Module 2: Basic Surgical Skills

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TETANUS PROPHYLAXISPatient vaccinated: give booster if neededPatient not vaccinated: give antitetanus serum and start doseof tetanus toxoid vaccine (separate syringes, separate sites)Antitetanus serum for adults and childrenTetanus immunoglobulin (human) 250 units IM, increased to500 units if any of the following conditions apply:• wound older than 12 hours• presence or risk of heavy contamination• patient weight more than 90 kg38 |Emergency and Essential <strong>Surgical</strong> Care (EESC) programmewww.who.int/surgery
TETANUS IMMUNIZATIONADULTS and CHILDREN over 7 years:• tetanus toxoid (TT) or tetanus and diphtheria vaccine (Td)CHILDREN under 7 years:• Diphtheria and tetanus vaccine (DT). Higher diphtheria toxoid contentDose of TTor TdWhen to giveExpected duration ofprotection1 As early as possible None2 At least 4 weeks after TT 1 1-3 years3 At least 6 months after TT 2 At least 5 years4 At least 1 year after TT 3 At least 10 years5 At least 1 year after TT 4 Booster every 10 yearsModified from http://www.who.int/immunization/topics/tetanus/en/index2.html39 |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 36 and 37: WOUND INFECTIONS IN CHILDRENWound c
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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