My guess is its for removing arrows or bullets from the body, which would explain the concave inner section to the jaws, also the pointed tips to the jaws. The small spear-like blade to the handle end would be for widening the wound, if required to locate the foreign object. An explanation for the two pairs of "horns" could be to see at a glance how far the tongs/pincers had penetrated, or to facilitate tying the tongs tight over the arrowhead or bullet, before pulling out, maybe using both hands. A cord attached to the small "horns" could also help to pull out, say a barbed arrowhead.
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