Document Detail

Extreme measures: field amputation on the living and dismemberment of the deceased to extricate individuals entrapped in collapsed structures.
MedLine Citation:
PMID:  23241475     Owner:  NLM     Status:  In-Data-Review    
Collapsed structures, typically as a result of earthquakes, may result in individuals entrapped by their limbs under heavy structural elements. In addition, access to living persons may be blocked by the deceased. Individuals are often critically ill by the time they are found, and rapid extrication is warranted. This and other factors may necessitate field amputation of an extremity on a living person or dismemberment of the deceased to achieve a rescue. Although case reports have described industrial, mining, and transportation accidents, few discuss this potential in collapsed structures. Also, few specifically outline the indications or the decision process and associated administrative procedures that should be addressed before conducting these procedures. This report presents a review of the literature along with a limited case series. A discussion regarding relevant decision making is provided to encourage the development of protocols. An international consensus statement on these procedures is provided.
Anthony Macintyre; Efraim B Kramer; Bruno Petinaux; Trevor Glass; Charmaine M Tate
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Disaster medicine and public health preparedness     Volume:  6     ISSN:  1938-744X     ISO Abbreviation:  Disaster Med Public Health Prep     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101297401     Medline TA:  Disaster Med Public Health Prep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  428-35     Citation Subset:  IM    
Division of Emergency Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa (Dr Kramer and Mr Glass); Division of Emergency Medicine, The George Washington University, Washington, DC (Dr Petinaux); New Zealand Urban Search and Rescue, New Zealand Defence Force, Wellington (Dr Tate).
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