Q:

Which of the following statements about preservation of a completely amputated digit is/are correct?

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Which of the following statements about preservation of a completely amputated digit is/are correct?


  1. The amputated digit should be wrapped in a sterile, dry cloth and kept at body temperature.
  2. The amputated digit should be wrapped in a cloth moistened with saline or Ringer\'s lactate solution and kept at body temperature.
  3. The amputated digit should be wrapped in a clean cloth and placed directly on ice.
  4. The amputated digit should be placed in a plastic bag containing Ringer\'s lactate or saline solution, and the plastic bag placed on ice.
  5. The amputated digit should be wrapped in a cloth or sponge moistened with Ringer\'s lactate or saline solution and placed in a plastic bag to rest on ice.

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D. The amputated digit should be placed in a plastic bag containing Ringer's lactate or saline solution, and the plastic bag placed on ice.

E. The amputated digit should be wrapped in a cloth or sponge moistened with Ringer's lactate or saline solution and placed in a plastic bag to rest on ice.

DISCUSSION: The amputated part must be kept cool (4؛ C or less) but not frozen. Cooling lowers the metabolic needs of the severed part, which allows replantation for up to 12 to 14 hours for major limb amputations and 24 to 36 hours for major digital amputations. The amputated part is preserved by one of the two following methods: (1) Place the amputated part in a plastic bag containing lactated Ringer's or saline solution and place the bag on ice or (2) wrap the amputated part in a cloth and place it in a plastic bag to be put on ice.

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