercise and I learned a lot from Andrew's instruction.
After 40 years it doesn't feel like i had a hand full of crazy glue as much. fingers are still hyper sensitive. Like if I touch something prickly it feels like strong electric shock. Cold feels hot . In a hundred years it'll probably feel normal again. Always dropping screw drivers. Thank goodness for those small 14 volt screw guns.They are a blessing in my field of work (HVAC Tech) I hardly notice one finger being stiff as a board any more. It put a stop to keyboarding but i can still play the guitar. Live and learn. I do have a special respect for anything sharp. I notice now that seeing other peoples wounds make me queasy. Ha Ha My mothers doctor told her " If you want to live a long time ,then acquire an ailment and take care of it. Cheers
29:00 try doing this on my finger with same size hook and NOPE!! Had to slice n push it through then cut with big wire cutter you guys are wonderful and would be a hoots to fish with 🌬️💨⛵🤙🏻🙏🏻
Thanks very much, its highly appreciated your sincere approach to get ready to respond to any unexpected when sailing far from any doctor.
I even will pay quite attention to perfect the "hooks" technique until feeling acceptable results...
Bon voyage
Next roast you have, get some practise in first!
Great stuff guys. Learned lots, thank you. Will watch the whole thing when we get on wifi, Cheers from Stew and Zaya
Cool trick with the hook, I had a hook go through my hand once and ended up cutting off the barb then pulling it out. Only works because it went through between the fingers. I like the fast and easy approach. Thanks for the video.
I've had a hook go clean through also. It want pleasant but not quite as horrific as a deeply embedded 9/0. That's when having Dr Scott as your crew-mate would be the greatest blessing.
"Rum certainly has its role" Thanks Doc. Hah hah
Thanks Troy, for an informative video and a cool doctor.
Another good method is to push the hook around in a circle following its path by the shortest root until the point and barb exits the skin, then you cut off the point and barb with pliers and then easily remove the shank of the hook, back out through the original entry point.
Regards, Dave.
I've had to do that and it HURTS! Now you have 3 methods to fall back on. It is worth practising as we did. Fun and instructive.
Great video guys, and no beer was spilled. Prevention is best but sometimes shit happens. Spilled beer can be painful.
Bad memories
Brilliant
Bit late to the party but Indonesian solution to an infected wound is to dress with a mixture of ground salt and sugar with a touch of detergent and saliva mixed to a paste.
What a great and helpful video, much appreciated guys👍
THANK YOU! GREAT STUFF! I especially like what you said about it's more about prevention that repair after the fact. You should do a vid on SAFETY! To many sailors are negligent in this area. Its easy to think nothings going to happen. What I think what most forget, is they are far away from professional medical help and need to take EVERY precaution possible to minimize the risk of getting hurt. I run a hiking club and one of my members fell 63 feet, broke 11 ribs, punctured both lungs and shattered his scapula. We were able to save him because we were prepared. It was a simple hike and a beautiful day. Nothing should have gone wrong. BUT IT DID! Had we gone out there with the attitude that it's a simple short hike and we don't need to bring X, Y and Z...he could be dead today. Nuff said...PEACE OUT!
Bad things can still happen on the brightest, sunny, carefree day. Good housekeeping and a set procedure to do most tasks on board go toward preventing 95% of injuries. In a year of remote area travel, catching big powerful fish along side crocs and sharks as well as boulder hopping a lot, our worst injury was a badly infected ear!
Great information.
After my open heart surgery.
The use stainless steel sutures to hold my sternum together then superglue after that. Makes for one clean scar.😎
As usual, Troy is educating us on those things we all should know, but never really thought about or thought out... lessons on removing Hooks should be required learning for anyone who owns a boat.
I just asked the questions- the real info came from the good doctor
Fantastic guys. Gave me some great knowledge.
Great video Troy, really helpful. Was not aware of that technique for pulling the hook.
Very, very informative! Well done to you and the doc, Cap'n Troy!
Thank you both so much. This is great info for anyone that does anything outdoors.
Thank you for this video, great information.
great video mate i stitched up a mate once when living out bush the doctors was horrified when me mate finally made it to town was understanding i could hardly stand up at the time of stitching and minimal water but it saved me mates arm he went through a window drunk
Good job. Stitching up a drunk mate has got to be tough.
I'm on my way to get super glue for all my kits, fishing for fish on barb less hooks when possible. I''m surprised just a little you guys didn't talk about butterfly bandages. Great video again. Thanks
Thanks Bob. To be honest, we had a lot more that could be discussed but we were conscious of how long the video would be. Butterfly's and Steri-strips are also in our kit and I agree, they are very useful.
Showing what is involved in removing hooks might get more people fishing barbless!
Fantastic stuff guys, really nailed the key issues in a great to digest way for just about everyone. 10/10
When I was seeing this previewed as an upcoming episode, I was concerned that something had happened warranting some serious high seas trauma level first aid. Glad to see it was an informative how to episode. Made me think to check the CA glue in my first aid kits to see their expiry too. And that barb removal technique - both of them, quite useful. I have been first aid qualified off and on for 30 years or so and it is great to have on land or sea.
Thanks Mike. We could have gone on for ages. Andrew is very generous with his time and his knowledge is inexhaustible. Roast pork practice dummies are a great resource!
Your ep was very awesome and very education. I learn a lot from of your ep.
Advice on self repair from a "Dr" very good stuff Troy !
GREAT video guys. Very informative. I learned a lot. I really need to up my game on my first aid kit. Thanks
Very informative and useful. Hope you do not have to use it at sea, have fun and be safe
Well done every one should have a understanding of first aid , You always have valuable information good one guys
Nice. Thank you.
great info as always. on the fish hook thing, the best way to deal with barbed hooks is to have no barb to begin with. here in Alberta Canada it is actually illegal to fish with barbed hooks. the barb was originally designed to keep the worm on the hook. it does nothing to keep a fish on. if and when you hook yourself ( my specialty) you just pull the hook out and bob's your uncle.
Dr Andrew made passing reference to 'unless you have chronic liver disease' with reference to Paracetamol and this is probably because it is possible to overdose on Paracetamol.
As I understand it from volunteer Ambulance training swift remedial action is necessary for cases of Paracetamol overdose.
If professional remedial treatment is not administered within a maximum of about four hours after an overdose of Paracetamol, an affected liver will probably cease to function and that, as they say 'is that'.
Put some ice from your cooler over the afflicted spot. Push the barbed end of the hook through 'til it comes out in the open. Use wire cutters to cut the barb off then back the smooth hook shank out. Because of the ice, patient never feels a thing. Douse the wound with antiseptic and keep in fishin".
That's how they used to pierce ears, put ice on it until numb, and push the stud thru!
Awesome! Great info. Thank you!
Thank you very much for the information, this is a big help.