tookieblueeyes wrote:As a nurse... I would suggest stop the bleeding 1st. Coterize it if you have to. Find a way to the ER next and let them deal with it. The toe may be salvagable, you may not need to amputate it but it does look pretty horrid. If you were far from anywhere where you could get help and you had to treat it yourself then stop the bleeding any way you see fit and keep it elevated as you keep applying wet to dry dressings and keeping the wound clean. If needed maggots can clen off the bad meat of the toe if it were to become infected but this is a total jeramiah johnson scenario if you had to work it out yourself in a doomsday scenario where there was no help to be had, but if it isn't a doomsday scenario and you could find a way to a hospital that would be the ticket to take.
Cauterizing just kills more tissue that will need to be debrided. Now you have a bigger wound to deal with. You can stop bleeding without it.