[LeapingGnome]

Just getting back to this thread but I appreciate the input gentlemen. As opposed to other issues encountered by the 18D this is low on the probability scale as far as i understand but one of those loose ends I would like to tie up in my trauma education. As the primary provider for both indig and team guys I want to be able to put it in my mental Rolodex so when it comes up I can grab it and remember the lessons learned. For example, one of the key lessons i remember from amputations is that debridement and bone removal should be done as distal as possible to preserve the joints and tissue for follow on surgeries in order to preserve as many prosthetic options as possible.

I have read several anecdotal interviews concerning phantom nerve pain and anything an 18D can do initially to prevent this condition is important as Doc D said. Obviously there are life/limb priorities but in the process of addressing those priorities if technique can prevent future complications it is desirable. Especially when the difference is lack of knowledge. This is one of those areas where I do not want to be reaching for the bookshelf or the MAR07 issue of JAMA to learn the finer points.