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Impaled object with airway compromise — DipIMC MCQ

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HardTraumaImpaled object with airway compromiseDipIMC

A 28-year-old building worker has fallen onto a metal rod that traverses his right cheek and exits near the angle of the mandible. He is sitting forward, drooling blood, speaking in single words and has SpO2 93% on oxygen; fire service can cut the rod shorter at scene. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Shorten and stabilise the object while preparing for early airway support

An impaled object should generally be left in situ, but shortening and stabilising it may be necessary to permit safe movement and airway access. Removal risks uncontrolled haemorrhage and loss of tamponade. Supine positioning or blind packing may worsen obstruction in a bleeding maxillofacial injury.

Reference: ATACC; JRCALC Guidelines