3d: Punctures and Impaled Objects (2025)

This is the fourth lesson in chapter three, on Punctures. Puncture wounds pose a special risk to the injured individuals, as they can potentially damage sensitive structures. How to control bleeding and what to do about impaled objects is detailed.

Puncture wounds and impaled objects pose special risk to the injured individuals.

Puncture wounds may penetrate deeper than is apparent and injure sensitive structures such as nerves, muscles, tendons, or blood vessels.

To control bleeding from puncture wounds, apply direct pressure, and seek further medical attention. Puncture wounds may carry germs deep within a wound and may result in serious infections. Therefore, any serious puncture wounds should be evaluated by a professional as soon as possible.

Impaled objects must be left in place. It is important to understand that the object may pinch off a blood vessel, and removal of the object may result in massive blood loss from an injured blood vessel.

Stabilize impaled objects with gauze and dressings and transport the individual to the emergency department.

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