Iatrogenic
Hand Injuries
One must avoid iatrogenic injuries that in the accident ward are usually related to efforts to control bleeding. Fortunately, even major arterial upper extremity hemorrhage can be controlled with elevation of the arm and direct pressure. Attempts to control bleeding in the accident ward with either arterial clamps or a proximal pneumatic tourniquet are dangerous and inappropriate for anyone other than the surgeon who will be performing the definitive repairs.
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