One of the worst cases I've had was a patient with really bad sepsis from an infection; all the blood vessels in your extremities constrict, so amputating fingers isn't all that common. But this was catastrophic, as we ultimately had to amputate all four limbs.
"In a trauma center, Friday and Saturday nights are the busiest. We receive more trauma than any other hospital in Washington, DC, including stabbings and shootings."