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In a first aid context, you need to do the following AFTER you've treated the patient for bleeding and shock. * Retrieve the severed appendage. * Do NOT clean it unless you suspect the presence of toxic substances. Maintain HAZMAT protocol. * Wrap the limb in CLing, or place it in a waterproof plastic bag, then label the plastic with the time and location you found the limb. Do this in waterproof medium (ink if you have it -- pencil on plastic rescue tablet, etc.) * Place the waterproofed limb on ice, preferably in a cooler -- be careful NOT to freeze the limb, so you want to not fully immerse the limb unless you're certain not to freeze it. * Avoid salt water and other ices that drop the temp to far below 32F/0C. * Transport limb WITH the victim unless this isn't possible (e.g. helicopter rescues and the like). Note in your journal where you found the limb, what time you found it (exactly, and relative to all times entered in your site/event log/patient chart). * Make sure the information about the limb, including where is it at the time, is entered into ALL pertinent documents.

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