Surgical Care at the District Hospital

Surgical Care at the District Hospital

Author: World Health Organization

Publisher: World Health Organization

Published: 2003-07-21

Total Pages: 515

ISBN-13: 9241545755

DOWNLOAD EBOOK

Many patients who present to district (first-referral) level hospitals require surgical treatment for trauma, obstetric, abdominal or orthopedic emergencies. Often surgery cannot be safely postponed to allow their transfer to a secondary or tertiary-level hospital but many district hospitals in developing countries have no specialist surgical teams and are staffed by medical, nursing, and paramedical personnel who perform a wide range of surgical procedures often with inadequate training. The quality of surgical and acute care is often further constrained by poor facilities, inadequate low-technology apparatus and limited supplies of drugs, materials, and other essentials. The mission of the team responsible for Clinical Procedures in the World Health Organization Department of Essential Health Technologies (EHT) is to promote the quality of clinical care through the identification, promotion and standardization of appropriate procedures, equipment and materials, particularly at district hospital level. WHO/BCT has identified education and training as a particular priority, especially for non-specialist practitioners who practice surgery and anesthesia. It has therefore developed Surgical Care at the District Hospital as a practical resource for individual practitioners and for use in undergraduate and postgraduate programs in-service training and continuing medical education programs. The manual is a successor of three earlier publications that are widely used throughout the world and that remain important reference texts: General Surgery at the District Hospital (WHO 1988), Surgery at the District Hospital: Obstetrics Gynecology Orthopedics and Traumatology (WHO 1991), Anesthesia at the District Hospital (WHO 1988; second edition 2000). This new manual draws together material from these three publications into a single volume which includes new and updated material, as well as material from Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors (WHO 2000).


General Surgery at the District Hospital

General Surgery at the District Hospital

Author: John Cook

Publisher:

Published: 1988

Total Pages: 236

ISBN-13:

DOWNLOAD EBOOK

A richly illustrated guide to general surgical procedures suitable for use in small hospitals that are subject to constraints on personnel, equipment, and drugs. Information is addressed to the medical officer who may not have formal training in surgery, yet has gained experience under supervision of all the relevant techniques. Following an overview of basic principles, the book presents detailed information on surgical procedures for the face and neck, chest, abdomen, gastrointestinal tract, and urogenital system. Pediatric surgery is also covered. Most of the operations included are for saving life, alleviating pain, preventing the development of serious complications, or stabilizing a patient's condition pending referral. Simple but standard surgical techniques have been selected wherever possible, and procedures that require specialist skills or that could add unnecessarily to the doctor's workload have been avoided. Lists of essential surgical instruments, equipment and supplies conclude the text.


Surgical Care at the District Hospital

Surgical Care at the District Hospital

Author:

Publisher:

Published: 2003

Total Pages: 514

ISBN-13: 9789240681378

DOWNLOAD EBOOK

Annotation Many patients who present to district (first-referral) level hospitals require surgical treatment for trauma, obstetric, abdominal or orthopedic emergencies. Often surgery cannot be safely postponed to allow their transfer to a secondary or tertiary-level hospital but many district hospitals in developing countries have no specialist surgical teams and are staffed by medical, nursing, and paramedical personnel who perform a wide range of surgical procedures often with inadequate training. The quality of surgical and acute care is often further constrained by poor facilities, inadequate low-technology apparatus and limited supplies of drugs, materials, and other essentials. The mission of the team responsible for Clinical Procedures in the World Health Organization Department of Essential Health Technologies (EHT) is to promote the quality of clinical care through the identification, promotion and standardization of appropriate procedures, equipment and materials, particularly at district hospital level. WHO/BCT has identified education and training as a particular priority, especially for non-specialist practitioners who practice surgery and anesthesia. It has therefore developed Surgical Care at the District Hospital as a practical resource for individual practitioners and for use in undergraduate and postgraduate programs in-service training and continuing medical education programs. The manual is a successor of three earlier publications that are widely used throughout the world and that remain important reference texts: General Surgery at the District Hospital (WHO 1988), Surgery at the District Hospital: Obstetrics Gynecology Orthopedics and Traumatology (WHO 1991), Anesthesia at the District Hospital (WHO 1988; second edition 2000). This new manual draws together material from these three publications into a single volume which includes new and updated material, as well as material from Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors (WHO 2000).


Disease Control Priorities, Third Edition (Volume 1)

Disease Control Priorities, Third Edition (Volume 1)

Author: Haile T. Debas

Publisher: World Bank Publications

Published: 2015-03-23

Total Pages: 445

ISBN-13: 1464803676

DOWNLOAD EBOOK

Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.


Surgery at the District Hospital

Surgery at the District Hospital

Author: John Cook

Publisher: World Health Organisation (Who)

Published: 1991-01-01

Total Pages: 207

ISBN-13: 9789241544139

DOWNLOAD EBOOK

An illustrated guide to essential surgical procedures for treating the major complications of pregnancy and childbirth and for managing traumatic injuries, including fractures and burns. Gynecological procedures commonly required in small hospitals are also covered. Throughout the book, emphasis is placed on standard surgical protocols that represent the safest line of action in hospital settings where equipment may be primitive, drugs limited, and specialist services sparse. The first six chapters describe essential procedures for treating the major complications of pregnancy and childbirth and for preventing maternal deaths. Life-threatening emergencies, such as obstructed labor and ruptured ectopic pregnancy, are covered together with more general obstetric procedures. Gynecological operations form the focus of four chapters, which describe general gynecological procedures, techniques for female sterilization and IUD insertion, and procedures for obtaining biopsy or cytological samples from the endometrium, cervix, and vulva. The remaining 14 chapters describe essential techniques in orthopedics and traumatology, providing details on both basic orthopedic techniques and the management of specific fractures, dislocations, burns, and other injuries.


Rehabilitation Surgery for Deformities Due to Poliomyelitis

Rehabilitation Surgery for Deformities Due to Poliomyelitis

Author: World Health Organization

Publisher: World Health Organization

Published: 1993

Total Pages: 46

ISBN-13: 9241544570

DOWNLOAD EBOOK

An illustrated guide to surgical procedures that can facilitate rehabilitation of selected patients with deformities due to poliomyelitis. Addressed to doctors providing surgical services in district hospitals the book concentrates on simple procedures that can significantly facilitate rehabilitation and improve the physical independence of polio victims. The importance of including physical therapy in the management of patients is repeatedly emphasized. The manual can be used for training purposes or as an aide mTmoire. The book covers both simple essential procedures that can be carried out by a general duty doctor with some experience in an average district hospital and those more difficult procedures that require more experience and better than average facilities. Most of the procedures covered are corrective and stabilizing procedures on the lower limbs which aim to enable patients to stand and move. The book features nine chapters presented in two parts. Chapters in the first part describe the disease and its sequelae provide detailed advice on the tests to be used when evaluating patients and selecting the appropriate procedures and explain a number of basic surgical techniques. Chapters in the second and most extensive part describe specific surgical procedures for the hip knee foot and ankle and elbow. Although some procedures involving bone are described the handbook stresses that these techniques require more training and experience.


Anaesthesia at the District Hospital

Anaesthesia at the District Hospital

Author: Michael B. Dobson

Publisher: World Health Organization

Published: 2000

Total Pages: 162

ISBN-13: 9241545275

DOWNLOAD EBOOK

This practical manual is designed to help medical officers in small hospitals provide safe and effective anesthesia for patients. Intended for doctors with at least one year of postgraduate clinical experience, it describes anesthetic techniques suitable for use in hospitals with limited resources. Chapter 2 describes fundamental principles and techniques underlying the practice of anesthesia and outlines immediate and continuing care of critically ill or unconscious patients. Chapter 3 focuses on continuing care of unconscious and anesthetized patients. The focus of Chapter 4 is on the principles of fluid and electrolyte therapy. Chapters 5 and 6 cover patient assessment before anesthesia and general anesthesia. Chapter 7 concerns safe clinical use of anesthetic equipment best-suited for and most likely found in district hospitals. Chapter 8 contains examples of general anesthetic techniques feasible in small or medium-sized hospitals. Chapter 9 provides information on drugs. Chapter 10 suggests techniques for conduction anesthesia. Chapters 11 and 12 discuss choosing and planning the anesthetic technique and postoperative care of the patient. Chapters 13 and 14 discuss special needs of pediatric and obstetric anaesthesia and important medical conditions. Chapter 15 covers oxygen, gas supplies, equipment, and maintenance. Numerous illustrations convey technical details; tables, charts, and checklists summarize lines of action and points to remember. Checklists and an index are appended. (YLB)


Surgical Care At The District Hospital

Surgical Care At The District Hospital

Author: Who

Publisher: World Health Organization

Published: 2005-12

Total Pages: 0

ISBN-13: 9788122415964

DOWNLOAD EBOOK

Many patients who present to district (first-referral) level hospitals require surgical treatment for trauma, obstetric, abdominal and orthopaedic emergencies. Often surgery cannot be safely postponed to allow their transfer to a secondary or tertiary-level hospital, but many district hospitals in developing countries have no specialist surgical.


Disease Control Priorities in Developing Countries

Disease Control Priorities in Developing Countries

Author: Dean T. Jamison

Publisher: World Bank Publications

Published: 2006-04-02

Total Pages: 1449

ISBN-13: 0821361805

DOWNLOAD EBOOK

Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.