How do paramedics tend to a severed leg?

Any paramedics or emts out there? I'm writing a short story where on earth a man falls off a railroad trestle after one hit by a train, which severs his leg. People come to help him by wrapping his stump and applying pressure as economically as putting the end of the severed leg surrounded by an ice cooler. What would the paramedics do when they arrived?
Answer:

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A good paramedic would give the dressings that have be applied in place, this will allow any clotted vessel to stay clotted ( bleeding stopped ). The would in all credible hood treat him for possible spinal injury ( from the obvious trauma ) which would include cervical collar on the collar, a long back board for the spine, as okay as straps to hold him stable. Vitals signs such as pulse respiration's, lung sounds, and blood pressure. They may apply oxygen. they would assess the injury and watch for further bleeding, treat near "pressure points" to block flow of arterial bleeding.
An I.V. of Normal Saline would be started, with perchance 500 c.c given to build up the patients fluid loss from bleeding. He would need to be kept thaw out . His stump would be brought along, it would be cooled some, but not frozen or near that. Kept moist also. He would probably requirement pain medication through his IV, which could be morphine , 5 milligrams and maybe more. He would be transported to a trauma hospital and possible reattachment could be done. Let me know if you obligation more info.

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for a injury resembling this i would start by wrapi ng a wond in a 8 by 13 inch truma dressing and covering it near this and the depending on the amount of bleeding i would wrap a turiquet on the pt a coupple inches abouve the site of injury and write on the pt's head time applyied to injury and fast transport and seek medi-vac or the medical chopper assistance

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Depending on where on earth the amputation occured, we would probably apply an extra large blood pressure cuff above the site, and inflate it until the spurting stopped, or at most minuscule slowed down enough to be sufferable. Then we would cover the would as best we could with trauma dressing. The tolerant would be c-spined, at least two ample bore IVs would be initiated and we would start replacing fluid. The leg would be recovered if possible, wrapped surrounded by a biohazard bag, consequently if possible, put into another purse full of ice. If the tolerant was conscious, we would impart morphine IV to try to dull the pain, and we would transport the tolerant to a trauma hospital either by ground or by nouns.



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