New York State Basic Emergency Medical Technician (EMT-B) Practice Exam

What is the recommended procedure for the transportation of a severed limb to the hospital?

1. Wrap the limb in sterile gauze, seal in a plastic bag, and put it on ice

2. Wrap the limb in sterile gauze, seal in a plastic bag, and keep it cool

3. Place the limb directly in saline solution

4. Wrap the limb in dry cloth and carry it in the hand

The correct answer is: Wrap the limb in sterile gauze, seal in a plastic bag, and keep it cool

The recommended procedure for the transportation of a severed limb includes wrapping the limb in sterile gauze and sealing it in a plastic bag to protect it from contamination and to preserve its condition during transport. Keeping the limb cool is crucial because it helps to slow down the decomposition process and preserves the tissue as much as possible for reattachment if that's feasible. Using a sterile environment minimizes the risk of infection, which is paramount for any potential surgical intervention later. While ice can be effective in cooling down temperatures, it's vital that the limb does not come into direct contact with ice or water, as this can cause frostbite and further damage to the tissue. Instead, placing the wrapped limb in a cool environment (like an ice pack) without direct contact aligns with preserving the tissue’s viability. This method ensures that the severed limb remains in the best possible condition until it reaches the hospital, where medical professionals can evaluate and potentially reattach the limb. The other methods, such as placing the limb directly in saline solution or carrying it in a dry cloth, lack the appropriate protective and cooling measures necessary for effective transport and preservation.