YMCA Lifeguard Practice Test

When a lifeguard is caring for a puncture with an embedded object in the wound, the lifeguard should:

1. Remove the object immediately

2. Apply direct pressure to the wound

3. Not remove the impaled object from the victim

4. Clean the wound with alcohol

The correct answer is: Not remove the impaled object from the victim

In the context of managing a puncture wound with an embedded object, the appropriate response is to not remove the impaled object from the victim. This is crucial because removing the object could cause further injury and increase the risk of severe bleeding or damage to underlying tissues, such as blood vessels or organs. When an object is embedded in a wound, it may also be acting as a plug, helping to control the bleeding. Removing the object can destabilize the injury site and lead to complications. Instead, the first step is to stabilize the object if possible and to care for the wound while minimizing movement around the area. This approach allows for medical professionals to assess and treat the injury safely, typically in a controlled environment such as a hospital. Applying direct pressure to the wound or cleaning it with alcohol might seem like standard wound care; however, both of these actions could exacerbate the situation if the object is not properly handled. Thus, it is essential for a lifeguard to focus on keeping the victim stable and awaiting further medical assistance, highlighting the importance of proper emergency response and injury management.