TY - CHAP M1 - Book, Section TI - Field Amputation of the Extremity A1 - Bucher, Joshua T. A1 - Westrol, Michael S. A2 - Reichman, Eric F. PY - 2018 T2 - Reichman's Emergency Medicine Procedures, 3e AB - An amputation is an old procedure. Early amputations were crude: amputations were performed without anesthesia, hemostasis was achieved by dipping the amputated extremity in hot oil, and the mortality was high. The first reference to an amputation was found in the ancient Babylonian code of Hammurabi in 1700 BC. Hippocrates described the amputation for vascular gangrene in 385 BC. William Cloves performed the first successful above-the-knee amputation in 1588. The tourniquet was described in the 16th century by Botallus and Holdani. The development of anesthesia in the 16th century made the procedure easier for all involved. Jean Domnique performed 200 limb amputations and 11 shoulder disarticulations. Norman Kick used the guillotine amputation during World War II. This procedure has undergone many advancements since the first amputations. It is a common procedure, with approximately 65,000 amputations occurring annually usually due to peripheral vascular disease of the lower extremities. An amputation is often performed in a hospital but the acceptance by the patient is still low. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159800559 ER -