Work

Prehospital damage-control amputation and packed red blood cell transfusion for severe bilateral lower-limb crush injury in a remote setting: a case report

Year: 2026

Type: article

Abstract: Prehospital damage-control amputation in civilian emergency systems is rare, especially combined with prehospital packed red blood cell transfusion. We report a 30-year-old man with bilateral lower-limb crush injury after entrapment in an industrial roller machine in a remote area. Despite initially preserved blood pressure, he developed marked hemodynamic deterioration and arrived at the hospital with a blood pressure of 74/49 mmHg. Both limbs were non-salvageable. Prehospital bilateral amputation with vascular ligation was performed on scene, followed by transfusion of one local unit of packed red blood cells (~200 ml). He survived after stump revision, intensive care, and rehabilitation. This case describes the sequential use of prehospital hemorrhage control and packed red blood cell transfusion during the same prehospital episode in a patient with a life-threatening entrapment injury and delayed transport.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjag983

Authors: Jianhua Li, Mingwei Ma, Qin Liu, Wei Tian, Jiangquan Li, Cheng Zhang

Institutions: People's Hospital of Pengshui Miao and Tujia Autonomous County, The Affiliated Yongchuan Hospital of Chongqing Medical University

Language: English

Topic: Trauma and Emergency Care Studies

Subfield: Emergency Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,000