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Traumatic limb amputation — DipIMC MCQ

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ModerateTraumaTraumatic limb amputationDipIMC

A 38-year-old railway worker has a below-knee traumatic amputation. A tourniquet has stopped bleeding, systolic blood pressure is 98 mmHg after blood product resuscitation, and the amputated part is available at scene. What is the most appropriate immediate action?

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

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Correct answer: A — Wrap the part in moist gauze, bag it, and keep it cool without direct ice contact

An amputated part should be wrapped in saline-moistened gauze, sealed in a bag and cooled indirectly. Direct ice contact can cause frost injury, and submersion causes maceration. Replantation potential depends on correct preservation and rapid transfer.

Reference: JRCALC Guidelines; ATACC