In treating a casualty with a penetrating leg injury and a stick protruding from the wound, what is the appropriate action?

In the case of a penetrating leg injury with a foreign object such as a stick protruding from the wound, the correct action is to control the bleeding and apply bulky dressing materials around the stick. This approach minimizes further damage to the surrounding tissue and prevents additional bleeding that could occur if the stick is removed.

Removing the stick immediately can lead to increased bleeding and potentially worsen the injury, as it may be acting as a plug in the wound. It is essential to avoid manipulating the object until medical professionals can perform a full assessment, as they have the tools and expertise necessary to manage such injuries safely.

Applying ice to reduce swelling is not appropriate in this scenario, as the immediate priority is to stabilize the injury rather than to manage swelling. Additionally, positioning the leg above heart level may not be effective or indicated, particularly since it could cause further complications if the injury is not managed correctly.

By controlling the bleeding and securing the object in place, you reduce the risk of further damage and prepare the casualty for appropriate medical intervention. This practice is aligned with TCCC guidelines, which focus on preventing life-threatening injuries and stabilizing the patient until they can be transported for advanced care.