Principles and Techniques of Trauma Care
Principles and Techniques of Trauma Care
Principles and Techniques of Trauma Care
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RECORD KEEPING<br />
Progress note<br />
– Need not be long, must comment on patient’s<br />
condition, note any changes in management plan<br />
– Should be signed by person writing note<br />
Discharge note<br />
– Admitting <strong>and</strong> definitive diagnoses<br />
– Summary <strong>of</strong> patient’s course in hospital<br />
– Outpatient instructions:<br />
• medication details<br />
• planned follow-up<br />
• suture removal, special wound care<br />
51 |<br />
Emergency <strong>and</strong> Essential Surgical <strong>Care</strong> (EESC) programme<br />
www.who.int/surgery
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