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Eagle,
I know blast injury will not lend itself to re-plantation...I've dealt with a few of those...this was more the cleaner "knife", crush or similiar where there would be the possibility of re-attachment.
The IED senerio we've played out here before and the hope/chance of getting that limb on are zero and none.
Just wondering the cooling techniques possible in the field....
I imagine the 'write off' of a digit(s) is far more worth it than the potential for salvage.
__________________
'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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