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Traumatic amputation — DipIMC MCQ

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ModeratePre-Hospital Trauma ManagementTraumatic amputationDipIMC

A factory worker has a traumatic below-knee amputation. A tourniquet has controlled bleeding and the amputated part is available on scene. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Wrap the amputated part in saline-moistened gauze, bag it and keep it cool

Option B is correct because The amputated part should be protected from drying and cooled indirectly without direct ice contact. Option E is less appropriate because watchful waiting risks deterioration or delays definitive care; option C is less appropriate because the clinical risk exceeds that destination or timeframe. Option D is less appropriate because it is plausible in a different scenario but suboptimal for the features described; option A is less appropriate because analgesia is important but not sufficient as the primary intervention. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines