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Field surgical intervention: an unusual case.

R D Stewart, J C Young, D A Kenney

    The Journal of Trauma
    |October 1, 1979
    PubMed
    Summary
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    A severe crush injury occurred during bridge demolition. On-site traumatic knee disarticulation was necessary due to entrapment complications, highlighting field intervention strategies.

    Area of Science:

    • Trauma surgery
    • Emergency medicine
    • Orthopedic surgery

    Background:

    • A case study involving an ironworker with a crush injury to the lower extremities during bridge demolition.
    • The patient's limbs were entrapped, complicating extrication efforts.

    Observation:

    • Bridge support weakening due to acetylene torch cutting posed additional risks.
    • Extrication was prolonged, lasting approximately 3 hours.

    Findings:

    • The decision was made to perform a traumatic disarticulation of the right knee in the field.
    • Essential elements for successful on-site intervention were identified.

    Implications:

    • This case emphasizes the critical decision-making process in complex field trauma scenarios.

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  • Highlights the importance of specialized techniques for pre-hospital limb amputation in extreme circumstances.