Prehospital damage-control amputation and packed red blood cell transfusion for severe bilateral lower-limb crush injury in a remote setting: a case report.
- 1Department of Critical Care Medicine, Pengshui Miao and Tujia Autonomous County People's Hospital, No. 50, Wenmiao Street, Hanjia Subdistrict, Pengshui County, Chongqing 409600, China.
- 2Department of Cardiothoracic Surgery Intensive Care Unit, The First Affiliated Hospital of Chongqing Medical University, No. 1, Youyi Road, Yuanjiagang, Yuzhong District, Chongqing 400016, China.
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.
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BibTeX
@article{li2026prehospital,
title = {{Prehospital damage-control amputation and packed red blood cell transfusion for severe bilateral lower-limb crush injury in a remote setting: a case report.}},
author = {Jianhua Li and Mingwei Ma and Qin Liu and Wei Tian and Jiangquan Li and Cheng Zhang},
journal = {Journal of surgical case reports},
year = {2026},
month = oct,
doi = {10.1093/jscr/rjag983},
url = {https://europepmc.org/article/MED/42948796},
note = {CC BY},
}
RIS
TY - JOUR
TI - Prehospital damage-control amputation and packed red blood cell transfusion for severe bilateral lower-limb crush injury in a remote setting: a case report.
AU - Jianhua Li
AU - Mingwei Ma
AU - Qin Liu
AU - Wei Tian
AU - Jiangquan Li
AU - Cheng Zhang
PY - 2026
DA - 2026/10/27
JO - Journal of surgical case reports
DO - 10.1093/jscr/rjag983
UR - https://europepmc.org/article/MED/42948796
AB - 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.
SN - 2042-8812
ER -