Module 2: Basic Surgical Skills

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WOUND INFECTIONS IN CHILDRENWound closure• Less than 24 hours from injury, cleaned properly:primary closure• Greater than 24 hours, contaminated or animal bite: donot close• Wounds not closed primarily should be packed lightlywith damp gauze• If clean after 48 hours, delayed primary closure• If wound infected, pack lightly, heal by secondaryintention36 |Emergency and Essential <strong>Surgical</strong> Care (EESC) programmewww.who.int/surgery
WOUND INFECTIONS IN CHILDREN• Clinical signs:• Pain, swelling, redness, warmth, pus drainage• Treatment• Open wound if pus present or suspected• Clean with disinfectant• Pack lightly with damp gauze, change daily• Antibiotics until cellulitis resolved• Staphylococcus: Cloxacillin (25-50mg/kg po qid)• Suspected bowel flora : Ampicillin (25-50mg/kg po qid),Gentamycin (7.5 mg/kg IM or IV once a day) andMetronidazole (7.5 mg/kg tid)37 |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 32 and 33: WOUND TOILET AND SURGICALDEBRIDEMEN
Page 34 and 35: PREVENTION OF WOUND INFECTIONSFacto
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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