Management of Amputated Parts

Management of Amputated Parts Quiz

1. Think of reimplantation when you see amputations of the:

A. Scalp

B. Hand or Foot

C. Arm or Leg

D. Fingers or Toes

E. Penis

2. Which of the following are Strong Indications for reimplantation:

A. Clean guillotine amputation

B. Amputation through the middle phalanx of the digit

C. Bilateral amputations of hand

D. Multiple digit amputations

E. Thumb amputations

3. Which of the following are considered contraindications to reimplantation

A. Severe crushing injury

B. Avulsion

C. Multiple level amputations of the same extremity

4. Which of the following are essential parts of the initial care of the patient;

A. Examine for other injuries-Trauma ABCDEs

B. Direct pressure to control hemorrhage

C. Splint digit in physiologic position

D. Vigorous cleaning and debridement of the amputated part.

5. What are the proper steps to take to preservation of the amputated parts;

A. Clean of surface dirt by gentle rinse with lactated ringers solution.

B. Wrap the parts in sterile gauze moistened with lactated ringers.

C. Place in a sealable plastic bag or water proof container

D. Place bag or container in an outer container filled with crushed ice.

E. Always label the container and transport with the patient.

6. Which of the following should you NOT DO:

A. Never freeze the amputated part by putting in direct contact with ice.

B. Never macerate the amputated part by soaking it in water.

C. Don't try to debride the amputated part.

D. Place bag or container in an outer container filled with crushed ice.

True or False

7. Amputations are either complete or incomplete (partial).

True or False

8. A complete amputation is when there is no tissue, ligament, muscle or other human tissue connecting the amputated part to the body.

True or False

9. A partial or incomplete amputation is when any human tissue such as a ligament, tendon or muscle connects the body and the amputated part.

True or False

10. In a partial amputation, every effort should be made to preserve this connection.

True or False

11. In the heat of the moment it is easy to forget the ABC's of trauma management and focus on the amputated part.

True or False 12. Take a moment to do the ABCs assess vital signs and assess for other injuries.

True or False

13. Time is the enemy to success.

True or False

14. The longer it takes to get the patient and the part to an institution with an experienced reimplantation team the less likely the operation will be successful.

True or False

15. Immediate cooling decreases tissue death and bacterial growth.

True or False

16. The larger the amputated part the shorter the amount of time it takes for tissue death to start.

True or False