Please keep in mind the best treatment for impalement is to leave the impaling object (tree branch, rebar, etc.) in place and to cut the object away from its source. Packing/dressings should then be built up around the remaining impaled object and transport the victim as securely as possible to prevent further damage. By leaving the impaled object in place, it is providing tamponding, removing it can lead to uncontrollable hemorrhage. Treatment of impalement in the wilderness setting is really no different then the urban environment. To do otherwise may result death depending upon the location of the impalement.

I have doubts, that the IFAK has enough materials to properly stabilize the impalement, if that is reason being used to justify the carrying of said kit.

Pete