Scholarlink

Background <p>Emergency field amputation is an exceptionally sporadic but potentially life-saving intervention in extreme trauma scenarios, particularly in resource-limited environments.</p> Case presentation <p>We describe a 16-year-old male with a severe crush injury to the proximal thigh, entrapped in industrial machinery. After prolonged, unsuccessful extrication efforts and worsening risk of hemorrhagic shock, a trauma team performed an on-site high-thigh guillotine amputation under ketamine sedation. The patient was stabilized and transferred to a tertiary center for definitive care and rehabilitation.</p> Discussion <p>This case illustrates key challenges in rural trauma care, including decision-making under pressure, ethical consent acquisition, multidisciplinary coordination, and procedural improvisation. The case also highlights the absence of structured field amputation protocols in civilian Emergency Medical Services(EMS) systems.</p> Conclusion <p>Emergency field amputation should be included in trauma training and protocol development, particularly in rural or industrial settings. Structured algorithms, simulation training, and ethical frameworks are essential to optimize outcomes in rare but high-stakes scenarios.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Emergency field amputation in a resource‑limited setting: a case report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月30日

查看全文
  • Sweta Khuraijam,
  • Siddharth Shah,
  • Jugindra Sorokhaibam,
  • Kalpesh Ram,
  • Nabakishor Haobijam,
  • Praneetha Vijayan

摘要

Background

Emergency field amputation is an exceptionally sporadic but potentially life-saving intervention in extreme trauma scenarios, particularly in resource-limited environments.

Case presentation

We describe a 16-year-old male with a severe crush injury to the proximal thigh, entrapped in industrial machinery. After prolonged, unsuccessful extrication efforts and worsening risk of hemorrhagic shock, a trauma team performed an on-site high-thigh guillotine amputation under ketamine sedation. The patient was stabilized and transferred to a tertiary center for definitive care and rehabilitation.

Discussion

This case illustrates key challenges in rural trauma care, including decision-making under pressure, ethical consent acquisition, multidisciplinary coordination, and procedural improvisation. The case also highlights the absence of structured field amputation protocols in civilian Emergency Medical Services(EMS) systems.

Conclusion

Emergency field amputation should be included in trauma training and protocol development, particularly in rural or industrial settings. Structured algorithms, simulation training, and ethical frameworks are essential to optimize outcomes in rare but high-stakes scenarios.