There is a way to do it with fishing line, I'm not sure the technique, I'm sure somebody will post it. I know if you get one in you past the barb, the ER will do the same thing you could do yourself in the boat, minus the novicane. Push it through, cut off the barb, and back it out. I've never had one in my hand......but I have had a large Kahle hook stuck in my upper lip, thats something I'll never forget.