Medical Procedures:
Concepts & Basics
Jirapong Supasaovapak M.D.Jirapong Supasaovapak M.D.
Department of Emergency MedicineDepartment of Emergency Medicine
Rajavithi HospitalRajavithi Hospital
Please get better!Please get better!
ConceptsConcepts
First,First, Do no harmDo no harm
– Hippocrates
Indications?Indications?
ContraContraindications?indications?
PreparationPreparation
TechniqueTechnique
AssessmentAssessment
SpO2
68
Complications?Complications?
AftercareAftercare
Medical Procedures:
The Concepts
Indications
Contraindications
Preparation
Technique
Assessment
Complications
Aftercare
First,First, Do no harmDo no harm
– Hippocrates
Exercise #1
NasoGastric tube
x
Indications
Contraindications
Preparation
Technique
Assessment
Complications
Aftercare
NG Tube measuringNG Tube measuring
Technique
AssessmentAssessment
Wound careWound care
Wound ClassificationWound Classification
Mechanism of InjuryMechanism of Injury
Wound ClassificationWound Classification
ContaminationContamination
x
Clean woundClean wound
Contaminated woundContaminated wound
Suture ?Suture ?
Infection Healing
Time of Injury
12­24 h
6­12 h
6 h
6 h
Golden PeriodGolden Period for Wound Repair
Primary IntentionPrimary Intention
wound closure
Secondary IntentionSecondary Intention
wound closure
Tertiary Intention (Delayed Primary)Tertiary Intention (Delayed Primary)
wound closure
Wound Assessment
LocationLocation
&&
DepthDepth laceration
3x1 cm
Cut wound
3 cm
TendonTendon
VascularVascular
NerveNerve
Suture techniquesSuture techniques
1% Xylocaine
1 cc = 10 mg
Xylocaine: Maximum dose
without Adrenaline = 5 mg/kg
with Adrenaline = 7 mg/kg
Digital Nerve BlockDigital Nerve Block
Tetanus ProphylaxisTetanus Prophylaxis
Tetanus-prone wound?Tetanus-prone wound?
Contaminants
Dead tissue
Infection
Time > 6 h
Depth > 1 cm
Unknown /
>10 y
5­10 y
<5 y
TT x 3
TAT
TT x 1
Tetanus-prone Not
Tetanus-prone
­­ ­­
­­
TT x 3
Antibiotics?Antibiotics?
Animal Bites
ชาย อายุชาย อายุ 3030 ปี ถูกสุนัขจรจัดกัดปี ถูกสุนัขจรจัดกัด
Management?Management?
Category I
Category II
Category III
Post-exposure prophylaxisRabiesRabies
Vaccine
RIG
Category II,III
Category III
H
Ex 40 u/kg
x 20 u/kg RIG
Vaccine regimensVaccine regimens
IM
Day 0, 3, 7, 14, 28
ID
8­0­4­0­1­1
2­2­2­0­1­1
เคยฉีดวัคซีนแล้วเคยฉีดวัคซีนแล้ว
Post-exposure boosterRabiesRabies
Vaccine
Category II,III
Rabies VaccineRabies Vaccine boosterbooster
< 6 mo
>=6 mo
Day 0
Day 0, 3
Exercise #2
Foley's Catheter
Medical Procedures:
The Concepts
Indications
Contraindications
Preparation
Technique
Assessment
Complications
Aftercare
ContraContraindicationsindications
Contraindication for
Foley's Catheter
=
Suspected Urethral injury
●Perineal hematoma
●Bleeding per urethral meatus
●High riding prostate
Interesting ProceduresInteresting Procedures
Ring RemovalRing Removal
Lubricant techniqueLubricant technique
String techniqueString technique
String techniqueString technique
Glove techniqueGlove technique
Ring cutterRing cutter
Fishhook Removal
Pull-through techniquePull-through technique
Pull-through withPull-through with
multi-barbed fishhookmulti-barbed fishhook
Zipper Injury &
Penile block
Penile BlockPenile Block
ZipperZipper
Median Bar CuttingMedian Bar Cutting
Median Bar CuttingMedian Bar Cutting
Cutting AroundCutting Around
Indications
Contraindications
Preparation
Technique
Assessment
Complications
Aftercare
Summary:
Basic procedure concepts

Medical procedures