Module 2: Basic Surgical Skills

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WOUND TOILET AND SURGICALDEBRIDEMENT• Leave wound open after debridement to allow for healingby secondary intention• Pack lightly with damp saline gauze, cover packed woundwith dry dressing• Change packing, dressing daily - more often if outerdressing becomes damp with blood, other body fluids• Large defects will require closure with flaps or skin graftsbut may be initially be managed with saline packing32 |Emergency and Essential <strong>Surgical</strong> Care (EESC) programmewww.who.int/surgery
PREVENTION OF WOUND INFECTIONS• Restore breathing, blood circulation as soon as possibleafter injury• Warm victim; at earliest opportunity provide high-energynutrition, pain relief• Perform wound toilet, debridement as soon as possible(within 8 hours if possible)• Respect universal precautions• Antibiotic prophylaxis for deep or penetrating wounds(dirty stick, knife) and wounds older than 12 hours33 |Emergency and Essential <strong>Surgical</strong> Care (EESC) programmewww.who.int/surgery
Page 1 and 2: MODULE 2Basic surgical skills1 |Eme
Page 7 and 8: INFECTION PREVENTION ANDUNIVERSAL P
Page 9 and 10: HAND WASHING• Hand washing: the s
Page 11 and 12: HOW TO HAND RUBTo effectively reduc
Page 16: GLOVING without assistance• Open
Page 23: tail by sunlight. We cannot use F =
Page 26 and 27: WOUND MANAGEMENTPrimary repair:•
Page 28 and 29: WOUND TOILET AND SURGICALDEBRIDEMEN
Page 30 and 31: WOUND TOILET ANDSURGICAL DEBRIDEMEN
Page 34 and 35: PREVENTION OF WOUND INFECTIONSFacto
Page 36 and 37: WOUND INFECTIONS IN CHILDRENWound c
Page 38 and 39: TETANUS PROPHYLAXISPatient vaccinat
Page 40 and 41: ANTIBIOTIC PROPHYLAXISIndicated for
Page 42 and 43: SUTURE TECHNIQUES• Aim of all sut
Page 44 and 45: SUTURE TECHNIQUES• Use tip of nee
Page 46 and 47: SUTURE TECHNIQUESContinuous/running
Page 48 and 49: SUTURE TECHNIQUESMattress sutures-
Page 50 and 51: RETENTION SUTURE TECHNIQUESA. B. C.
Page 52 and 53: SPECIFIC LACERATION: TongueSuture f
Page 54 and 55: SPECIFIC LACERATIONS: EyelidInitial
Page 56 and 57: HAND: Treatment of Lacerations• S
Page 58 and 59: SPECIFIC LACERATIONS: Tendons58 |Em
Page 60 and 61: FOREIGN BODIES: EARTry irrigation u
Page 62 and 63: 62 |Emergency and Essential Surgica
Page 64 and 65: BURN FIRST AID• Do not start firs
Page 66 and 67: ACUTE BURNS• 1 st degree: superfi
Page 68 and 69: ACUTE BURNSDepth of Burn Characteri
Page 70 and 71: ESTIMATION OF BURN AREA:CHILDRENAre
Page 72 and 73: ACUTE BURN MANAGEMENT• Focus care
Page 74 and 75: ACUTE BURN MANAGEMENT• Administer
Page 76 and 77: ACUTE BURN MANAGEMENT• Treat burn
Page 78 and 79: ACUTE BURN MANAGEMENT: Nutrition•
Page 80 and 81: ACUTE BURN MANAGEMENT INCHILDREN•
Page 82 and 83:
CELLULITIS AND ABSCESS:TechniqueInf
Page 84 and 85:
CELLULITIS AND ABSCESS: BreastIncis
Page 86 and 87:
CELLULITIS AND ABSCESS: HandTypical
Page 88 and 89:
EPISTAXISAnterior nares: pinch and
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Module 2: Basic Surgical Skills

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