Traumatic amputation

TRAUMATIC AMPUTATION - All pts with traumatic implantation should be treated as candidates of reimplantation in the field - Method to preserve amputated limb/digit:  Wrap in sterile gauze, moistened with saline  Place in plastic bag  Place on ice but do not let it freeze  Transport to nearby emergency department - This method prolongs the viability of amputated part by 24 hours - Best candidates: younger patients suffering sharp amputation with no crush injury or avulsion - DON’TS:  Immerse in water makes digital vessel repair more difficult  Place in alcohol or aseptic solution chemical injury  Place directly on ice cause frostbite and loss of viability
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