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Impalement injury — DIPIMC MCQ

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EasyPre-Hospital TraumaImpalement injuryDIPIMCDipIMC

A man has been impaled through the thigh by a metal fence post during a fall. The bleeding around the object is controlled and the post remains in place.

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

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Correct answer: B — Leave the object in situ, stabilise it and transport

Explanation lettering: C = shown as A · A = shown as B · E = shown as C · B = shown as D · D = shown as E

An impaled object should be left in place, stabilised and transported, because it may be tamponading a vessel and removal can precipitate uncontrolled haemorrhage. Removing it (B) or manipulating it (E) risks converting a controlled situation into catastrophic bleeding. Definitive removal happens in a controlled environment where the resulting haemorrhage can be managed.

Reference: JRCALC Clinical Guidelines