Casualties with suspected or confirmed “impaled” UXO should only be moved or evacuated if absolutely necessary. Whenever possible, surgical or diagnostic capabilities should be moved to the casualty’s location in order to decrease the chance of vibration or travel over rough terrain resulting in UXO detonation. If movement is required, the patient should be extracted and positioned in the same position they were found as repositioning the patient may cause the ordnance to shift and trigger a charge. If the patient requires rotary wing transportation while the ordnance remains in place, it is essential to properly ground the patient to the helicopter to avoid static electricity causing the ordnance to trigger and explode. The aircrew must be consulted to ensure proper grounding of the patient to the aircraft.