Procedures and Surgeries

 

 

Introduction

venipuncture

venipuncture - Richard Chambers

Procedures and surgeries are important and common components of diagnosis and treatment for primary care providers. They range from simple and minimally risky to complex and potentially life-threatening. All procedures are a series of motor skills, with significant cognitive and affective requirements as well. As such, the training required to become competent in procedures and surgeries can be very involved.

Over 2 billion people worldwide are estimated to have insufficient access to surgery (Funk et al, 2010).

 

 

 

 

 

 

Procedural and Surgical Care For Primary Care Providers

Surgeons are physicians involved in anatomic correction. General surgeons perform a wide variety of procedures, focusing on the chest and abdomen. Other surgical specialties include obstetrics and gynecology, orthopedics, ear/nose/throat, urology, neurosurgery, plastic surgery, cardiovascular, and many others. However, a vast array of procedures and surgeries may be performed by primary care providers. These core topics are discussed here.

  • foundations

  • common
    procedures
  • essential surgeries
    and recuscitation
  • pre-op and
    post-op care

Common Procedures

Skin

  • abscess incision
    and drainage
  • biopsy and excisions
  • cryotherapy
  • drain placement and management
  • electrocautery
  • foreign body removal
  • ingrown toenail
  • lesion excision
  • paronychia release
  • skin scraping
  • subungual hematoma
    release
  • skin callus paring
  • wedge excision
  • Wood's lamp

EENT

  • removal of eye foreign body
  • removal of ear wax
  • removal of ear foreign body
  • removal of nose foreign body
  • anterior epistaxis cautery
  • anterior nasal packing

 

Gastrointestinal

 

 

Genitourinary/women's health

Musculoskeletal

Injections and Lines

 
       

Essential Surgeries and Recuscitation

Essential Surgeries

  • Caesarean section
  • laparotomy
  • amputation
  • surgical treatment of acute infection
  • head, chest, and abdominal trauma
  • hernia repair
  • acute closed and open fractures
  • management of wounds and burns

Recuscitation

Pre-Operative Care

pre-operative assessment

 

preparation for surgery

  • diet
  • fluids
  • medications

 

 

 

 

communication/documentation

 

post-operative care

  • antibiotics
  • anticoagulation
  • IV fluids
  • nutrition
  • mobilization

common complications

 

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Resources and References

Online Resources

WHO - Essential and Emergency Surgical Care

 

WHO - Safe Surgery checklist

 

Primary-surgery.org - non-Trauma, trauma and anaesthesia manuals for physicians with basic surgical knowledge to cope with all surgical symptoms.

 

Life in the Fast Lane

 

Global HELP - free PDF books, especially in regards to pediatric surgery

 

Ptolemy.ca - University of Toronto Office of International Surgery electronic resources

 

$ Procedures Consult - paid-access videos by Elsevier

Organizations

University of Toronto Surgical Skills Centre

 

Canadian Network for International Surgery

 

Global Partners in Anaesthesia and Surgery

 

 

Competencies

AFMC undergraduate medical students competencies

 

Wetmore S et al. 2005. Core Procedure Skills for Canadian Family Medicine Training. CFP.

 

 

 

References

Funk LM. 2010. Global operating theatre distribution and pulse oximetry supply: an estimation from reported data. Lancet. 376(9746):1055 - 1061.

 

http://2ndassist.com/what_our_work.htm

 

http://ices3.wpengine.com/

 

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