• In hand injuries, bleeding is the panic situation for patients.so just relax and remember "Elevation of hand above heart level".This is the simple thing to do and bleeding will stop.
  • Transportation of amputed part Amputed part is to be wrapped in wet hand kirchief or any cloth material.
  • Wrapped part is put in any plastic bag and tie knot.Then Take another plastic bag put ice or ice pack then put amputed bag in to ice bag,this whole procedure is known as cold chain.
  • if this cold chain (cold ischemic time)is maintained till operation then finger will survive for 24 hours and if no cold chain maintained (warm ischemic time) then finger will survive for 12 hours till operation.
  • If there is proximal amputation forearm or arm then cold ischemic time is 12 hours till replantation and warm ischemic time is 6 hours till replantation.