It is important to note that Indiana has excellent primary care physicians, emergency room physicians, and emergency medical support staff. Such expertise in recognizing the severity of injuries early, and then stabilizing the patient for transfer, has greatly facilitated the referral and reconstruction process. The immediate care of both the injured patient, as well as the amputated part, is crucial. Because many injuries occur while farmers are working in their fields, the emergency medical care provided by EMT's, or other emergency personnel, is essential. Recognizing and appreciating the fact that surgical reattachment may be a possibility is fundamental to the process.
Appropriate care needs to be directed immediately to the injured patient.
The wound should be cleansed with saline solution, if available, or clean water. It is important keep any amputated tissue moist, to enhance the possibility of reattachment. In the absence of saline or tap water, contact lens fluid or even a soft drink may be used to keep the amputated part moist and prevent it from drying out. Bleeding can usually be stopped at the site of the amputation after cleansing, and the application of direct pressure at the wound site. This pressure may be applied by a companion, co-worker, paramedic, or even by the patients, themselves.