"more dangerous to pull Cecilia off the barbed end than to leave it piercing her"

Penetrating trauma can damage vital internal organs and presents a risk of shock and infection. The speed at which the penetrating object meets human tissue is more important than its mass in determining how much damage is caused. Impaled objects are secured in place at the scene of an injury by medical practioners so that they do not move and cause greater injury and are removed in the operating theatre.