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 for Immediate amputation
From The Collaborative International Dictionary of English v.0.48 :

  Immediate \Im*me"di*ate\, a. [F. imm['e]diat. See In- not, and
     1. Not separated in respect to place by anything intervening;
        proximate; close; as, immediate contact.
        [1913 Webster]
              You are the most immediate to our throne. --Shak.
        [1913 Webster]
     2. Not deferred by an interval of time; present; instant.
        "Assemble we immediate council." --Shak.
        [1913 Webster]
              Death . . . not yet inflicted, as he feared,
              By some immediate stroke.             --Milton.
        [1913 Webster]
     3. Acting with nothing interposed or between, or without the
        intervention of another object as a cause, means, or
        agency; acting, perceived, or produced, directly; as, an
        immediate cause.
        [1913 Webster]
              The immediate knowledge of the past is therefore
              impossible.                           --Sir. W.
        [1913 Webster]
     Immediate amputation (Surg.), an amputation performed
        within the first few hours after an injury, and before the
        the effects of the shock have passed away.
     Syn: Proximate; close; direct; next.
          [1913 Webster]

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