Ashhurst remarks that Luckie, Alexander, Koehler, Lowman, and Armstrong have successfully removed both legs and one arm simultaneously for frost-bite, all the patients making excellent recoveries in spite of their mutilations; he adds that he himself has successfully resorted to synchronous amputation of the right hip-joint and left leg for a railroad injury occurring in a lad of fifteen, and has twice synchronously amputated three limbs from the same patient, one case recovering.
Wharton reports a case of triple major amputation on a negro of twenty-one, who was run over by a train.

His right leg was crushed at the knee, and the left leg crushed and torn off in the middle third; the right forearm and hand were crushed.

In order to avoid chill and exposure, he was operated on in his old clothes, and while one limb was being amputated the other was being prepared.

The most injured member was removed first.

Recovery was uninterrupted.
There are two cases of spontaneous amputation worthy of record.
Boerhaave mentions a peasant near Leyden, whose axillary artery was divided with a knife, causing great effusion of blood, and the patient fainted.