What to do
- Embedded object: leave it. Seek urgent care. Deep, heavy bleeding, lost sensation or eye/neck/chest/abdomen site: emergency call now.
- Eye or skull dent: no pressure. Organs protruding from abdomen: no pressure or pushing back. Cover loosely with clean damp gauze. Emergency help now. Do not pack these wounds.
- Open chest wound: emergency help, leave exposed to air. No plastic or sealing dressing. Existing covering with worse breathing: loosen/remove that covering. Leave embedded objects.
- Place gauze or clean cloth either side of the object and press on that padding to control bleeding. Do not push the object inward.
- Help them rest without unnecessary movement. Cover with a blanket. Tell the dispatcher about pallor, cold skin, confusion or worsening breathing.
- If unresponsive: call emergency services. If breathing is abnormal, start CPR with dispatcher guidance.
- Large object or fixed to structure: no cutting or attempted extraction. Request rescue and describe access. Support without movement only if safe. Neck: no encircling wrap or squeezing both sides.
- After initial care: ask about tetanus vaccination. Dirt, pus, swelling/redness, worse pain or fever: urgent assessment. Do not delay emergency help to clean the wound.
What to avoid
- Do not pull, twist or cut the embedded object. Leave it to the medical team.
- For an object in the eye, do not press the eye. Do not seal an open chest wound. Get urgent guidance.
2026-10-03-draft-48

