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Multiple Choice

An alert 18-year-old male is screaming in pain after being impaled by an arrow in the right lower quadrant of the abdomen. You should?

In impaled injuries, the object should be left in place and stabilized to prevent further damage. The best action is to manually stabilize the arrow to stop it from shifting during transport, then secure it with bulky dressings around the shaft to keep it from moving. Removing the arrow or attempting a tourniquet on a torso injury are not appropriate in this case; removal can unleash uncontrolled bleeding and damage internal structures, while a tourniquet won’t control internal abdomen bleeding. A loosely applied bandage won’t immobilize the object and could allow movement that worsens injury. Keeping the arrow steady minimizes ongoing injury while arranging for definitive care.

In impaled injuries, the object should be left in place and stabilized to prevent further damage. The best action is to manually stabilize the arrow to stop it from shifting during transport, then secure it with bulky dressings around the shaft to keep it from moving. Removing the arrow or attempting a tourniquet on a torso injury are not appropriate in this case; removal can unleash uncontrolled bleeding and damage internal structures, while a tourniquet won’t control internal abdomen bleeding. A loosely applied bandage won’t immobilize the object and could allow movement that worsens injury. Keeping the arrow steady minimizes ongoing injury while arranging for definitive care.