Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services for severe uncontrolled bleeding, fainting, severe breathing difficulty, chest pain, or another immediately life-threatening problem.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Contact the surgical team urgently if the replanted digit:
Becomes pale, blue, dark, unusually cold, or much more swollen
Develops sudden or worsening pain
Starts bleeding through the dressing
Loses movement or feeling that was previously present
Has spreading redness, pus, a bad smell, or wound separation
Also seek urgent advice for fever or chills, uncontrolled vomiting, medication problems, or a wet, damaged, or overly tight dressing.
3
Does any of this apply?
Book an appointment
Keep routine appointments for dressing care, splint review, therapy, and removal of stitches or wires.
Every sign above is quoted from the sofidex article on Replantation of digits. If you are not sure, err upward — it is always reasonable to be checked.