This document discusses various aspects of bleeding control, including the importance of homeostasis, types and causes of bleeding, and methods for controlling bleeding. It covers the body's natural barriers against hemorrhage as well as its response to injury, including local vasoconstriction, platelet aggregation, and coagulation. It describes different types of hemorrhage and the signs of bleeding. Finally, it outlines various surgical and medical methods for achieving hemostasis, such as mechanical techniques like ligation and suturing, thermal methods like electrocautery and laser surgery, and chemical agents that promote coagulation.
Suture Materials and Suturing Techniques - Presented by Dr. Prasanjit Das and group as a part of Dhaka Dental College, OMS Department weekly presentation program.
Suture Materials and Suturing Techniques - Presented by Dr. Prasanjit Das and group as a part of Dhaka Dental College, OMS Department weekly presentation program.
Dr. Ch VT- The topic describe about the general as well the the dental aspect too. The classification, clinical features and management. The dental conditions associated with haemorrhage and shock has been highlighted with their management
Dr. Ch VT- The topic describe about the general as well the the dental aspect too. The classification, clinical features and management. The dental conditions associated with haemorrhage and shock has been highlighted with their management
Hemorrhage detailed pathology and route causes of hemorrhage and their manage...HassanLatif15
Pathology of hemorrhage it's causes,risk factor, symptoms, prevention and management
How the hemorrhage effect person health and completely understand that you turn the operation theater technology and what is the causes and risk factor of hemorrhage
A blood clot in a deep vein, usually in the legs.
This condition is serious because blood clots can loosen and lodge in the lungs.
Leg pain or swelling may occur, but there may be no symptoms.
Treatments include medication and use of compression stockings.
Cardiac tamponade
Synonyms Pericardial tamponade
Hemorragic effusion.jpg
A very large pericardial effusion resulting in tamponade as a result of bleeding from cancer as seen on ultrasound. Closed arrow - the heart; open arrow - the effusion
Specialty Cardiac surgery
Symptoms Shortness of breath, weakness, lightheadedness, cough[1]
Usual onset Rapid or more gradual[2]
Causes Cancer, kidney failure, chest trauma, pericarditis, tuberculosis[2][1]
Diagnostic method Symptoms and ultrasound of the heart[2]
Treatment Drainage (pericardiocentesis, pericardial window, pericardiectomy)[2]
Frequency 2 per 10,000 per year (US)[3]
Cardiac tamponade, also known as pericardial tamponade, is when fluid in the pericardium (the sac around the heart) builds up, resulting in compression of the heart.
Its a elaborate presentation on deep vein thrombosis by surgery resident.
Inform me if any thing needed to be correction.
thank you.
Dr Syed Aftub Uddin, MBBS,CCCD, MS ( Resident)
email: aftub_16@yahoo.com
Neha diwan presentation on aortic aneurysmNEHAADIWAN
An aortic dissection is a serious condition in which a tear occurs in the inner layer of the body's main artery (aorta).Aortic rupture is when all the layers of the aorta wall tear, causing blood to leak out from the aorta often due to a large aortic aneurysm that bursts. This will stop blood being pumped around the body and is life threatening. Ideally an aortic aneurysm will be repaired before a rupture can occur.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
3. Subject’s importance
Hemorrhage is one of the basic problems and
considerations in surgery.
From-trivial trauma or major abdominal organ
injuries-to- congenital and acquired coagulation
disorders.
A wide spectrum of problems involves
hemorrhage.
Transfusion of blood is the main remedy
4. Clinical Situation-
Bleeding Trauma /accidents
General operative interventions
Gynecological procedures
Common surgical conditions that presents with bleeding-
Intracranial hemorrhages/CVA
Upper GIT bleed/ hematemesis and melena
Bleeding hemorrhoids
Chronic wounds
Aneurysms
Coagulation disorders
Congenital- Hemophilia, vWF deficiency
Acquired
DIC
Anticoagulants
Fulminant sepsis
6. Body’s response to
hemorrhage/injury
Attempts to repair the loss & restore normality
There are several interrelated stages
Local response / Generalized response
Aims at:
Wall repair
Restoration of volume loss
Correction of coagulation abnormalities
7. Signs of the bleeding
Local
Hematoma, suffusion,
ecchymosis
Compression in the pleural
cavity, in pericardium, in the
skull
Functional disturbancies –
e.g. hyperperistalsis
General
Pale skin,
Cyanosis,
Decreased BP,
Tachycardia,
Difficulty in breathing,
sweating,
decreased body
temperature,
unconsciousness, cardiac
standstill
Signs of shock
7
8. Body’s response to
hemorrhage/injury
Local
Vasoconstriction
Platelet aggregation and plug formation
Coagulation leading to Fibrin formation –Intrinsic
& Extrinsic Pathways
General
Cardiac stimulation
Compartmental Volume
movement
9. TYPES OF HAEMORRHAGE
AMOUNT OF LOSS -MINOR/MAJOR
ACUTE/CHRONIC
ARTERIAL/VENOUS/CAPILLARY/MIXED
LOCALIZED/DIFFUSE
EXTERNAL/ INTERNAL
OVERT/OCCULT
10. TYPES OF HAEMORRHAGE
ARTERIAL BLEEDING is of a bright red colour, and escapes
from the end of the vessel in jets, synchronous with the
heart's beat
VENOUS BLEEDING is of a darker colour; the flow is steady,
the bleeding is from the distal end of the vessel .
CAPILLARY BLEEDING is a general oozing from a raw surface .
11. Hemorrhage and Shock
What happens when you start to
bleed? – it depends on how much
blood you lose
Normal Adult Blood
Volume is about
5 Litres
13. The Direction Of
Hemorrage
External
Internal
In a luminar organ (hematuria, hemoptysis, melena)
In body cavities (intracranial, hemothorax, hemoperitoneum,
hemopericardium, hemarthros)
Among the tissues (hematoma, suffusion)
13
15. INTERNAL HAEMORRHAGE
/WOUNDS
Causes
Penetrating wounds –
o chest, abdomen, neck, limbs
Upper GI haemorrhage-
o Bleeding Ulcers
Lower GI haemorrhage
o Diverticulosis
o Haemorrhoids
o Carcinomas
17. Bleeding
PREOPERATIVE HEMORRHAGE
Prehospital care! – maintenance of the airways, ventillation and
circulation
bandages, direct pressure, torniquets
INTRAOPERATIVE HEMORRHAGE
anatomical and/or diffuse
depending on the surgeon, the surgery, position,
the size of the vessel, pressure in the vessel
(ANESTHESIA)
POSTOPERATIVE BLEEDING
ineffective local hemostasis, undetected hemostatic
defect, consumptive coagulopathy or fibrinolysis
17
18. CLASSIFICATION OF
SURGICAL HAEMORRHAGE
Primary Hemorrhage
occurring at the time of the injury or surgery
Reactionary Hemorrhage
within twenty-four hours of the accident/surgery, due to
slippage of ligature, hypertension post op
Secondary Hemorrhage
occurring at a later period (48-72hrs) and caused by
septic condition of the wound (infection).
19. EFFECTS OF
HAEMORRHAGE
Depend upon following:
Acute loss vs Chronic loss
The amount of loss
The compensatory mechanisms
General state of health
20. SURGICAL HEMOSTASIS
Aim – to prevent the flow of blood from the incised or transected
vessels
Mechanical methods
Thermal methods
Chemical and biological methods
Radiological/Interventional methods
Adequate blood/blood products transfusion
20
21. SURGICAL
HAEMOSTASIS
Natural CONTROL/arrest of
hemorrhage arises from-
(1) changes taking place in the
cut vessel causing its retraction
and contraction
(2) the coagulation mechanism
of the blood
(3) temporary-platelet plug
Permanent-fibrin clot.
22. SURGICAL HEMOSTASIS
MECHANICAL METHODS
Digital pressure – direct pressure,
e.g. Pringle maneuver
Tourniquet
Ligation
Suturing
Preventive hemostasis
Clips
Bone wax
other
22
23. SURGICAL TREATMENT
OF HAEMORRHAGE
First Aid Management
DIRECT PRESSURE
In small blood-vessels
pressure will be sufficient to
arrest, hemorrhage
permanently
LIMB ELEVATION
TOURNIQUET
APPLICATION
25. LIGATURE
In large vessels with a reef-knot
main artery of the limb exposed
by dissection at the most
accessible point .
SUTURING & LIGATURE
26. THERMAL METHODS
Low temperature
Hypothermia – eg. stomach bleeding
Cryosurgery
Dehydratation and denaturation of fatty tissue
Decreases the cell metabolism
Vasoconstriction
26
27. THERMAL METHODS
High temperature
Electrosurgery – electrocauterization
Monopolar diathermy
Bipolar diathermy
Harmonic devices
Laser surgery
coagulation and vaporization
for fine tissues
27
35. Post trauma
Vascular and solid organ trauma.
Celiac angiogram showing 3 foci
of extravasation in spleen, 2 in the
upper pole (arrow) and 1 in the
lateral aspect of the mid spleen
Post—super-selective embolization splenic
angiogram demonstrating microcoils in good
position and no evidence of further extravasation
Conjunctival suffusion with subconjunctival hemorrhage (ou), which was suggestive of leptospirosis, developed on the second hospitalization day.
The Pringle maneuver. The portal triad is occluded by guiding the posterior blade of the clamp through the foramen of Winslow with the aid of the left index finger.
-6. kép: amennyiben vérnyomásmérő áll rendelkezésre, úgy pneumatikus vértelenség felhelyezése. 280 Hgmm-re felfújjuk a vérnyomásmérő mandzsettát, így a sebalapot megtekinthetjük. Betadines vagy Octeniseptes fedőkötés, steril pólya, korrekt nyomókötés
7-8.kép: a nyomókötés felhelyezése után a vértelenség felengedése. Amennyiben erős vérzést észlelünk, ismételten felfújjuk a mandzsettát és revideáljuk a kötést. (az erős vérzés forrása csak technikai hiba lehet az elsősegélynyújtó részéről).
Timed spot freeze technique used to treat a malignancy (possibly a small basal cell cancer), demonstrating freeze ball formation and the 5-mm treatment margins necessary to achieve a temperature of −50ºC (−58 ºF) and, thus, the required depth of 4 to 5 mm.
Cryosurgery is a method of superfreezing tissue in order to destroy it. The technique is used to treat tumors, control pain, and control bleeding.
Information
The cold is introduced through a probe which has liquid nitrogen circulating through it. To destroy diseased tissue, the tissue is cooled to below -20 degrees Celsius. Other procedures that control pain or bleeding are cooled to a lesser degree to prevent tissue damage.
Electrocoagulation: A fine wire probe or other delivery mechanism is used to transmit radio waves to tissues near the probe. Molecules within the tissue are caused to vibrate which lead to a rapid increase of the temperature, causing coagulation of the proteins within the tissue, effectively killing the tissue. At higher powered applications, full desiccation of tissue is possible.
Two forms of electrosurgery: (A) Electrodesiccation with an active electrode tip touching the skin and showing penetration of planned tissue damage. (B) Fulguration with sparking from electrode to tissue. Treatment area is more superficial than in desiccation.Added by BiomedGuy
AboutEdit
Fulguration, also called electrofulguration, is the destruction of tissue by means of a high-frequency electric current applied with a needlelike electrode. In fulguration, the electrode is held away from the skin to produce a sparking at the skin surface and more shallow tissue destruction Fulguration is especially useful in treating superficial epidermal lesions, such as a superficial basal cell carcinoma of the trunk.[1]
LinksEdit
ReferenceEdit
↑ http://www.aafp.org/afp/2002/1001/p1259.html | Electrosurgery for the Skin | BARRY L. HAINER, M.D.,RICHARD B. USATINE, M.D., | Am Fam
HemCon Medical Technologies, Inc. began with funding from the United States Army and access to research by Dr. Kenton Gregory, Dr. Bill Wiesmann, the Oregon Medical Laser Center, and Providence Health Systems. The result was the HemCon® Bandage, which was designed to control life threatening bleeding.
Related Links: History & MissionManagement TeamBoard of DirectorsProductsEducational ResourcesDistribution and SalesProduct TrainingSuccess StoriesMedia RoomCustomer FeedbackCareers
The bandage was ushered through the FDA clearance process in a near-record 48 hours, and was soon deployed on the battlefield. Since then, the bandage has been used extensively and is credited with helping save over 100 lives with no adverse events reported. In 2005, the Army Surgeon General mandated that any soldier serving in Iraq or Afghanistan will carry at least one HemCon Bandage. This commitment by the U.S. Army is a testament to the efficacy and value of the HemCon Bandage. HemCon is rapidly changing from a military provider to a broad-based supplier of medical technology. With new products, strong partnerships in distribution, and a world class development team, we will continue to be unwavering in our commitment to innovate in all that we strive to achieve.
