An impaled object should be left in place unless ________________.

An impaled object should generally be left in place to avoid causing further damage to the surrounding tissues, especially if it is deeply embedded. However, there are specific situations where it may become necessary to remove the object, primarily if it presents a direct threat to the patient's airway or breathing. If the impaled object is interfering with breathing, it poses an immediate risk to the patient's life, and removal may be necessary to restore or maintain airway patency.

When it comes to an impaled object in the cheek, if it obstructs the airway or hinders respiration, then it may also warrant removal. Thus, both scenarios of interfering with breathing and being located in the cheek are critical considerations. Leaving the object in place otherwise minimizes the risk of further injury, controlling bleeding, and reducing pain until professional medical help can be obtained.