Decision
Retained barb?
Yes
Remove barb by: 1. Pulling the barb straight out 2. Using the 16-g needle technique 3. Using the incision technique (Class III)
No
Consider discharge if stable (Class I)
Yes
Remove barb by: 1. Pulling the barb straight out 2. Using the 16-g needle technique 3. Using the incision technique (Class III)
No
Consider discharge if stable (Class I)
