what do you want to know about hand trauma
is the patient stable
what is the mechanism (i.e clean cut–better, versus avulsion–worse)
how long has it been since the injury–care about ischemia time; 6 hours is critical time for muscles dying in the arm, hand you have a bit more time
hand dominance
how old is he
any other comorbidities
what should you do with an amputated limb
put it in ice
how do assess a plastics trauma patient
ABCs
Secondary survey
AMPLE history etc
plastics examination
surface anatomy
skin
circulation
bone and joints
muscle-tendon
sensation