In this episode of RoyOnRescue, I answer two different emailed questions. The first from Michael who asked: “I was taught you remove the object only if it interferes with CPR.” Great question Mike. As a general rule of EMS, we only remove an impaled object if it’s obstructing the airway and preventing the ability to secure an airway. Removing an impaled object will often times “un-plug: the hole that was created by the injury and may cause excessive internal bleeding that can only be controlled in a surgical environment. As a lay rescuer, the Good Samaritan will follow the directions of the 911 dispatcher. In a worse case scenario, hands only CPR can still be performed. If the object is in the chest, try and work around the object as best as possible and provide what care you can without causing more harm. A second question came in just this afternoon from Sara who asks about an “ankle popping out” and what to do if this were to happen while on vacation. It sounds as though Sara may have a chronic problem with her knee or ankle but because of a recent injury is especially concerned that it could happen while on an exciting vacation this Friday. In both cases I hope that the advice I give helps and a little tidbit about the first aid acronym, RICES could be the solution while on vacation. Watch this episode to learn more about what to do in case either of these situations arise.