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
The question is... What do you do if you are stuck, days away from rescue, and you get impaled by something...
Do you just lay there and not move because of the object stuck in you, or do you try to remove it and stop the blood flow??? Sitting there may not be much of an option if you do not expect rescue in a timely fashion... If it is less than a day, sitting there may be ok, two or three days, moving around with it still in you may be ok, but if it is going to be a week or more, unless you are surrounded by supplies, I do not see how you could survive with something sticking out of you! <img src="/images/graemlins/shocked.gif" alt="" />