Contents -- Preface -- Acknowledgements -- Introduction -- PART 1: ORGANIZING THE DISTRICT HOSPITAL SURGICAL SERVICE -- 1 Organization and management of the district surgical service -- 1.1 The district hospital -- 1.2 Leadership, team skills and management -- 1.3 Ethics -- 1.4 Education -- 1.5 Record keeping -- 1.6 Evaluation -- 1.7 Disaster and trauma planning -- 2 The surgical domain: creating the environment for surgery -- 2.1 Infection control and asepsis -- 2.2 Equipment -- 2.3 Operating room -- 2.4 Cleaning, sterilization and disinfection -- 2.5 Waste disposal -- PART 2: FUNDAMENTALS OF SURGICAL PRACTICE -- 3 The surgical patient -- 3.1 Approach to the surgical patient -- 3.2 The paediatric patient -- 4 Surgical techniques -- 4.1 Tissue handling -- 4.2 Suture and suture technique -- 4.3 Prophylaxis -- 5 BASIC SURGICAL PROCEDURES -- 5.1 Wound management -- 5.2 Specific lacerations and wounds -- 5.3 Burns -- 5.4 Foreign bodies -- 5.5 Cellulitis and abscess -- 5.6 Excision and biopsies -- PART 3: THE ABDOMEN -- 6 Laparotomy and abdominal trauma -- 6.1 Laparotomy -- 6.2 Abdominal trauma -- 7 Acute abdominal conditions -- 7.1 Assessment and diagnosis -- 7.2 Intestinal obstruction -- 7.3 Peritonitis -- 7.4 Stomach and duodenum -- 7.5 Gallbladder -- 7.6 Appendix -- 8 Abdominal wall hernia -- 8.1 Groin hernias -- 8.2 Surgical repair of inguinal hernia -- 8.3 Surgical repair of femoral hernia -- 8.4 Surgical treatment of strangulated groin hernia -- 8.5 Surgical repair of umbilical and para-umbilical hernia -- 8.6 Surgical repair of epigastric hernia -- 8.7 Incisional hernia -- 9 Urinary tract and perineum -- 9.1 The urinary bladder -- 9.2 The male urethra -- 9.3 The perineum -- PART 4: EMERGENCY OBSTETRIC CARE -- 10 Hypertension in pregnancy -- 10.1 Hypertension -- 10.2 Assessment and management -- 10.3 Delivery -- 10.4 Postpartum care.

10.5 Chronic hypertension -- 10.5 Complications -- 11 Management of slow progress of labour -- 11.1 General principles -- 11.2 Slow progress of labour -- 11.3 Progress of labour -- 11.4 Operative procedures -- 12 Bleeding in pregnancy and childbirth -- 12.1 Bleeding -- 12.2 Diagnosis and initial management -- 12.3 Specific management -- 12.4 Procedures -- 12.5 Aftercare and follow-up -- PART 5: RESUSCITATION AND ANAESTHESIA -- 13 Resuscitation and preparation for anaesthesia and surgery -- 13.1 Management of emergencies and cardiopulmonary resuscitation -- 13.2 Other conditions requiring urgent attention -- 13.3 Intravenous access -- 13.4 Fluids and drugs -- 13.5 Drugs in resuscitation -- 13.6 Preoperative assessment and investigations -- 13.7 Anaesthetic issues in the emergency situation -- 13.8 Important medical conditions for the anaesthetist -- 14 Practical anaesthesia -- 14.1 General anaesthesia -- 14.2 Anaesthesia during pregnancy and for operative delivery -- 14.3 Paediatric anaesthesia -- 14.4 Conduction anaesthesia -- 14.5 Specimen anaesthetic techniques -- 14.6 Monitoring the anaesthetized patient -- 14.7 Postoperative management -- 15 Anaesthetic infrastructure and supplies -- 15.1 Equipment and supplies for different level hospitals -- 15.2 Anaesthesia and oxygen -- 15.3 Fires, explosions and other risks -- 15.4 Care and maintenance of equipment -- PART 6: TRAUMATOLOGY AND ORTHOPAEDICS -- 16 Acute trauma management -- 16.1 Trauma in perspective -- 16.2 Principles of Primary Trauma Care -- 16.3 Six phases of Primary Trauma Care -- 16.3 Procedures -- 17 Orthopaedic techniques -- 17.1 Traction -- 17.2 Casts and splints -- 17.3 Application of external fixation -- 17.4 Diagnostic imaging -- 17.5 Physical therapy -- 17.6 Cranial burr holes -- 18 Orthopaedic trauma -- 18.1 Upper extremity injuries -- 18.2 The hand.

18.3 Fractures of the pelvis and hip -- 18.4 Injuries of the lower extremity -- 18.5 Spine injuries -- 18.6 Fractures in children -- 18.7 Amputations -- 18.8 Complications -- 18.9 War related trauma -- 19 General orthopaedics -- 19.1 Congenital and developmental problems -- 19.2 Bone tumours -- 19.3 Infection -- 19.4 Degenerative conditions -- ANNEX -- Primary Trauma Care Manual: Trauma Management in Remote and District Locations -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- X.