Amputation in emergency situations: indications, techniques and Médecins Sans Frontières France's experience in Haiti

The decision to amputate is always difficult but becomes even harder in emergency situations, which usually present extra complicating factors.

These include human factors (related to both the surgeon and the patient); poor or nonexistent medical facilities, especially in war conditions or resource-poor countries; and cultural and religious considerations. Médecins Sans Frontières (MSF) has developed a quick medical and logistical response that relies on surgical protocols adapted to emergency situations, together with complete "kits" of medical equipment, supplies and inflatable facilities.

Our response to Haiti's 2010 earthquake relied on these tools but also highlighted the need to develop more detailed protocols that will help our teams on the ground.