Amputation Injuries: What to Do

Saws, presses, conveyors and machinery can cut off fingers, hands and limbs. Fast action controls bleeding and gives surgeons the best chance to reattach the part.

Step by step

  1. Make it safe: shut off and lock out the machine before reaching in.
  2. Call 911.
  3. Control the bleeding: firm direct pressure with gauze, and a tourniquet above the injury for severe arm or leg bleeding. See Bleeding Control.
  4. Treat for shock: keep the person lying down and warm.
  5. Save the amputated part:
    • Gently rinse off dirt with clean water if possible; don’t scrub.
    • Wrap it in clean, moist gauze or cloth.
    • Put it in a sealed plastic bag.
    • Place the bag on ice or in ice water. Don’t put the part directly on ice or in water.
    • Send it to the hospital with the person, labeled with their name and the time.

Reporting: employers must report any work-related amputation to OSHA within 24 hours, including fingertip amputations. See Reporting.

Prevention

Most amputations happen when guards are missing or someone reaches into a running machine. See Machine Guarding and Lockout/Tagout.

Standards & references

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