Impact · TOBA

Time Out Before Amputation. One pause that can change everything.

Before any lower-limb amputation, there should be a time out, a moment to confirm the patient has had a full evaluation and every evidence-based option on the table first.

Clinicians reviewing a patient at a SALSAL event
The idea

A multidisciplinary pause before an irreversible decision

01

Confirm the full evaluation

Has the patient had a complete vascular assessment? TOBA makes sure the question is asked before a limb is lost.

02

Bring the team together

Vascular, wound care, podiatry, and primary care, the right specialists, in the room, before the decision is made.

03

Exhaust the options first

Every evidence-based avenue to preserve the limb is considered before amputation is accepted as the only path.

Advancing the approach

TOBA, out in the field

SALSAL presenting the Time Out Before Amputation research poster
The TOBA poster
SALSAL community amputation prevention screening research
Prevention research
SALSAL leaders at an amputation prevention roundtable
Roundtable

Learn the approach in full.

Mary L. Yost and Dr. Jayer Chung walk through the multidisciplinary model in our on-demand TOBA session.