Amputation: Limb or Digit

Table of Contents

Accidental amputation refers to the loss of body parts (e.g., fingers or extremities) due to incidents like machinery accidents, power tool incidents, or serious school accidents. When a child or individual experiences an accidental amputation, first aid measures can impact outcomes and mitigate further injury.

Actions

  1. Apply universal precautions
  2. Control bleeding utilizing the training you have received:
    1. Call 911
    2. If a fracture is suspected, gently support the part and elevate it
    3. Bandage the wound firmly without interfering with circulation.
  3. If there is a detached part of the body:
    1. Place the detached part in a plastic bag.
    2. Tie the bag
    3. Place the bag in a container of ice water.
    4. Do not put the amputated part directly on ice.
    5. Send the bag with the EMS.
  4. Manage shock: If the individual is able, have them lie down. Raise the legs slightly only if there are no suspected spinal injuries.
  5. Notify the school nurse, school leadership, and parents immediately.
  6. Practice universal precautions
  7. Remain with the student until help arrives.
  8. Wash your hands
  9. Document the date, time, any delegated interventions provided, observations, student response to intervention (if applicable), and your signature and credentials (if applicable)
  10. Follow any additional school or program procedure.
  11. Debrief with the school nurse.