Hello, every body.
If pt is trapped in a machine with crush injury and incomplete amputation of
one lower leg. in any crush injury heavy fluid resusitation is essential before
extrication to avoid acute renal failure. in this scenario, as the pt is trapped
so life saving limb amputation is necessary at the scene. time is crucial, so if
a surgeon could not available, assuming that the scene is in far remote area.
in this case supposing to be in wilderness, can an EMT iniate amputation,
while ligating bleeders and securing haemorrhage with onlline medical
direction? AS this is a life saving procedure in this scenario, so I suggest that
EMTS, specialy working in far remote areas or wilderness should have short
courses to handle such a situation. I know that this life saving amputation in
a trapped pt should be done by surgeon it is very difficult for EMT to perfom
amputation even then sometimes to save a life, this topic can be considered.
If pt is trapped in a machine with crush injury and incomplete amputation of
one lower leg. in any crush injury heavy fluid resusitation is essential before
extrication to avoid acute renal failure. in this scenario, as the pt is trapped
so life saving limb amputation is necessary at the scene. time is crucial, so if
a surgeon could not available, assuming that the scene is in far remote area.
in this case supposing to be in wilderness, can an EMT iniate amputation,
while ligating bleeders and securing haemorrhage with onlline medical
direction? AS this is a life saving procedure in this scenario, so I suggest that
EMTS, specialy working in far remote areas or wilderness should have short
courses to handle such a situation. I know that this life saving amputation in
a trapped pt should be done by surgeon it is very difficult for EMT to perfom
amputation even then sometimes to save a life, this topic can be considered.