1
Make sure you are safe. An amputation can be shocking, but you need to ensure
you have no other injuries.
2
Stop the bleeding. If a finger is amputated, wrap your hand in gauze. If the
amputation is farther up the hand or arm, a tourniquet may be necessary.
3
Find the part! Many times people come to the emergency room without the
amputated part, thinking there is no hope of reattachment.
4
Don’t try to clean it. The nerves and vessels are very fragile and can be injured
by cleaning.
5
Wrap the amputated part inmoistened gauze. If gauze is not available, use a paper
towel or a similar product. Thenput thepart inabaggieandplace thebaggieon topof
ice. It is very important that the part does not freeze! Donot submerge the part in ice
or place it in a cooler that can achieve subzero temperatures.
6
Go to the emergency room—or call 911.
BENJAMIN WITKOWSKI
and his friends were in Grand Island
this summer riding watercrafts when
the unthinkable happened. On the
way back out to their favorite wake-
boarding spot on the lake, Witkowski
wrapped the rope around his arm
to prevent it from getting tied up in
the engine. However, one sharp turn
caused Witkowski to be thrown from
the watercraft. His arm was torn off
by the rope.
Thanks to some quick thinking
by his friends to retrieve the severed
part from the water and the excel-
lent care of the first responders,
Tristan Hartzell, MD, a reconstruc-
tive surgeon who specializes in upper
extremity surgery at Faith Regional
Health Services, was able to reat-
tach the arm in a 12-hour surgery in
Norfolk. Witkowski has another year
of therapy ahead of him but contin-
ues to regain function of his hand.
10 FAITH REGIONAL
HEALTH SERVICES
Tristan
Hartzell, MD
Faith Regional
Physician Services
Hand, Wrist and
Elbow Surgery
301 N. 27th St.,
Suite 2, Norfolk
402-844-8291
Benjamin Witkowski
works with
Occupational Therapist
Jami Doele, OTR/L,
CHT, at Faith Regional
Physician Services
Hand, Wrist and Elbow
Surgery. Witkowski
will regularly attend
therapy over the next
year to continue to
regain function of his
hand.
FAST-ACTING FR IENDS—AND EXPERT
CARE—SAVE LOCAL MAN’S HAND
A scary day at the lake
Fromdisaster
to triumph
Do the right thing
In northeast Nebraska, largely known for its agriculture industry, accidents that
can result in a mangled or detached limb can happen in a split second. If you are
ever in a situation where you or someone else experiences this type of injury, keep
in mind these tips from Dr. Hartzell.
Not everyone is a good candidate for replantation. The mechanism of the injury,
the level of amputation, the number of fingers involved, and the patient’s age and
medical and smoking history all weigh in the decision to attempt replantation. For
those individuals who are not candidates, there are often things that can be done
to maintain as much of the injured extremity as possible.