How should glass fragments be managed to prevent secondary injuries to the patient?

• A. Leave in place to avoid creating more debris.
• B. Sweep with bare hands.
• C. Remove from the area, protect patient from shards, and use appropriate PPE.
• D. Break glass into smaller pieces.

Answer: (C)

Glass fragments must be managed to minimize the chance of causing additional harm. The best approach is to remove fragments from the area, protect the patient from shards, and use appropriate PPE. Use tools to safely collect shards and place them in a rigid container, while keeping the patient still and wearing gloves and eye protection to prevent cuts or contamination. This reduces the risk of secondary lacerations or embedment as the patient moves, and it makes the scene safer for responders. Leaving fragments in place can lead to later injuries; sweeping with bare hands risks cutting yourself or the patient; breaking glass into smaller pieces only creates more hazards. Note that if a fragment is embedded in tissue, do not forcibly remove it in the field—stabilize and transport.