During the civil war, if you were in a battle and got shot, the chances were that you would not make it.
When the bullet entered your body, bones would be shattered, and your flesh would be torn. It is very painful.
Unless the bullet entry was on your body, then be prepared to have an amputation.
Most of the time, the tools used would not be sharp, so there would be a lot of ripping and tearing in order to get the limb off. Anesthetics would also be limited. Most of the time, the patient would lose consienceness before the precedure was over.
They throw the separated limbs into a pile, and move on to the next wonded one.
Of the over 30,000 amputations, the mortality rate for amputations was 26%.