This gentleman had a 600 lb. toolbox
fall onto his left middle digit, sustaining a 90% amputation
at the distal aspect of his finger. After consulting
with a few hand surgeons, it was decided to go ahead
and amputate the finger at the DIP joint.
The distal phalanx was rongeured down
to the DIP joint and a “Y-flap” was performed.
He tolerated this procedure well. Good neurovascular
sensation was noted 2-weeks after the amputation was
performed. Amputation and revision performed by Dan
Outdoor Treatment of Amputations
If possible, place the amputated part in a plastic
bag or wrap it and place it on ice. Do not have ice
directly contacting the amputated part and progress
to a hospital or urgent care clinic as soon as possible.
This is feasible only if you can get to a health care
provider within 6-8 hours. Otherwise, you need to resort
to basic wound care management – clean and irrigate,
compression dressing, wrap and decrease the bleeding,
as well as elevate the extremity of injury. Always remember
when heading out on an expedition to have your tetanus