What is the recommended approach to remove a wood splinter?

What is the recommended approach to remove a wood splinter?

• A. Circular incision around splinter
• B. Longitudinal incision over splinter
• C. Break it into pieces
• D. Push it out with forceps

Answer: (B)

The best approach is to make a small incision that runs along the length of the splinter to expose it directly. This aligns with the splinter’s axis, allowing you to grasp it with forceps and remove it in one piece, which minimizes tissue trauma and reduces the chance of leaving behind fragments. Creating a circular incision around the splinter can trap tissue and make complete removal harder, while trying to push it out with forceps without adequate exposure risks pushing the splinter deeper or breaking it, leaving fragments behind. Breaking it into pieces also increases the chance of residual wood and infection. After removing the splinter, irrigate the wound and check for any leftover fragments, then manage wound care and tetanus history as appropriate.

The best approach is to make a small incision that runs along the length of the splinter to expose it directly. This aligns with the splinter’s axis, allowing you to grasp it with forceps and remove it in one piece, which minimizes tissue trauma and reduces the chance of leaving behind fragments. Creating a circular incision around the splinter can trap tissue and make complete removal harder, while trying to push it out with forceps without adequate exposure risks pushing the splinter deeper or breaking it, leaving fragments behind. Breaking it into pieces also increases the chance of residual wood and infection. After removing the splinter, irrigate the wound and check for any leftover fragments, then manage wound care and tetanus history as appropriate.