While Riding a Bike, a Young Boy Fell onto a Stick

Multiple Choice

While riding a bike, a young boy fell onto a stick protruding from the ground. The stick impaled him in the neck. The boy immediately pulled the stick out and ran home, where his mother called 911. Assessment reveals a gaping wound to the right neck. All hemorrhage has clotted off and manual in-line spinal stabilization is being maintained. Which one of the following instructions should you provide to the other EMTs on scene?

A) "Take some sterile gauze and carefully place it inside the open wound to prevent additional bleeding."
B) "Place an occlusive dressing over the wound and tape it on all four sides."
C) "Apply a sterile dressing over the wound and hold it in place by wrapping roller gauze around his neck."
D) "Do not worry about covering the wound, just place a cervical collar on him and carefully transfer him to the long board."