Management of Impaled Objects

Question 1

Introduction

Answer 1

The goal for prehospital care is to limit the motion of the impaled object as soon as possible to minimize additional damage.

Question 2

Key Points

Answer 2

• Do not attempt to remove an impaled object as efforts to do so may precipitate uncontrolled internal hemorrhage, which may lead to exsanguinations or further injury to underlying structures
• Control hemorrhage by direct pressure, though do not apply direct pressure to the impale object itself, or on immediately adjecent tissues
• Do not try to shorten an impaled object unless required to facilitate movement to the hospital as any motion of the object may damage surrounding tissues
• Stabilize the object in place w/ bulky dressing and splint to prevent motion

Question 3

Note

Answer 3

Objects that occlude the pt’s airway or prevent a critical intervention (such as CPR or emergency extrication) may be removed