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학습 자료 둘러보기 →The immediate priority is to stabilize the penetrating object in place using bulky dressings. The object may be tamponading a major vessel; removal can precipitate catastrophic hemorrhage or tension pneumothorax.
Secure the object to prevent movement during transport. Prepare for controlled surgical removal in the operating room. Do not apply pressure that pushes the object deeper.
Never remove an impaled object in the prehospital or emergency department setting. Avoid Trendelenburg positioning, which increases intrathoracic pressure and worsens respiratory distress.
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