This article was medically reviewed by Jonas DeMuro, MD. Dr. DeMuro is a board certified Pediatric Critical Care Surgeon in New York. He received his MD from Stony Brook University School of Medicine in 1996. He completed his fellowship in Surgical Critical Care at North Shore-Long Island Jewish Health System and was a previous American College of Surgeons (ACS) Fellow.
There are 14 references cited in this article, which can be found at the bottom of the page.
This article has been viewed 107,521 times.
A severed (amputated) finger is a very serious injury. When you first arrive on the scene, though, you need to make sure the person doesn't have a more serious injury. After that, your priorities are stemming the bleeding and saving the finger for reattachment.
Steps
Taking First Steps
-
1Look around the area for danger. Before helping someone, make sure you do not see anything that would put you or others in immediate danger, such as a power tool that is still on.[1]
-
2Check for consciousness. See if the person is awake enough to talk to you. You can start by asking for the person's name.[2]
- If the person isn't conscious, that could be a sign of a more serious injury or shock.
Advertisement -
3Call for help. If you're the only person in the area, call 911 to get help. If other people are around, assign one person to call 911.[3]
-
4Check for more serious injuries. A severed finger can be distracting with all the blood, but make sure that is the most serious injury before moving on to treat it. For instance, check for more serious bleeding wounds.[4]
-
5Continue talking to the person. Help her remain calm by talking to her in a soothing voice. Try not to become panicked yourself. Take slow, deep breaths, and ask the injured person to do the same.[5]
Applying First Aid
-
1Put on gloves. If they are quickly available, put on gloves before helping the person.[6] Gloves will help protect you from any blood-borne diseases he may have. First aid kits sometimes include gloves.
-
2Clean off the dirt. If you see any clear pieces of dirt or debris on the wound, you can remove it by rinsing with clean, running water (you can pour this from a water bottle if a sink is not accessible). However, if you see an imbedded object or something large, leave it where it is.[7]
-
3Keep the wound from bleeding more. Using clean cloth or gauze, press down on the wounded area. Try to staunch the flow of blood with pressure.[8]
-
4Elevate the wound. Make sure the hand with the severed finger is above the heart, as the elevation will help slow down the bleeding.[9]
-
5Have the person lay down. Help her lay down, using a blanket or carpeting under her to keep her warm.[10]
-
6Continue to apply pressure. While the wound is still bleeding, keep holding pressure on the wound. If you become tired, ask someone else to take over. If you don't seem to be stopping the blood at all, make sure you have the wound properly covered.[11]
Saving the Finger
-
1Clean the finger. Lightly wash off the finger to clean off dirt, especially if the wound on it looks dirty.[14]
- Have someone else do these steps if you are still applying pressure.
-
2Remove jewelry. If possible, gently take off any rings or other jewelry. They may be more difficult to take off later.[15]
-
3Wrap the finger in a damp paper towel or gauze. Lightly wet a clean paper towel with sterile saline solution, if available. Contact lens solution can also be used, or tap water, or bottled water if saline is not available. Wring out any excess liquid, then wrap the finger in the towel.[16]
-
4Place the finger in a plastic bag, preferably a zip-top bag. Put the wrapped finger in a zip-top bag and seal the bag.[17]
-
5
-
6Hand the finger to the paramedics. Once help arrives, let them take control of the finger.
Warnings
- This is a serious injury. Notify emergency services immediately.⧼thumbs_response⧽
- Saving the person is more important than saving the person's finger. Always attend to the person first.⧼thumbs_response⧽
References
- ↑ https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/first-aid-basics-and-drsabcd
- ↑ https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/first-aid-basics-and-drsabcd
- ↑ https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/first-aid-basics-and-drsabcd
- ↑ http://www.nlm.nih.gov/medlineplus/ency/article/000006.htm
- ↑ https://www.kevinmd.com/blog/2010/11/aid-rules.html
- ↑ https://www.healthlinkbc.ca/health-topics/tv7778spec
- ↑ https://www.stjohnvic.com.au/news/provide-first-aid-major-wound/
- ↑ https://www.redcross.org.uk/first-aid/learn-first-aid/bleeding-heavily
- ↑ https://www.health.harvard.edu/staying-healthy/emergencies-and-first-aid-direct-pressure-to-stop-bleeding
- ↑ https://www.nhs.uk/conditions/first-aid/
- ↑ http://www.nlm.nih.gov/medlineplus/ency/article/000006.htm
- ↑ https://www.uofmhealth.org/health-library/tw4354spec
- ↑ http://www.mayoclinic.org/first-aid/first-aid-severe-bleeding/basics/art-20056661
- ↑ http://www.nlm.nih.gov/medlineplus/ency/article/000006.htm
- ↑ https://www.merckmanuals.com/home/injuries-and-poisoning/first-aid/severed-or-constricted-limbs-or-digits
- ↑ https://www.merckmanuals.com/home/injuries-and-poisoning/first-aid/severed-or-constricted-limbs-or-digits
- ↑ https://www.merckmanuals.com/home/injuries-and-poisoning/first-aid/severed-or-constricted-limbs-or-digits
- ↑ https://healthcare.utah.edu/the-scope/shows.php?shows=0_tsvw2gib
- ↑ https://firstaidforlife.org.uk/amputated-finger-what-to-do/
- ↑ https://www.as.arizona.edu/sites/default/files/Safety/What_to_do_When_You_Cut_Off_Your_Finger.pdf
About This Article
Before attempting to give first aid for a severed finger, call 911 to request immediate emergency assistance. While you wait for paramedics, begin cleaning the wound with clean water, but do not remove any embedded objects, since these might be stopping the flow of blood. Then, after cleaning the wound as best you can, press down on the wound with a clean cloth to staunch the flow of blood. As you wait for help to arrive, keep the wound elevated and continue to apply pressure. For more advice from our Medical co-author, including how to save a severed finger, read on!
Medical Disclaimer
The content of this article is not intended to be a substitute for professional medical advice, examination, diagnosis, or treatment. You should always contact your doctor or other qualified healthcare professional before starting, changing, or stopping any kind of health treatment.
Read More...