Air Medical Journal
Volume 26, Issue 5 , Pages 202-204 , September 2007

“Lower extremity” amputation: conclusion

  • Michael D. Riffle, RN, BSN, CFRN, CEN, LP

      Affiliations

    • Michael Riffle, RN, BSN, CFRN, CEN, LP, is a flight nurse at STAT Air 2 in Georgetown, Texas, with PHI. He has flown for a variety of both fixed and rotor-wing programs since 1981.
    • ,
  • David W. Ross, DO, FACEP

      Affiliations

    • David W. Ross, DO, FACEP, Carol Wichman, BSN, MSN, and Mike MacKinnon, BSN, CEN, CCRN, CFRN, are section editors.
    • ,
  • Carol Wichman, BSN, MSN

      Affiliations

    • David W. Ross, DO, FACEP, Carol Wichman, BSN, MSN, and Mike MacKinnon, BSN, CEN, CCRN, CFRN, are section editors.
    • ,
  • Mike MacKinnon, BSN, CEN, CCRN, CFRN

      Affiliations

    • David W. Ross, DO, FACEP, Carol Wichman, BSN, MSN, and Mike MacKinnon, BSN, CEN, CCRN, CFRN, are section editors.

References 

  1. Federal Aviation Administration. Passengers & Cargo: Unruly Passengers . Available at http://www.faa.gov Accessed June 18, 2007.
  2. National Transportation Safety Board  . Aviation Accident Statistics . Available at http://www.ntsb.gov Accessed June 18, 2007.
  3. “Body of man who jumped from helicopter found in Grand Canyon” Associated Press. June 11, 2004.
  4. “Patient jumps out of medical helicopter” . Available at http://www.flightweb.com/article.php/20041003133928334 September 27, 2004; Accessed June 18, 2007.
  5. “Combative Inmate forces medical helicopter to land” listed April 21, 2007 . Available at http://www.flightweb.com/article.php/20070421110544865 Accessed June 18, 2007.
  6. Kenyon HR , Hyman RM . Total autoemasculation: report of three cases . JAMA . 1953;151:354–357
  7. Hall DC . Command hallucinations and self-amputation of the penis and hand during a first psychotic break . J Clin Psychiatry . 1981;42:322–324
  8. Schweitzer I . Genital self-amputation and the Klingsor syndrome . Aust N Z J Psychiatry . 1990;24:566–569
  9. Yang JG . Failed suicide or successful male genital self-amputation? . Am J Psychiatry . 1993;150:350–351
  10. Myers WC , Nguyen M . Autocastration as a presenting sign of incipient schizophrenia . Psychiatric Services . 2001;52:685–686
  11. Moufid K . Genital self-mutilation: report of 3 cases . Prog Urol . 2004;14:540–543
  12. Stunell H . Genital self-mutilation . Int J Urol . 2006;13:1358–1360
  13. Ishibiki Y . Traumatic luxation of the testis due to self-mutilation: a case report . Jpn J Urol . 2006;97:57–59
  14. Santucci RA . Penile fracture and trauma. eMedicine 2006 . Available at http://www.emedicine.com/med/topic3415.htm
  15. Gerstein PS . Schizophrenia. eMedicine . Available at http://www.emedicine.com/emerg/topic520.htm 2004; Accessed June 19, 2007.
  16. Citrome LL . Aggression. eMedicine . Available at http://www.emedicine.com/med/topic3005.htm 2005; Accessed June 19, 2007.

 A 20-year-old male patient, in an apparent psychotic break, amputated his testicles and minutes later removed his penis. The responding ground EMS requested the helicopter with the intention of reducing the field-to-operating room time for replantation of the severed part and for consideration of infusion of blood products known to be carried by the flight program.

PII: S1067-991X(07)00161-7

doi: 10.1016/j.amj.2007.06.008

Air Medical Journal
Volume 26, Issue 5 , Pages 202-204 , September 2007

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