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REFA Exit Exam • Set 4 Question 1 of 30

when caring for a victim who has an objective impaled in their hand you should ____

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Direct Answer

Option B: Immobilize the object by placing several dressings around it

According to the WHO International Medical Guide for Ships, never remove an impaled object because it acts as a tamponade controlling hemorrhage. Instead, stabilize it in place using bulky dressings to prevent movement and further tissue damage during shipboard transport.

All Options

A
Remove the object, flush with cold water and transport to hospital
B
Immobilize the object by placing several dressings around it (Correct Answer)
C
Break object off where it sticks out, and bandage injury
D
None of the above

Detailed Explanation & Context

According to the WHO International Medical Guide for Ships, never remove an impaled object because it acts as a tamponade controlling hemorrhage. Instead, stabilize it in place using bulky dressings to prevent movement and further tissue damage during shipboard transport.

Relevant Framework: STCW 2010 Manila Amendments • DG Shipping E-Learning & Exit Exam Standards • Refresher Elementary First Aid (REFA).

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