What should an EMR avoid doing when dealing with a pencil impaled in a patient's cheek?

When dealing with a pencil impaled in a patient's cheek, it is imperative for an EMR to avoid pushing the pencil through the cheek and out the mouth. This action could exacerbate the injury, potentially causing further damage to underlying tissues, blood vessels, and nerves. The risk of creating additional trauma is significant, which can lead to increased bleeding or even perforation of structures such as the oral cavity or the airway.

Gently stabilizing the pencil in place is crucial, as it prevents further movement and minimizes additional injury. Checking for signs of bleeding is also important; however, it should be done with the understanding that the pencil remains in place. Assisting the patient in remaining calm plays a vital role in reducing anxiety and preventing sudden movements, which could worsen the situation. Therefore, stabilizing the object and monitoring the patient's condition while ensuring their comfort and calmness are the correct approaches in managing such an impaled object.