06-27-2009, 17:53
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#1
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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Field Amputations...sort of
Does anyone know the art of field amputations that requires no cutting?
Hint: you only need 2 things to complete it and SUSTAIN it.
ss
__________________
'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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swatsurgeon is offline
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06-28-2009, 09:30
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#2
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Quiet Professional
Join Date: Jan 2004
Location: Free Pineland
Posts: 24,813
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Det cord and a blasting cap?
Sorry, couldn't resist.
TR
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"It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat." - President Theodore Roosevelt, 1910
De Oppresso Liber 01/20/2025
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The Reaper is offline
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06-28-2009, 09:44
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#3
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Quiet Professional
Join Date: Jan 2004
Location: DFW Texas Area
Posts: 4,741
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Quote:
Originally Posted by The Reaper
Det cord and a blasting cap?
Sorry, couldn't resist.
TR
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Beat me toit!!!! 
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Martin sends.
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Ambush Master is offline
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06-28-2009, 09:49
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#4
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Area Commander
Join Date: Dec 2007
Location: UK
Posts: 2,952
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Quote:
Originally Posted by The Reaper
Det cord and a blasting cap?
Sorry, couldn't resist.
TR
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You beat me to it TR.
RF 1
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Red Flag 1 is offline
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06-28-2009, 12:30
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#5
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Quiet Professional
Join Date: Feb 2008
Location: North Carolina
Posts: 51
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Cravat and Stick cinched down extremely tight? Like an old school castration.
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Priest is offline
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06-28-2009, 14:38
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#6
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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Quote:
Originally Posted by The Reaper
Det cord and a blasting cap?
Sorry, couldn't resist.
TR
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Say goodbye to the leg, the pelvis,....the patient. Nice try but no cigar.
ss
__________________
'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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swatsurgeon is offline
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06-28-2009, 14:41
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#7
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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Quote:
Originally Posted by Priest
Cravat and Stick cinched down extremely tight? Like an old school castration.
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So you shut down the blood flow with a tourniquet....think some of the evil humors could leak out and make the patient sick? So, missing one element of the no cut/no blast amputation. As a hint, this element you need is likely NOT accessible under typical field circumstances but can be utilized when available...hopefully ASAP after tourniquet application.
ss
__________________
'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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swatsurgeon is offline
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06-28-2009, 14:44
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#8
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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Quote:
Originally Posted by Brush Okie
axe and tourniquet?
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remember, this is a no cut amputation.........scissors, axe, det cord, harsey T2, leatherman could be used but i'm after the no cut version.
__________________
'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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swatsurgeon is offline
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06-28-2009, 14:48
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#9
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Quiet Professional
Join Date: Jan 2004
Location: DFW Texas Area
Posts: 4,741
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High Voltage?!?!
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Martin sends.
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Ambush Master is offline
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06-28-2009, 16:07
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#10
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Quiet Professional
Join Date: Feb 2008
Location: North Carolina
Posts: 51
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A couple of questions:
1. Is it a blunt trauma/ crushing transection?
2. Does this method work on any extremities or limited to, say, phalanges?
3. Do these 2 items ligate the vein and artery? Or do the 2 items simply
refer to the removal of the appendage?
4. I'm also assuming that, like all field amputations, this is a 'stop-gap'
procedure and will require additional surgery.
Is a vice one of the items by chance?
ps. I really appreciate you putting these on here. I have always enjoyed reviewing your case studies. Thank you very much for this.
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Priest is offline
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06-28-2009, 16:57
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#11
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Area Commander
Join Date: Feb 2004
Location: The Black Hills of SD
Posts: 5,944
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1) A Bullet
2) Whiskey
For the field amputation that you refer to, I'm assuming that it would be a dangling limb.
Put the bullet in the pts mouth, for him/her to bite down on.
Pour whiskey over the wound, to help in sterilization, pour whiskey down gullet of pt., to help in pain control, pour a couple of shots down the gullet of field medic, cause it's gonna be messy.
After above 2 items are in place, grab hold of dangling limb and ......PULL/YANK as hard as you can.
Then take a couple more shots of whiskey for good measure.....if there's any left.
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Sdiver is offline
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06-28-2009, 19:18
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#12
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Guerrilla
Join Date: Aug 2008
Location: Oregon
Posts: 153
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Ligature using wire (high temp) and metal rod. May need multiples.
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DinDinA-2 is offline
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06-28-2009, 19:36
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#13
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Area Commander
Join Date: Dec 2007
Location: UK
Posts: 2,952
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Quote:
Originally Posted by swatsurgeon
Does anyone know the art of field amputations that requires no cutting?
Hint: you only need 2 things to complete it and SUSTAIN it.
ss
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I would think one element would be a heat source. This to control bleeding and provide a means to keep the wound "clean".
I do believe that ice and a tourniquet were used as a means of blunting pain for the surgical event in the 1860's with fairly good success. Doubt that is any of the answer you are looking for though.
That leaves the actual method of amputation. I wonder if a wire, not unlike a Gigli Saw could be used?
Other things come to mind like a passing train, or shotgun blast to finish the job.
This is really a pretty good question SS!
My $.02.
RF 1
Last edited by Red Flag 1; 06-29-2009 at 14:45.
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Red Flag 1 is offline
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06-28-2009, 20:59
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#14
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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Quote:
Originally Posted by Red Flag 1
I would think one element would be a heat source. This to control bleeding and provide a means to keep the wound "clean".
I do believe that ice and a tourniquet were used as a means of blunting pain for the surgical event in the 1860's with fairly good success. Doubt that is any of the answer you are looking for though.
That leaves the actual method of amputation. I wonder if a wire, not unlike a Gigley Saw could be used?
Other things come to mind like a passing train, or shotgun blast to finish the job.
This is really a pretty good question SS!
My $.02.
RF 1
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I do believe that ice and a tourniquet were used as a means of blunting pain for the surgical event in the 1860's with fairly good success. Doubt that is any of the answer you are looking for though.
good call.....no cut..if ice is available the limb is packed in ice with tourniquet in place. No pain (nerve dies after tourniquet on long enough and the limb will not release its evil humors with such a slow metabolic rate and you can preserve normal physiology while waiting to do formal (cut) amputation. This practice is old but still used...works very well on patients that have little ability to tolerate the amputation acutely or need more time to deal with the issues. Mostly used for gangrene issues in days past but is a useful technique if a) ice is available, b) no one around who can do proper amputation.
The hot wire won't work to well but the poker in the fire was a method used to cauterize a vessel....thread/rope/twine is always better on a larger vessel or just keep the tourniquet on above the site of amputation until definitive care can be performed on the amputation site.
Ice is not available on most field deployments but if someone can be casevac'ed and no one around to do amp back in a field aid area/hospital....ice it with tourniquet.
ss
__________________
'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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swatsurgeon is offline
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06-28-2009, 21:03
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#15
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Guerrilla Chief
Join Date: Jul 2004
Location: Phoenix, AZ
Posts: 880
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How to get through the bone is another question to ponder....saw, gigli or otherwise is a great option if available. A leatherman tool has a saw.....
shotgun no good in my opinion, good knife like Yarborough and something to strike onto its spine would/should work....I have heard reports of someone stomping down on a femur...hips and proximal thigh were elevated 8-10 inched off of the ground...just never know where it's going to snap though...not my first choice!
ss
__________________
'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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swatsurgeon is offline
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