Emergency Medicine

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Field EMS Physician Limb Amputation Training and Guidelines

Since the 1970’s, there have been suggestions to develop a formal curriculum and protocol for performing field extremity amputations. Several events since this time, including the devastating 2010 earthquake in Haiti, have demonstrated the potential need for such a program. However, a curriculum including a didactic lecture and skills demonstration for this high risk, low frequency procedure has never been established. This instructional video serves as a bridge between the prehospital environment and definitive surgical treatment. It includes a brief historical background, indications and equipment necessary for performing the procedure and finally a surgical demonstration of a lower extremity amputation performed on a cadaver.


Field Physician Manual (PDF)


Field Physician Amputation Videos

Field Amputation: An Introduction
This video serves as a basic introduction for performing a field amputation.  It includes a brief historical background on field amputations, and includes indications and necessary equipment. 


Field Upper Extremity Amputation
This video reviews the basic steps for performing a field upper extremity amputation. 


Field Lower Extremity Amputation
This video reviews the basic steps for performing a field lower extremity amputation. 



For questions or more information, please contact Ronald G. Pirrallo, MD, MHSA

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Page Updated 09/30/2014