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Start on clavicle. Remove middle third. Control and divide subsc art and vein.

In October, a British surgeon with MSF called David Nott conducted am amputation in the Democratic Republic of the Congo on a war victim:

I knew that the only way to save him would be to perform a forequarter amputation – removing what remained of his arm, and his shoulder. It is an incredibly difficult operation and only about ten people in the UK undergo it each year. There are only two or three surgeons in the UK who are able to do it, and I was not one of them. Fortunately, I knew somebody who was.

The amazing was that “somebody” was a surgeon in the UK, who sent him the instructions via text message!

A truly amazing story. You can read his account of the story here.

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