By Lawrence W. Way
Collage of California, San Francisco. Lange clinical e-book sequence. new version of a Brandon/Hill clinical checklist first-purchase choice. Reference on ailments controlled through surgeons, for clinical scholars, citizens, and practitioners. 88 individuals, eighty five U.S.
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Additional resources for Current Surgical Diagnosis and Treatment
Gas sterilization—Liquid and gaseous ethylene oxide as a sterilizing agent will destroy bacteria, viruses, molds, pathogenic fungi, and spores. It is also flammable and toxic, and it will cause severe burns if it comes in contact with the skin. Gas sterilization with ethylene oxide is an excellent method for sterilization of most heat-sensitive materials, including telescopic instruments, plastic and rubber goods, sharp and delicate instruments, and miscellaneous items such as electric cords and sealed ampules.
The Continuum of Surgical Care The continuum of surgical care has been represented above as progressing through a series of pre- and postoperative phases. In practice, these phases merge, overlap, and vary in relative importance from patient to patient. Complications, death, and the therapeutic end result in the surgical patient depend upon the competence with which each succeeding phase is managed. The rapid progression and severe episodic stress of major surgical illness leave small margin for errors in management.
Is the heart beating? Is massive bleeding occurring? If the patient is not breathing, airway obstruction must be ruled out by thrusting the fingers into the mouth and pulling the tongue forward. If the patient is unconscious, the respiratory tract should be intubated and mouth-to-mouth respiration started. If there is no pulse or heartbeat, start cardiac resuscitation. Serious external loss of blood from an extremity can be controlled by elevation and pressure. Tourniquets are rarely required. Every victim of major blunt trauma should be suspected of having a vertebral injury capable of causing damage to the spinal cord unless rough handling is avoided.