Surgery

Question 1

How to transport amputated part of traumatic amputation (e.g. thumb)

Answer 1

The amputated part should be transported by

1. wrapping it in saline-moistened gauze
2. sealing it in a plastic bag
3. placing the bag in a bath of ice water (to prolong the window for replantation)

Question 2

BAT + Hemodynamically Stable + Tachycardia, LUQ, Left Shoulder Pain + Negative FAST Exam

Best next step?

(BAT = Blunt Abdominal Trauma)

Answer 2

CT Abdomen & Pelvis (CTAP)

• Splenic injury = one of the most common intraabdominal complications of BAT and should be suspected in any pt w/ BAT & e/o hemorrhage (L shoulder pain being likely referred from blood irritating the phrenic nerve)