Medical procedures
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This document discusses key concepts for medical procedures including indications, contraindications, preparation, technique, assessment, complications, and aftercare. It then provides examples of specific procedures like nasogastric tube insertion, wound care and suturing, foley catheter insertion, ring removal, fishhook removal, and treating zipper injuries. The goal is to review fundamental elements involved in common procedures.
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Clubbing refers to enlargement of the fingers and toes, particularly on the dorsal surface at the nail bed. It is graded based on changes to the nail bed and angle of the finger. Clubbing is associated with lung, heart, gastrointestinal and endocrine diseases. Some common causes that can be remembered with the acronym CLUBBING include congenital heart diseases, lung diseases, and cancers of the lungs, liver or bowels. Current evidence suggests clubbing may be caused by platelets that normally break down in the lungs but in lung diseases reach the extremities, releasing growth factors that stimulate connective tissue proliferation and clubbing. Clinical tests to assess clubbing include checking for nail bed fluctuation, loss of the Lovib
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- 1. Medical Procedures: Concepts & Basics Jirapong Supasaovapak M.D.Jirapong Supasaovapak M.D. Department of Emergency MedicineDepartment of Emergency Medicine Rajavithi HospitalRajavithi Hospital
- 2. Please get better!Please get better!
- 4. First,First, Do no harmDo no harm – Hippocrates
- 13. First,First, Do no harmDo no harm – Hippocrates
- 16. NG Tube measuringNG Tube measuring Technique
- 26. Suture ?Suture ?
- 27. Infection Healing Time of Injury
- 28. 1224 h 612 h 6 h 6 h Golden PeriodGolden Period for Wound Repair
- 29. Primary IntentionPrimary Intention wound closure
- 30. Secondary IntentionSecondary Intention wound closure
- 31. Tertiary Intention (Delayed Primary)Tertiary Intention (Delayed Primary) wound closure
- 32. Wound Assessment
- 33. LocationLocation && DepthDepth laceration 3x1 cm Cut wound 3 cm
- 34. TendonTendon
- 35. VascularVascular
- 36. NerveNerve
- 38. 1% Xylocaine 1 cc = 10 mg
- 39. Xylocaine: Maximum dose without Adrenaline = 5 mg/kg with Adrenaline = 7 mg/kg
- 40. Digital Nerve BlockDigital Nerve Block
- 42. Tetanus-prone wound?Tetanus-prone wound? Contaminants Dead tissue Infection Time > 6 h Depth > 1 cm
- 43. Unknown / >10 y 510 y <5 y TT x 3 TAT TT x 1 Tetanus-prone Not Tetanus-prone TT x 3
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- 47. Category I
- 48. Category II
- 49. Category III
- 51. H Ex 40 u/kg x 20 u/kg RIG
- 57. Rabies VaccineRabies Vaccine boosterbooster < 6 mo >=6 mo Day 0 Day 0, 3
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- 69. Fishhook Removal
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- 75. ZipperZipper
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- 77. Median Bar CuttingMedian Bar Cutting