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Published on: February 21, 2025
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Fishhook injury in Eastern Newfoundland: Retrospective review
Christopher Patey1, Thomas Heeley2, Kris Aubrey-Bassler3
1Carbonear Institute for Rural Research and Innovation by the Sea, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Summary
Fishhook injuries on Newfoundland's east coast show inconsistent treatment, with common hand injuries often managed with potentially unnecessary antibiotics and imaging. Education may improve care for these fishing-related injuries.
Area of Science:
- Emergency Medicine
- Public Health
- Trauma Surgery
Background:
- Newfoundland has a significant fishing history.
- No prior studies profiled fishhook injuries on the east coast.
Purpose of the Study:
- To profile fishhook injuries on Newfoundland's east coast.
- To identify trends in management and outcomes.
Main Methods:
- Retrospective review of emergency department records from 2013-2015.
- Analysis of patient demographics, injury location, treatment, and outcomes.
Main Results:
- 165 fishhook injuries reviewed, predominantly to the hand (80.6%).
- The "advance and cut" technique was most common for removal (55.5%).
- High rates of prophylactic antibiotics (57%) and X-ray use (20%) were observed.
Conclusions:
- Fishhook injury management on Newfoundland's east coast is inconsistent.
- Potential for suboptimal removal techniques, unnecessary imaging, and antibiotic use.
- Educational initiatives recommended to enhance patient care.
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