Which extremity injury clearly triggers trauma-center transport?

• A. Amputation proximal to the wrist or ankle
• B. Minor cut with no bleeding
• C. Superficial abrasion
• D. Non-displaced toe fracture

Answer: (A)

Limb-threatening injuries require immediate trauma-center transport, because they demand rapid access to surgical care and advanced resources. An amputation proximal to the wrist or ankle is the clearest example of a limb-threatening injury: it involves major tissue loss, a high risk of life-threatening hemorrhage, and potential vascular and nerve damage that need urgent assessment and interventions at a trauma center. The other options describe injuries that are typically non–life-threatening and can usually be managed with standard ED care, such as a minor cut with no bleeding, a superficial abrasion, or a non-displaced toe fracture.