Amputation / Re-Impalnt

PTRC for Replant Evaluation:

 

Cleanly cut amputations to:

- Thumb proximal to or at the inter-phalangeal joint (joint below thumb nail)

- Multiple digits proximal to mid-phalanx (middle bone of finger)

- Complete or partial hand

- Upper extremity – shoulder to wrist

- Amputation in a child (excluding pad avulsions)

- Amputation of the penis

 

PEDS:

- For any amputation in a child (excluding finger pad avulsions), make BHC for destination.

 

Patient does not meet Replant Criteria if (Nearest PCR or PTRC):

- Crush injury w/ amputation

- Amputations at multiple levels (multiple amputations of same body part)

- Fingertip amputations

- Single finger in an adult (Excluding the thumb)

- Self-mutilation w/ prior self-mutilation attempts

- Amputations greater than 6 hours old

 

NOTE:

- Leg amputations are not considered replant criteria, but leg amputations at or above the knee should be considered for transport to nearest trauma center for trauma stabilization.

 

MEDICATIONS:

- Fentanyl for pain

- Morphine for pain

 

TREATMENT:

  • For bleeding that cannot be controlled by direct pressure, apply tourniquet and tighten incrementally to least amount of pressure required to stop or limit bleeding.

  • Apply hemostatic dressing or sterile saline moistened dressing to amputated area for uncontrolled bleeding.

 

 

**Base Hospital Contact if meets re-implant criteria

**Contact Base to determine which re-implant center is up for the day

Call

M: 949-769-1162

  • facebook
  • Twitter Clean