Looks like a leatherman tool that was stuck in his head. He's a lucky kid....

The reason why we never pull any penetrating foreign body out just like that is that we don't know what vessels, organs may have been penetrated in the puncture wound. The foreign body may have cut a major vessel and keeping it in place may be just enough to stem any catastrophic/ fatal bleeding.

The key word is ACCESS. You need access to the area to be able to stop any bleeding or repair any damage before you are able to extract a foreign body safely.

A splinter in your skin, no major vessels or organs there. You can safely extract it with uncle bill's tweezers. A needle in your eye? Better get to the ER.....Any removal may cause herniation of aqueous or vitreous humour and you could lose that eye....

Just for your info... <img src="/images/graemlins/grin.gif" alt="" />