True enough, but like I said, it is the recommended treatment, not the only treatment. Of course circumstances will dictate the best course of action in any situation. Having a pair of shears or saw on hand might allow you or others in your party to increase your chances of survival by allowing you to separate the impaled object from its source.

Removing an impaled object will not necessarily result in uncontrolled hemorrhage, but it could and my main point of the posting was to point out the current recommended treatment and that reliance upon the IFAK solely for a trauma involving an impaled object may not be the wisest decision.

Pete