A scalpel handle includes a body defining a first end and a channel therein and an insert defining a blade holder disposed at a first end thereof and positionable within the channel of the body with the blade holder extending outwardly away from the first end of the body. A shield is coupled with the body such that the blade holder is positionable within the shield, and a removal wedge is defined on the body, 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.