We are going to state that this pencil is actually going through the center of his hand. Just for the convenience we are going to have it between his fingers and help him with a little bit of pain. What we are going to do now is stabilize this. You want to make sure that you never pull out an object that's been penetrating through someone. The only exception to that is actually through the cheek or anything nor anything in the chest that is going to impede with CPR. But because this is a hand injury and it's not we want to stabilize it. You can use anything to put along the sides just to keep it from moving. What you want to keep this is from moving side to side or up and down. Any movement such as that can cause more pain and also damage more tissue. So for this sake we are just going to use cling and we are going to put it side by side and hold it in place. What we actually would do is build this up even higher that way the top is not exposed because it can't be touched at all. So we would use the log technique of two here and another two. Once we have all of those in place what we want to do is secure it. We will secure it with something such as cling. Any tissue or wrapping would work though. Just to show you the idea by putting another one here you can cover up the exposed end. And the point of this now will just be to keep it all held in place. You want to make sure that you stabilize if it is a hand injury and it's gone through the other side you want to make sure that you stabilize the back part also. That way that can't be moved. However, if this pencil had gone through his chest or arm and it wasn't exposed on the other side this would be the adequate way of stabilizing that in place. And then by doing that on both sides you have now immobilized the penetrating object so it's not able to cause more injury to the patient.