Surgical Care at the District Hospital - The WHO Manual
The SCDH WHO Manual has been developed as a practical resource for individual practitioners and for use in undergraduate and postgraduate programmes, in-service training and continuing medical education programmes.
The manual is a successor of three earlier publications that are widely used throughout the world and remain important reference texts:
- General Surgery at the District Hospital (WHO, 1998)
- Surgery at the District Hospital: Obstetrics and Gynaecology, Orthopaedics and Traumatology (WHO, 1991)
- Anaesthesia at the District Hospital (WHO, 1988; 2nd edition 2000)
This manual draws together material from these three publications into a single volume which includes new and updated material, as well as material from "Managing Complications in Pregnancy and Childbirth: A Guide for Midwives and Doctors" (WHO, 2000)
The following tools supplement the use of the manual in training programmes.
- Surgical Care at the District Hospital (SCDH) teaching slides
-
Evaluation of Self Learning based on SCDH manual
pdf, 596kb - IMEESC tool kit
- Training videos
To get a copy of the manual:
Contents
Organising the District Hospital Surgical Service
Organization and management of the district surgical service
The district hospital, Leadership, team skills and management, Ethics, Education, Record keeping, Evaluation, Disaster and trauma planning
The surgical domain: creating the environment for surgery
Infection control and asepsis, Equipment, Operating room, Cleaning, sterilization and disinfection, Waste disposal
Fundamentals of surgical practice
The surgical patient
Approach to the surgical patient, The paediatric patient
Surgical techniques
Tissue handling, Suture and suture technique Prophylaxis
Basic Surgical Procedures
Wound management, Specific lacerations and wounds, Burns, Foreign bodies, Cellulitis and abscess, Excision and biopsies
The Abdomen
Laparotomy and abdominal trauma
Laparotomy, Abdominal trauma
Acute abdominal conditions
Assessment and diagnosis, Intestinal obstruction, Peritonitis, Stomach and duodenum, Gallbladder, Appendix
Abdominal wall hernia
Groin hernias, Surgical repair of inguinal hernia, Surgical repair of femoral hernia, Surgical treatment of strangulated groin hernia, Surgical repair of umbilical and para-umbilical hernia, Surgical repair of epigastric hernia, Incisional hernia
Urinary tract and perineum
The urinary bladder, The male urethra, The perineum, Male circumcision
Emergency obstetric care
Hypertension in pregnancy
Hypertension, Assessment and management, Delivery, Postpartum care, Chronic hypertension, Complications
Management of slow progress of labour
General principles, Slow progress of labour, Progress of labour, Operative procedures
Bleeding in pregnancy and childbirth
Bleeding, Diagnosis and initial management, Specific management, Procedures, Aftercare and follow-up
Resuscitation and practical anaesthesia
Resuscitation and preparation for anaesthesia and surgery
Management of emergencies and cardiopulmonary resuscitation, Other conditions requiring urgent attention, Intravenous access, Fluids and drugs, Drugs in resuscitation, Preoperative assessment and investigations, Anaesthetic issues in the emergency situation, Important medical conditions for the anaesthetist
Practical anaesthesia
General anaesthesia, Anaesthesia during pregnancy and for operative delivery, Paediatric anaesthesia, Conduction anaesthesia, Specimen anaesthetic techniques, Monitoring the anaesthetised patient, Postoperative management
Anaesthetic infrastructure and supplies
Equipment and supplies for different level hospitals, Anaesthesia and oxygen, Fires, explosions and other risks, Care and maintenance of equipment
Traumatology and orthopaedics
Acute trauma management
Trauma in perspective, Principles of Primary Trauma Care, Six phases of Primary Trauma Care, Procedures
Orthopaedic techniques Traction
Casts and splints, Application of external fixation, Diagnostic imaging, Physical therapy, Cranial burr holes
Orthopaedic trauma
Upper extremity injuries, The hand, Fractures of the pelvis and hip, Injuries of the lower extremity, Spine injuries, Fractures in children, Amputations, Complications, War related trauma
General orthopaedics
Congenital and developmental problems, Bone tumours, Infections, Degenerative conditions
