Question

Responding to a call, EMR Charlotte is faced with a patient who tripped while jogging and managed to fall into a pile of construction debris stacked on the sidewalk. When he fell, the patient was impaled on a sharp spike of copper piping. Remembering her training, how will Charlotte MOST likely manage this patient’s wound?


Charlotte will concentrate on the patient’s ABCs and not touch the copper piping.


Charlotte will not remove the copper piping but will hold it in place until she can secure it with tape and bandages.


Charlotte will carefully remove the copper piping and use a nonadhesive pad to put pressure on the puncture wound.


Charlotte will ask the patient to hold the copper piping in place himself while she gets high-flow oxygen going for him.

Answers

GPT-4o mini
In this situation, the correct course of action for EMR Charlotte would be:

**Charlotte will not remove the copper piping but will hold it in place until she can secure it with tape and bandages.**

This is because removing an object that is impaled in a wound can cause further injury and increase bleeding. By stabilizing the object, Charlotte minimizes the risk of additional damage and controls the situation while awaiting advanced medical care.