First Aid

First aid for an Impaled Object

Impaled objects are those that puncture the body tissues and remain embedded. The emergency medical care depends upon the location of impalement and the size of the object. Never remove an impaled object unless it is obstructing the airway.

Immediate Care:

  • Never remove an impaled object, unless its causing an obstruction to the airway.
  • If the impaled object is too large and unstable, then hold it in place.
  • The antiseptic solution can be drawn in an irrigation syringe.
  • The irrigation syringe is kept perpendicular to the injured site.
  • It is kept 2-3 inches above the wound.
  • The antiseptic solution will be used for washing the wound and to drain from the opening.
  • The piston should be pressed down to release the solution by force.
  • The irrigation procedure should be repeated.
  • Rinse the wound for 3-5 minutes.
  • Wounds that are punctured are very difficult to disinfect
  • Repeat the rinsing process very frequently to clean the wound thoroughly.
  • The disinfectant solution may cause irritation to the skin if its left.
  • Rinse the wound with disinfectant water after irrigation.
  • The disinfectant solution can cause burning sensation.

How to Bandage the Wound?

  • Wash hands thoroughly with soap and water.
  • Latex gloves can be used to reduce the risk of infection.
  • Firstly, apply antibiotic ointment to a gauze.
  • The sterile gauze is kept at the opening of the wound and between the impaled object.
  • Take wound should be bandaged.
  • A tape and rolled gauze can be used to stabilize the impaled object.
  • Always use lots of gauze and dress the wound.

Final Care:

  • Watch for signs and symptoms of shock and treat for shock.
  • If bleeding, apply pressure to the site and control bleeding.
  • If the condition of the victim is getting serious, call the emergency medical services.

Common Tips:

  • If povidone-iodine solution is not available, use disinfectant water.
  • A plastic bottle that is clear can be used for measuring the disinfectant solution.
  • If latex gloves are not available, plastic bags can be used.
  • Tetanus booster dose should be given.
  • The main aim is to reduce the risk of infection.

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