Impaled object — DipIMC MCQ

Correct answer: A — Stabilise the object in place and transport for surgical removal

Option A is correct because An impaled object should generally be left in place and stabilised unless it prevents essential resuscitation or movement. Option E is less appropriate because watchful waiting risks deterioration or delays definitive care; option B is less appropriate because the clinical risk exceeds that destination or timeframe. Option C is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option D is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines