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Your Shopping Cart. MENU Menu. Nerves and vascular tissue are torn away at many different levels from the site of separation. Limb salvage is unlikely due to the extensive damage. In general, the management of traumatic amputations is no different from other trauma patients. The first priority is to control major bleeding immediately. Tourniquets can be used when pressure and elevation fail.
Evidence to support the use Amputate - Various - Innovationswerk (CDr) tourniquets to control hemorrhage due to traumatic amputations in major limb trauma has been well established in the literature since Amputate - Various - Innovationswerk (CDr) Release the tourniquet as soon as the hemorrhage is Amputate - Various - Innovationswerk (CDr).
The next priority is to maintain and support essential life functions. Supportive measures such as airway control, adequate ventilation, maintaining hemodynamic stability and body temperature can slow the onset of life-threatening shock. Recover the amputated part if possible. Remove dirt or debris from the amputated part and residual limb, which is the part of the body that remains after an amputation. Provide pain management and psychological support, and transport to the appropriate trauma center.
Properly preserving the part is vital for successful replantation. If the finger or limb is still attached to the body, clean the wound surface with sterile saline. Gently place the damaged skin back to its normal position.
Control bleeding and bandage the wound with bulky pressure dressings. If the part is completely detached, control the bleeding after cleansing the site by covering the wound with a pressure dressing. Wrap the amputated part in sterile saline soaked gauze and place it in a watertight container or resealable plastic bag. Place the protected part in an iced saline container. Do not allow the damaged part to come in direct contact with ice. Transport the amputated part with the patient.
Military care recognizes that a combat-related casualty is much more likely to die of hemorrhage than an airway problem. Military victims are more likely to experience multiple amputations and junctional bleeding than civilians due to the difference in trauma mechanisms. Junctional bleeding occurs between the trunk and the limbs high-level amputations and between the pelvic area and legs.
The most common type of junctional bleeding is groin hemorrhage. Traditional tourniquets are unable to be placed in these areas. Junctional tourniquets also called truncal tourniquets or combat clamps, etc. Common uses of junctional tourniquets include controlling inguinal hemorrhage, controlling axilla hemorrhage, and stabilizing pelvic fractures. There are a wide variety of junctional tourniquets available on the market, but only a small handful have obtained FDA approval.
They offer an opportunity to control severe hemorrhage in anatomical areas where traditional tourniquets are ineffective. The effectiveness of traditional tourniquets used in the treatment of severe uncontrolled extremity hemorrhage has been well established.
Although many emergency providers testify to the success of junctional tourniquets, the data to prove that these devices improve patient outcome has yet to fulfill the rigors of science. Junctional tourniquets will no doubt be an area of ongoing evaluation and study by pre-hospital providers for years to come.
Limb loss statistics. Clasper, J. Traumatic amputations. British Journal of Pain, 7 2 Kragh, J. Practical use of emergency tourniquets to stop bleeding in major limb trauma. Rush, R. Management of complex extremity injuries: Tourniquets, compartment syndrome detection, fasciotomy, and amputation care. Surgical Clinics of North America, 92 4 Blackbourne, L. Holcomb, J. Military medical revolution: Prehospital combat casualty care.
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