Pain control - (Digital block)
If amputated finger available, irrigate and wrap in moist sterile gauze
Place in plastic bag and put bag in ice water (do not put finger directly on ice!)
Tetanus Prophylaxis if > 5 years since last vaccination
Antibiotics: Ancef 2 grams
Consult hand surgery regarding possible reimplantation vs revision<unk> 
In general,<unk>  distal to DIP is not amenable to reimplantation
If bone is exposed, it may be trimmed back with a rongeur to just below the skin level
Acceptable warm ischemia times
12 hours for digit; 6 hours for muscle bearing extremity
Acceptable cold ischemia times (i.e. time amputated part is on ice)
24 hours for digit; 12 hours for a muscle bearing extremity
Place in plastic bag and put bag in ice water (do not put finger directly on ice!)
In general,<unk>  distal to DIP is not amenable to reimplantation
If bone is exposed, it may be trimmed back with a rongeur to just below the skin level
If bone is exposed, it may be trimmed back with a rongeur to just below the skin level
12 hours for digit; 6 hours for muscle bearing extremity
24 hours for digit; 12 hours for a muscle bearing extremity
Thumb<unk> <unk>  of multiple digits<unk>  level between MCP and distal forearm<unk> s in children
Severely crushed or mangled parts
Prolonged ischemia time
Single digit (except thumb)
Severe contamination
Age >60, poor health, atherosclerotic disease
Avulsion injury
Finger amputation
Distal interphalangeal dislocation 
Ulnar gutter splint
Distal phalanx 
Pressure immobilization dressing
Stirrup splint
Fingertip avulsion
Finger splint