S58.11

Clinical Causes: Industrial accidents involving machinery or tools Falls from significant heights onto an outstretched arm Vehicle collisions impacting the arm Sharp weapon injuries Crush injuries from heavy objects Workplace incidents involving moving machinery

Key Symptoms: Complete severing of the limb between the elbow and wrist Severe bleeding and external bleeding from the amputation site Swelling and discoloration around the injury Pain, which may decrease once the limb is severed Loss of function and sensation in the affected hand and forearm Possible shock symptoms such as dizziness, weakness, and pale skin Exposure of bones, tendons, nerves, and blood vessels

Diagnosis Path: The diagnosis of a complete traumatic amputation is primarily clinical, confirmed by a physical examination that visualizes the injury. Medical imaging such as X-rays may be performed to evaluate the extent of the injury and assess any associated damage to bones, joints, or remaining tissues. Healthcare professionals also check for signs of infection, nerve damage, and blood vessel injury to plan comprehensive treatment.

Treatment Protocols: Treatment for this type of injury involves several urgent and ongoing medical procedures, including: - Immediate control of bleeding through pressure and, if necessary, tourniquet application. - Rapid transportation to a medical facility equipped for trauma care. - Preservation of the amputated part, if available, in sterile conditions for possible reattachment. - Surgical interventions that may include repairing blood vessels, nerves, and tissues, or preparing the remaining limb for prosthetic fitting. - Pain management and prevention of infection through antibiotics and other medications. - Psychological support to help cope with trauma and loss. - Long-term rehabilitation involving physical and occupational therapy to maximize function and adaptation. In some cases, amputation may be permanent, and the focus shifts toward prosthetic fitting and rehabilitation to restore as much function and independence as possible.