1. Control blood loss by applying direct pressure and raising the injured part above the casualty’s heart.

2. Call for emergency help. Send a helper to make the call, if possible. Explain the situation clearly to the dispatcher, so that the right equipment will be brought.

3. Support the casualty’s body weight until the emergency services arrive and take over.

4. Reassure the casualty while you wait for emergency help. Place a sterile dressing or a clean gauze pad on the wound, and secure it with a bandage. If you are trained to use a tournequet, it may be appropriate.

5. Treat the casualty for shock.

6. Call for emergency help. Tell the dispatcher that an amputation is involved. Monitor and record vital signs—level of response, breathing, and pulse —while waiting for help to arrive.

7. Wrap the severed part in plastic wrap or a plastic bag. Wrap the package in gauze or soft fabric and place it in a container full of crushed ice. Mark the container with the time of injury and the casualty’s name. Give it to the emergency service personnel yourself