A 45-year-old male was using a table saw and accidentally severed his right hand at the wrist. On arrival, the patient is bleeding profusely. What is the immediate next step in the management of this patient?
Apply a tourniquet proximal to the amputation site
Cover the wound with a sterile dressing and immobilize
The immediate next step in managing a traumatic amputation with profuse bleeding is to apply a tourniquet proximal to the site of amputation. This will help control the hemorrhage, which is a life-threatening complication. Elevating the limb and applying direct pressure are also important, but they are less effective in quickly controlling severe bleeding. Not manipulating the wound further without controlling the bleeding is imperative to avoid exacerbation.
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