Best Practice Guidelines on Emergency Surgical （最佳实践指南紧急手术）.pdf

Best Practice Guidelines on Emergency Surgical Care Best Practice Guidelines on Emergency Surgical Care Best Practice Guidelines on Emergency Surgical Care in Disaster Situations in Disaster Situations in Disaster Situations These guidelines have been extracted from the WHO manual Surgical Care at the District Hospital (SCDH), which is a part of the WHO Integrated Management on Emergency and Essential Surgical Care (IMEESC) tool kit. The following materials relevant to countrys disaster situation should be taken from the IMEESC tool: • Best practice protocols for Clinical Procedures Safety (disaster planning, trauma team responsibilities, hand hygiene, operating room, and anaesthesia check list, postoperative management, application of cast and splints, cardiac life support, airway management), • Needs assessment • Essential Emergency Equipment List • Details of anaesthesia, gunshot and landmine injuries in chapters 13, 14, 17 and 18, in SCDH List of Contents 1. Antibiotic Prophylaxis 2. Antibiotic Treatment 3. Tetanus Prophylaxis 4. Failure of Normal Methods of Sterilization 5. Cleaning, Disinfection and Sterilization 6. Waste Disposal 7. Resuscitation 8. Unconsciousness 9. Wound Management 10. Hand Lacerations 11. Specific Lacerations and Wounds 12. Amputations 13. Drains 14. Insertion of Chest Drain and Underwater Seal Drainage 15. Cellulites and Abscess 16. Open Fractures 17. Upper Extremity injuries 18. Lower Extremity injuries 19. Spine injuries 20. Fractures in children 21. Compartment syndrome 22. Fat embolism syndrome WHO/EHT/CPR 2005 formatted 2007 Best practice guidelines in disaster situations 1 Antibiotic Prophylaxis • Antibiotic prophylaxis is different from antib