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المهارات الأساسية المفروض تعلمها في راوند الجراحة

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  • المهارات الأساسية المفروض تعلمها في راوند الجراحة

    Guidelines & Basic Skills for House Officers for Surgery Round
    Non specific skills:
    1- Accurate measuring of blood pressure, pulse and temperature.
    2- Withdrew many venous samples and insert many canulae.
    3- Withdrew arterial samples and know WRERE to analyze and learn reading.
    4- Inserting male and female urinary catheters.
    5- Dealing with central lines (see insertion, how to give through, withdrew from and how to measure CVP).
    6- When, what type, why and how to prepare blood transfusion and other blood components.
    7- How to communicate with residents, staff, nurses and patients (how to tell bad news, death, cancer, risky operation and strict follow up?
    8- How to write requests for consultation and referral? And stay beside every consultant and see how they examine and take decision.
    9- Try to read every X ray, C.T., ECG, MRI, ERCP, …….. you meet.
    10- Don't go to any request unless you know its value and every thing about the patient.
    Specific skills:
    Surgical dressings
    1- How to do proper dressing for clean, septic, open and closed wounds.
    2- What is the frequency of dressings?
    3- When to use saline, alcohol, betadine, iroxol, EUSOL, paraffin oil, glycerin, tincture benzoic and others?
    4- How to use instruments, gauze and bandages.
    5- How to make wound depridement.
    Drains:
    1- What is the value?
    2- How to read, evacuate, fixate and dress?
    3- When and how to remove?
    Suters and stiches:
    1- What are their types and when to use every type?
    2- Take simple interrupted, continuous, mattress and subcuticular stiches.
    3- How to give local anesthesia and ring anesthesia?
    4- Know how and when to remove.
    5- Know their care (dressing & antibiotics).
    Management of specific cases:
    1. Polytraumatized patients:
    Resuscitation, needed history, proper examination, essential investigation, initiative and definitive treatment.
    2. Post concussion:
    Definition, when to admit, when to discharge, investigation and treatment?
    3. Chest trauma:
    Watch intercostals tube insertion; know its care, indication and when to remove?
    4. Acute abdomen:
    How to differentiate between surgical and medical causes?
    How to take history, do examination and ask for investigation for:
    -Acute appendicitis.
    -Acute cholicystits and biliary colic.
    -Intestinal obstruction.
    -Perforated viscus.
    -Renal colic and acute retention.
    Watching and doing P.R. examination.
    Watch and interpret upper GI endoscopy, colonoscopy, ERCP, mammography, Ba enema and gastrographin meal and follow through.
    Preoperative preparation:
    1. How to write and take surgical consent?
    2. How to do colonic lavage, ask for shaving, fasting, resuscitate and give preoperative analgesics and antibiotic?
    Operations:
    1. Sterilization and toweling for the patient.
    2. Sterilization of you and how to wear gown and gloves?
    3. Watch induction and termination of anesthesia try to do endotracheal intubation.
    4. Assist in some operations and do closure of: thyroidectomy, hernial repair, appendectomy and mastectomy.
    5. Watch other major operations to take an idea e.g. Whipple's, colectomy and others.
    6. Interested personal can do appendectomy, abscess drainage and removal of cysts and swellings.
    7. How to use surgical instruments and why every one?
    8. How to write operative details?
    Postoperative management:
    1. What is the treatment given to every case?
    2. When to do postoperative dressing?
    3. When and how to start oral feeding and what are the fluids given to nothing per os N.P.O. patients?
    4. What Total Parentral Nutrition TPN and when to start?
    Conference ((المرور:
    1. Try to learn how senior staff take decision and think of surgical cases e.g. obstructive jaundice, breast lump, bleeding per rectum etc.
    2. Ask about any thing you don't understand. Don't be ashamed it's your last chance to learn surgery.
    CONCLUSION:
    Try to learn and do what junior resident surgeons know and do.
    N.B.
    5 Days in burn unit:
    1. Try to know and see surgical dressings of burns.
    2. Watch some surgical management of burns e.g. grafts, flaps and escharecromy.
    أعمال اداريه لكنها هامه:
    حجز تذاكر المرضى (حوادث-عيادات) – كتابة تقارير طبيه- ملخص حالة المريض عند الخروج- تجديد علاج- عمل ارتباط-اذن شراء أدويه- كتابة شهادة وفاه.
    Any feedback are welcome on my email: Mokhtar931@yahoo.com

    ـFailing to prepare...Is preparing to fail


  • #2
    جزاك الله خيرا



    ياللا يا اسمر اول فصل فى الكتاب بتاعك جاهز بعد اذن انتيرنال ماستر
    ازاى الاولاد ؟

    وانا كمان ;)

    Comment


    • #3
      وانا موافق
      وياريت نعمم الموضوع ده على كل التخصصات
      ـFailing to prepare...Is preparing to fail

      Comment


      • #4
        this is the skeleton of gyn&ob

        OB &GYN

        outpatient clinics

        OB

        antinatal care
        • code
        • LMP
        • EDD
        • warning symptoms
        • examination
        GYN

        • infection
        • infertility
        • contraception
        • bleeding
        ER

        reception

        • bleeding
        • pain
        • DFMC
        OR

        • normal labour
        • CS
        • SE
        • post-oprative
        Department ward

        prolapse

        infertility

        • hystroscopy
        • laparoscopy
        oncology

        fibroid
        • myomectomy
        • hystryctomy
        Labs

        • CBC
        • RBS
        • PT,PC,INR
        • ABGs
        Blood Bank
        Last edited by Alasmar; 15-05-2006, 04:46 PM.
        My Gallery on Google
        My Page on GooglePages
        www.alasmar.info

        "ما دمت اتلقى الركلات فى مؤخرتى اذا فأنا فى المقدمة"

        Comment


        • #5
          do you know what is the wiki???
          do you know what is wikipedia??
          I want you to search and think about this concept.
          and also about the concept of the collaborative work in authoring a book
          and till me what is your opinion??
          My Gallery on Google
          My Page on GooglePages
          www.alasmar.info

          "ما دمت اتلقى الركلات فى مؤخرتى اذا فأنا فى المقدمة"

          Comment


          • #6
            Dear brother Alasmar
            Of course i know wikipedia ...it`s a great site which depends on free contribution of authoritative members worldwide
            But the notes Above to be frank are the property of one my colleagues ..(he`s the 9th of our dof3a) ..who has a great way of meticulously dedicating himself to the round he is in ...regardless he will specialize in it or not

            With regard to your last point about authoring a book ....well it may be thrilling experience to go into ...only if we have the knowledge and experience required
            I would rather prefer it to be some sort of a booklet ..where we will compile some of the most important guidlines in each clinical rotation ..the do`s and dont`s
            what should u learn ..what to attend ...etc
            also an advice on some of the concise ,easy to read books will be valuable
            (eg if we talk about internal medicine ..Medical guide ,current essentials (both medicine and treament guide )) washinton manual ...will be all good picks
            coz i cant for example write the managment of every imporatant case the houseofficer will meet ..this way the work is going to be very large

            as i said .. General guidelines is all we need in this sort of a book
            ـFailing to prepare...Is preparing to fail

            Comment


            • #7
              I know wikipedia, either
              and until now, I'm impressed by the PROFFESIONAL way of presenting the information in it ...
              ثانية واحدة .. احنا بنتكلم إنجليزي ليه ؟ـ
              ----------------------------------------
              كنت عايز أقول إن انا منبهر بمستوى معلومات الويكيبيديا لدرجة إن لما باكون بادور على معنى حاجة باستخدام تعريفات جوجل ... باروح للتعريفات اللي جاية من ويكيبيديا لأنها هي المفيد .. في الإنجاز
              و كنت باتسائل عن الدافع اللي يخلي المشاركين فيها يقدمو خدمة بالمستوى العالي ده ..
              و إزاي الدافع ده مستمر و غير متقطع ؟
              و الإشراف بيكون إزاي ؟
              و إزاي بيتغلبو على المشاكل الفنية و العلمية ؟
              و إزاي نقدر نقلدهم ؟
              و ليه المحتوى العربي للويكيبيديا قليل جداً ؟
              حد عنده إجابه ؟
              Last edited by مصباح; 15-05-2006, 08:51 PM. Reason: لإضافات
              أن توقد شمعة ... خير من أن تلعن الظلام ألف مرة

              Comment


              • #8
                على فكرة فعلا المعلومات في ويكيبيديا العربية قاصرة جدااااااااااا

                حتى لما بحب اعرف معلومة عن اي حاجة بدور بالانجليزي على ويكيبيديا

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