A scalpel handle includes an outer body defining a first end and a cavity therein and an insert defining a blade holder disposed at a first end thereof and positionable within the cavity of the outer body with the blade holder extending outwardly away from the first end of the outer portion. A shield is coupled with the body and positionable around the blade holder, and a removal wedge fixed with respect to the shield and disposed in a substantially fixed lateral position at least partially aligned with a portion of the blade holder.