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In this video, we're going to look at embedded objects. Now, an embedded object is where something goes into the body. If it's just something small, like grains of dirt or grit, you can just wash the wound under a tap, and then that will come out. If it's something stuck on to the skin and you can remove it safely, absolutely no problem, you can remove that. When we're looking at embedded objects, we're dealing with something which is actually in the body, like a knife or a lump of glass. And the important thing is, is we do not want to remove it.
If there's a lump of glass into the body, then you remove it, what'll happen is the glass itself is basically bunging up the hole. And also it cuts when it went in, and if you pull it out again, it's likely to cut again. Another example of this may be someone you've got with a knife wound. They have a knife in their body. The knife is there, it is bleeding, but it is actually bunging up the hole and it may well be that that knife is right close to an artery, so when you remove it, you actually cut the artery. There's quite a lot of reports within the medical profession of people who die due to stab wounds and the doctors say, "If the knife had been left in, I have more chance of saving that person."
Within first aid, what we need to do is, A, leave the item in. With your gloves on, what you need to do is take two dressings, apply them either side of the item. If it's a knife, either side of the knife. If it's a lump of glass, we pop it either side of the lump of glass. And then we use another dressing to carefully bandage that in place. The two dressings either side of the lump of glass are used to hold it in place and the dressing is there to support the whole thing. Once we've put the bandage on, check for bleeding, to make sure we have control of the bleeding and depending on where the injury is... If it's in the back of the hand, what you may be able to do is elevate the hand in an elevation sling, but the important thing to do is make sure you don't put the sling over the piece of glass, which could cause it to push in. This goes for the dressings, as well. Make sure that there's nothing going to happen to actually make the injury worse in the transport to a hospital. Obviously an injury like this, we're leaving it to be taken out by the doctors in the hospital, so we do need to make sure we do get this person to the emergency services as quickly as possible.