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Impaled abdominal object — DipIMC MCQ

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ModeratePre-Hospital Trauma ManagementImpaled abdominal objectDipIMC

A 48-year-old rider falls onto a fence post, which remains embedded in the upper abdomen. He is conscious, tachycardic and in severe pain. What is the most appropriate management?

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Correct answer: E — Stabilise the object, avoid removal and transfer with surgical pre-alert

Embedded objects should be stabilised and left in place unless they prevent safe rescue or resuscitation. Removal can release tamponade and cause catastrophic bleeding. Rotation or manipulation increases tissue injury. The pearl is to build packaging around the object rather than making the object fit standard packaging.

Reference: JRCALC Guidelines 2025; ATACC