It is better to leave impaled objects in place

Impaled objects as a general rule should not be removed. Impaled objects are often tricky to remove without causing more damage or blood loss. Whenever possible, the object should be stabilized with bulky dressings and the patient moved as little as possible during transport. Controlling bleeding can be accomplished with direct pressure so long as the pressure does not apply any force to the impaled object.

The only exception to the rule is if the impaled objects will interfere with the patient’s airway or the performance of CPR.