{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:58:35Z","timestamp":1747173515276,"version":"3.40.5"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T00:00:00Z","timestamp":1694390400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X23006283_as1\"><jats:title>Objective:<\/jats:title><jats:p>Field amputations are a low-frequency, high-risk procedure. Many prehospital personnel utilize the reciprocating saw. This study compares the efficiency, speed, and degree of tissue damage of different reciprocating saw blades found commercially.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X23006283_as2\"><jats:title>Methods:<\/jats:title><jats:p>Amputations were performed on two human cadavers at different levels of the upper and lower extremities. Four different blades were used, each with a different teeth-per-inch (TPI) design. The amputations were timed, blade temperature was recorded, subjective operator effort was obtained, amount of splatter was evaluated, and an orthopedic physician evaluated the extent of tissue damage and operating room repair difficulty.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X23006283_as3\"><jats:title>Results:<\/jats:title><jats:p>The blade with fourteen TPI was superior in overall speed to complete the amputations at 1.07 seconds per one centimeter of tissue (SD = 0.49 seconds) and had the lowest fail rate (0\/8 amputations). The three TPI, six TPI, and ten TPI blades all required a \u201crescue\u201d technique and were slower. The blade with fourteen TPI caused the least amount of tissue damage and was deemed the easiest to repair. Secondary outcomes demonstrated the fourteen TPI blade had generated the least amount of heat and produced the least amount of splatter. All blades had a perceived effort of \u201ceasy\u201d to complete the amputation.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X23006283_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>While all blades were able to achieve an amputation, the overall recommendation is use of a fourteen TPI blade. It did not require any rescue techniques, provided the most straightforward amputation to repair, had the least amount of biohazard splatter and temperature increase, and was the fastest blade overall.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x23006283","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T09:08:28Z","timestamp":1694423308000},"page":"595-600","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Cadaveric Prehospital Amputation: Which Reciprocating Saw Blade Offers the Most Efficient Amputation"],"prefix":"10.1017","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8897-8166","authenticated-orcid":false,"given":"Russell","family":"Baker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9614-5081","authenticated-orcid":false,"given":"Patrick","family":"Popieluszko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Mitchell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sunny","family":"Baker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Weiss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,9,11]]},"reference":[{"key":"S1049023X23006283_ref5","unstructured":"5. Surgeon testifies about pocket-knife amputation in McVeigh penalty phase. AP News. https:\/\/apnews.com\/article\/b23bb57e8a3d7f68f71b79cf9f8ff581. Accessed January 11, 2021."},{"key":"S1049023X23006283_ref1","doi-asserted-by":"publisher","DOI":"10.1080\/10903120390937300"},{"key":"S1049023X23006283_ref10","unstructured":"10. Emmerich, BW , Stilley, JAW , Sampson, CS , Horn, B , Pollock, KE , Stilley, JD. Prehospital amputation: an experimental comparison of techniques. Poster Present. 2018. https:\/\/mospace.umsystem.edu\/xmlui\/handle\/10355\/66821. Accessed January 11, 2021."},{"key":"S1049023X23006283_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.wem.2013.12.021"},{"key":"S1049023X23006283_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000999"},{"volume-title":"Field Limb Amputations Used as an Extrication Option in Complicated Entrapments or Disaster Events","year":"2010","author":"Mustafa","key":"S1049023X23006283_ref2"},{"volume-title":"Tintinalli\u2019s Emergency Medicine: A Comprehensive Study Guide","year":"2011","author":"Tintinalli","key":"S1049023X23006283_ref8"},{"key":"S1049023X23006283_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.05.002"},{"key":"S1049023X23006283_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2019.09.002"},{"key":"S1049023X23006283_ref7","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2015-204881"},{"key":"S1049023X23006283_ref12","first-page":"216","article-title":"Emergency amputations. Lower limb","volume":"40","author":"Osmond-Clarke","year":"1967","journal-title":"Ann R Coll Surg Engl."},{"key":"S1049023X23006283_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0b013e3181dbea8b"},{"key":"S1049023X23006283_ref3","first-page":"1158","article-title":"A major metropolitan \u2018field amputation\u2019 team: a call to arms\u2026 and legs","volume":"67","author":"Sharp","year":"2009","journal-title":"J Trauma."},{"key":"S1049023X23006283_ref14","doi-asserted-by":"publisher","DOI":"10.12968\/jpar.2020.12.1.6"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X23006283","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,20]],"date-time":"2024-03-20T04:15:46Z","timestamp":1710908146000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X23006283\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,11]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["S1049023X23006283"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x23006283","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"type":"print","value":"1049-023X"},{"type":"electronic","value":"1945-1938"}],"subject":[],"published":{"date-parts":[[2023,9,11]]},"assertion":[{"value":"\u00a9 The Author(s), 2023. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}