Consensus statements regarding the multidisciplinary care of limb amputation patients in disasters or humanitarian emergencies: Report of the 2011 humanitarian action summit surgical working group on amputations following disasters or conflict

Lisa Marie Knowlton, James E. Gosney, Smita Chackungal, Eric Altschuler, Lynn Black, Frederick M. Burkle, Kathleen Casey, David Crandell, Didier Demey, Lillian Di Giacomo, Lena Dohlman, Joshua Goldstein, Richard Gosselin, Keita Ikeda, Andree Le Roy, Allison Linden, Catherine M. Mullaly, Jason Nickerson, Colleen O'Connell, Anthony D. RedmondAdam Richards, Robert Rufsvold, Anna L.R. Santos, Terri Skelton, Kelly McQueen

Research output: Contribution to journalArticle

Abstract

Limb amputations are frequently performed as a result of trauma inflicted during conflict or disasters. As demonstrated during the 2010 earthquake in Haiti, coordinating care of these patients in austere settings is complex. During the 2011 Humanitarian Action Summit, consensus statements were developed for international organizations providing care to limb amputation patients during disasters or humanitarian emergencies. Expanded planning is needed for a multidisciplinary surgical care team, inclusive of surgeons, anesthesiologists, rehabilitation specialists and mental health professionals. Surgical providers should approach amputation using an operative technique that optimizes limb length and prosthetic fitting. Appropriate anesthesia care involves both peri-operative and long-term pain control. Rehabilitation specialists must be involved early in treatment, ideally before amputation, and should educate the surgical team in prosthetic considerations. Mental health specialists must be included to help the patient with community reintegration. A key step in developing local health systemsis the establishment of surgical outcomes monitoring. Such monitoring can optimizepatient follow-up and foster professional accountability for the treatment of amputation patients in disaster settings and humanitarian emergencies.

Original languageEnglish (US)
Pages (from-to)438-448
Number of pages11
JournalPrehospital and disaster medicine
Volume26
Issue number6
DOIs
StatePublished - Jan 1 2011
Externally publishedYes

Keywords

  • Amputation
  • Disaster medicine
  • Haiti
  • Humanitarian emergencies
  • Rehabilitation
  • Surgical burden of disease
  • Surgical standards

ASJC Scopus subject areas

  • Emergency Medicine
  • Emergency

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  • Cite this

    Knowlton, L. M., Gosney, J. E., Chackungal, S., Altschuler, E., Black, L., Burkle, F. M., Casey, K., Crandell, D., Demey, D., Di Giacomo, L., Dohlman, L., Goldstein, J., Gosselin, R., Ikeda, K., Le Roy, A., Linden, A., Mullaly, C. M., Nickerson, J., O'Connell, C., ... McQueen, K. (2011). Consensus statements regarding the multidisciplinary care of limb amputation patients in disasters or humanitarian emergencies: Report of the 2011 humanitarian action summit surgical working group on amputations following disasters or conflict. Prehospital and disaster medicine, 26(6), 438-448. https://doi.org/10.1017/S1049023X12000076