In the impaled steel rod scenario, which action is second in the EMT's recommended sequence?

• A. Begin CPR
• B. Control the bleeding
• C. Stabilize the steel rod
• D. Immobilize the spine

Answer: (A)

The action to focus on first is to prevent any movement of the impaling object. Stabilizing the steel rod is essential because movement can worsen internal damage, worsen bleeding, or turn a survivable wound into something life-threatening. When a patient is unresponsive and not breathing or has no pulse, the next step is to begin CPR. Stabilizing the object first protects the patient during resuscitation, since chest compressions could otherwise cause further injury if the rod shifts. Once the rod is stabilized, you can proceed with CPR if indicated, and then address other needs like bleeding control and spinal precautions as the situation allows.