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相关概念视频

Hand hygiene01:23

Hand hygiene

3.9K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
3.9K
Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

1.1K
The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail...
1.1K
Handwashing III: During the Procedure and Post-Procedure Steps01:15

Handwashing III: During the Procedure and Post-Procedure Steps

1.7K
To wash hands properly, follow these steps:
1.7K
Assessment of the Cardiovascular System II: Inspection01:29

Assessment of the Cardiovascular System II: Inspection

398
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
398
Handwashing I: Introduction and Types of Equipment01:18

Handwashing I: Introduction and Types of Equipment

4.4K
Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
4.4K
Assessment of radial pulse01:11

Assessment of radial pulse

993
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
993

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A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
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常见的手部状况:一篇综述

Kelly Bettina Currie1, Kashyap Komarraju Tadisina1, Susan E Mackinnon1

  • 1Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University in St Louis School of Medicine, St Louis, Missouri.

JAMA
|June 28, 2022
PubMed
概括

手腕道综合征,触手指,德奎尔温关节炎和指关节炎导致严重的残疾. 类固醇注射和固定是第一线治疗,手术为持续或进展的病例提供了安全和有效的选择.

科学领域:

  • 手和手腕的情况
  • 整形外科手术
  • 关节病学

背景情况:

  • 手腕道综合症,触手指,德·奎尔温关节炎和指手腕关节炎是手和手腕残疾的常见原因.
  • 这些情况不成比例地影响某些人口,并与特定的职业或生活方式因素有关.

研究的目的:

  • 审查常见残疾手和手腕疾病的临床表现,诊断和治疗.
  • 对这些疾病进行保守和外科干预的有效性进行评估.

主要方法:

  • 对手腕道综合征的诊断标准和体检操作的审查.
  • 对疑似神经病变的电诊断测试进行讨论.
  • 对每种情况的第一线保守治疗 (类固醇注射,固定) 和手术选择的概述.

主要成果:

  • 手腕道综合征的诊断可以通过体检 (Durkan操作) 和电诊断测试进行.
  • 触发指影响到20%的成年糖尿病患者; 类固醇注射是第一线的, 持久的病例需要手术.
  • 在女性和手机使用者中,De Quervain紧神经炎更为常见; 随着静止的类固醇注射是有效的, 随着手术的复发.
  • 指甲骨关节炎影响绝经后的女性;保守的治疗可以控制疼痛,而手术是耐药的.

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结论:

  • 手腕道综合症,触手指,德·奎尔温紧关节炎和指手腕关节炎可能导致患者严重残疾.
  • 这些疾病的初始治疗通常涉及类固醇注射和/或固定.
  • 对于那些不响应保守治疗或患有进展性疾病的患者,手术提供了安全有效的治疗方法.