Disarmed
An unexpected amputation rattles more than just its victim
Learning Point
Unexpected amputation and use of tourniquets. In certain victims with particular injuries to extremities, tourniquets may be lifesaving.
References
1. Beekley AC, Sebesta JA, et al. Prehospital tourniquet use in Operation Iraqi Freedom: Effect on hemorrhage control and outcomes. J Trauma 64: S28–S37, 2008.
2. Husum H, Gilbert M, Wisborg T, Pillgram-Larsen J. Prehospital tourniquets: There should be no controversy. J Trauma 56: 214–215, 2004.
James J. Augustine, MD, FACEP, is medical advisor for Washington Township Fire Department in the Dayton, OH, area. He is director of clinical operations at EMP Management in Canton, OH, and a clinical associate professor in the Department of Emergency Medicine at Wright State University in Dayton. Contact him at jaugustine@emp.com.
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