When should jewelry be removed from an injured athlete?

• A. Always remove jewelry regardless of injury
• B. Interferes with immobilization, swelling, airway, or circulation, and safe to remove
• C. Never remove jewelry
• D. Only remove if it breaks during injury

Answer: (B)

The main idea is to remove jewelry when it could get in the way of proper care or cause problems as swelling develops, but only if it can be done safely. Jewelry can obstruct immobilization and the proper placement of splints or casts, which are needed to keep a joint or limb stable after injury. As swelling increases, rings, bracelets, or watches on a limb can act like a tourniquet, restricting blood flow and risking tissue damage. Necklaces or chains near the airway or chest can complicate breathing or circulation if swelling or airway compromise occurs. Removing jewelry beforehand helps ensure a clear airway, unobstructed immobilization, and unimpeded circulation.

Do this if you can remove the item without causing additional harm. If removal would cause pain or injury, or if jewelry is tightly stuck or embedded, try to loosen or cut it safely with appropriate tools and seek help. If it’s not interfering with care and isn’t at risk of causing problems as swelling progresses, it may be left in place temporarily.