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

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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).


Surgical Care at the District Hospital

Surgical Care at the District Hospital

Author:

Publisher:

Published: 2003

Total Pages: 514

ISBN-13: 9789240681378

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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

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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.


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

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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.


General Surgery at the District Hospital

General Surgery at the District Hospital

Author: John Cook

Publisher:

Published: 1988

Total Pages: 236

ISBN-13:

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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.


Pocket Book of Hospital Care for Children

Pocket Book of Hospital Care for Children

Author: World Health Organization

Publisher: World Health Organization

Published: 2013

Total Pages: 442

ISBN-13: 9241548371

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The Pocket Book is for use by doctors nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. This second edition is based on evidence from several WHO updated and published clinical guidelines. It is for use in both inpatient and outpatient care in small hospitals with basic laboratory facilities and essential medicines. In some settings these guidelines can be used in any facilities where sick children are admitted for inpatient care. The Pocket Book is one of a series of documents and tools that support the Integrated Managem.


WHO Guidelines for Safe Surgery 2009

WHO Guidelines for Safe Surgery 2009

Author: World Health Organization (Genève). World Alliance for Patient Safety

Publisher:

Published: 2009

Total Pages: 124

ISBN-13: 9789241598552

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Confronted with worldwide evidence of substantial public health harm due to inadequate patient safety, the World Health Assembly (WHA) in 2002 adopted a resolution (WHA55.18) urging countries to strengthen the safety of health care and monitoring systems. The resolution also requested that WHO take a lead in setting global norms and standards and supporting country efforts in preparing patient safety policies and practices. In May 2004, the WHA approved the creation of an international alliance to improve patient safety globally; WHO Patient Safety was launched the following October. For the first time, heads of agencies, policy-makers and patient groups from around the world came together to advance attainment of the goal of "First, do no harm" and to reduce the adverse consequences of unsafe health care. The purpose of WHO Patient Safety is to facilitate patient safety policy and practice. It is concentrating its actions on focused safety campaigns called Global Patient Safety Challenges, coordinating Patients for Patient Safety, developing a standard taxonomy, designing tools for research policy and assessment, identifying solutions for patient safety, and developing reporting and learning initiatives aimed at producing 'best practice' guidelines. Together these efforts could save millions of lives by improving basic health care and halting the diversion of resources from other productive uses. The Global Patient Safety Challenge, brings together the expertise of specialists to improve the safety of care. The area chosen for the first Challenge in 2005-2006, was infection associated with health care. This campaign established simple, clear standards for hand hygiene, an educational campaign and WHO's first Guidelines on Hand Hygiene in Health Care. The problem area selected for the second Global Patient Safety Challenge, in 2007-2008, was the safety of surgical care. Preparation of these Guidelines for Safe Surgery followed the steps recommended by WHO. The groundwork for the project began in autumn 2006 and included an international consultation meeting held in January 2007 attended by experts from around the world. Following this meeting, expert working groups were created to systematically review the available scientific evidence, to write the guidelines document and to facilitate discussion among the working group members in order to formulate the recommendations. A steering group consisting of the Programme Lead, project team members and the chairs of the four working groups, signed off on the content and recommendations in the guidelines document. Nearly 100 international experts contributed to the document (see end). The guidelines were pilot tested in each of the six WHO regions--an essential part of the Challenge--to obtain local information on the resources required to comply with the recommendations and information on the feasibility, validity, reliability and cost-effectiveness of the interventions.


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

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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.


Enhanced Recovery After Surgery

Enhanced Recovery After Surgery

Author: Olle Ljungqvist

Publisher: Springer Nature

Published: 2020-03-30

Total Pages: 654

ISBN-13: 3030334430

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This book is the first comprehensive, authoritative reference that provides a broad and comprehensive overview of Enhanced Recovery After Surgery (ERAS). Written by experts in the field, chapters analyze elements of care that are both generic and specific to various surgeries. It covers the patient journey through such a program, commencing with optimization of the patient’s condition, patient education, and conditioning of their expectations. Organized into nine parts, this book discusses metabolic responses to surgery, anaesthetic contributions, and optimal fluid management after surgery. Chapters are supplemented with examples of ERAS pathways and practical tips on post-operative pain control, feeding, mobilization, and criteria for discharge. Enhanced Recovery After Surgery: A Complete Guide to Optimizing Outcomes is an indispensable manual that thoroughly explores common post-operative barriers and challenges.


Acute Care Surgery

Acute Care Surgery

Author: LD Britt

Publisher: Lippincott Williams & Wilkins

Published: 2012-10-16

Total Pages: 849

ISBN-13: 1451153937

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Acute Care Surgery is a comprehensive textbook covering the related fields of trauma, critical care, and emergency general surgery. The full spectrum of Acute Care Surgery is expertly addressed, with each chapter highlighting cutting-edge advances in the field and underscoring state-of-the-art management paradigms. In an effort to create the most definitive reference on Acute Care Surgery, an evidence-based approach is emphasized for all content included. Also, notable controversies are discussed in detail often accompanied by data-driven resolutions.