Emergency Medical Technician (EMT) Practice Test

If a patient has sustained an impalement injury, what should be done first?

1. Administer antibiotics

2. Insert an IV line

3. Stabilize the impaled object

4. Manually secure; control bleeding and stabilize object

The correct answer is: Manually secure; control bleeding and stabilize object

In the case of an impalement injury, the first priority is to manually secure the impaled object and control any bleeding. This is essential because the impalement itself can cause significant trauma to surrounding tissues and blood vessels. By stabilizing the object, you prevent further movement that could worsen the injury, lead to additional internal damage, or result in increased bleeding. Proper immobilization of the impaled object is crucial, as removing it without adequate stabilization can convert a potentially survivable injury into a life-threatening situation. After securing the impaled object and controlling bleeding, further medical interventions, such as administering antibiotics or inserting IV lines, can be performed based on the patient's condition and transport needs. The immediate focus should always be on stabilizing the injury to ensure the safety and well-being of the patient while providing necessary emergency care.