In abdominal trauma, what should be done with impaled objects?

• A. Remove impaled object to control bleeding.
• B. Stabilize impaled objects with bulky dressing; do not remove.
• C. Push object to reduce protrusion.
• D. Apply tourniquet to the impaled site.

Answer: (B)

In managing an impaled object in abdominal trauma, the object should be left in place and stabilized with bulky dressings. The reason is that the object may be tamponading internal bleeding and its removal could unleash severe hemorrhage or cause further damage to internal organs. By stabilizing it, you limit movement, control external bleeding around the wound, and protect the site during transport to definitive care. Do not push the object or try to shorten it, as that can worsen injury. A tourniquet is not appropriate for abdominal impalement and could cause additional harm. After stabilizing, prioritize rapid transport while monitoring the patient.