Consult Criteria

Immediate Hand Surgery Consultation Guidelines
Vascular injury with signs of tissue ischemia or poorly controlled hemorrhage
Irreducible dislocations
Grossly contaminated wounds
Severe crush injury
Open fracture
Compartment syndrome
High pressure injection injury
Hand/finger amputation


Delayed Hand Surgery Consultation Guidelines
Extensor/flexor tendon laceration (if not repaired in ED)
Flexor digitorum profundus rupture (closed)
Nerve injury (proximal to mid middle phalanx)
Closed fractures
Ligamentous injuries with instability