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8/20/2019 2016-4 DESC MU Prise en Charge Plaies Urgences
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Voicgs hg oi nick
@brcstcik HunmktcgrWrlgk`gs Nick Luihgomupg
Xmpms hcspmkcjogs sur www.hcu`bcrurlcgnick.mrl
http://www.diuchirurgiemain.org/
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@g qu–mk gktgkh piremcs
Co eiut ioogr vctg (hiks
ogs 5 bgurgs)
Co eiut hmkkgr hgsiktcjcmtcqugs
Co eiut oivgr ivg` hgsiktcsgptcqugs (jãtihckg,giu mxylãkãg,…)
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Gt qumc h–iutrg gk`mrg =Co eiut ioogr vctg (hiks ogs 5bgurgs)
Co eiut hmkkgr hgsiktcjcmtcqugs
Co eiut oivgr ivg` hgs
iktcsgptcqugs (jãtihckg, giumxylãkãg,…)
…
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Yugo hãoic pmur
«egrngr± ukg poicg =
Og nytbg hgs 5 bgurgs
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Vmurqumc 5 bgurgs =Ercghrc`b, `bcrurlcgk Ioognikh4
gxpãrcngktitcmk sur ogs `mjiygs pgkhikt oi lugrrg Inãrc`ikm-gspilkmog (9232)
Nmckhrg tiux h–ckeg`tcmk sc pirilgivikt 5 bgurgs
V. O. Ercghrc`b, ‟Hcg isgptcs`bg Ugrsmrlukl ercs`bgr \ukhgrk,„ Oiklgkjg`as Ir`bcv eur Aockcs`bg @bcrurlcg,
vmo. 7
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Vmurqumc 5 bgurgs =
Zmjsmk 93
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Xmudmurs vric = Kmk !Gxgnpog hgs eri`turgs muvgrtgs hg dinjg
«...Ck tbg oclbt me tbg i`tuio octgriturg rglirhckl tbcs tmpc`, ct sggns tbit tcng tm hgjrchgngkt me mpgk eri`turgs cs kmt i prmlkmstc` ei`tmr
me ckeg`tcmk is wgoo is kmkukcmk.± (Dmrlg-Nmri)«...@MK@OWPCMKP4 Xbg hiti hch kmt ckhc`itg ik issm`citcmkjgtwggk hgoiygh hgjrchgngkt ikh bclbgr ckeg`tcmk ritgs wbgk ioockeg`tcmks wgrg `mkschgrgh, wbgk mkoy hggp ckeg`tcmks wgrg`mkschgrgh, mr wbgk mkoy nmrg sgvgrg mpgk eri`turg ckdurcgs wgrg`mkschgrgh. Mk tbg jiscs me tbcs ikioyscs, tbg bcstmrc`io ‟scx-bmurruog„ bis octtog suppmrt ck tbg ivicoijog octgriturg±. (P`bgkagr).
Dmrlg-Nmri I, Zmhrclugz-Nirtck D, Vrgtgoo-Nizzckc D. Xcnckl cssug ck mpgk eri`turgs hgjrchgngkt4 i rgvcgw irtc`og. Gur D Mrtbmp Purl Xriunitmo. :690 Egj1:0(:)49:7-3P`bgkagr NO, Sikkis`moc P, Jiohwck AH, Ibk D, Ngbti P. Hmgs tcnckl tm mpgritcvg hgjrchgngkt ieeg`t ckeg`tcmus `mnpoc`itcmks ck mpgk omkl-
jmkg eri`turgs= I systgnitc` rgvcgw. D Jmkg Dmckt Purl In. :69: Duk :6138(9:)4967
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Xmudmurs vric = KmkXijog rmkhg hu LGN :69: (og nytbg
hgs 5 bgurgs) Vis h–mjoclitcmks hg rãpiritcmk gkurlgk`g pmur ogs kgres, ogs vicssgiux,
ogs eri`turgs,….Oi poicg gst `mktinckãg IWNMNGKX hg o–i``chgkt
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Vrãvgktcmk hg
o–ckeg`tcmkgk 8 pmckts
Isgpscg, Virilg, Oivilg, (pis h–) IXJprmpbyoixcg
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Ckstiooitcmk «
Ptãrcog
±
@binps stãrcogs
Likts stãrcogs,
`bipgiu, jivgttg
Ckstrungkts stãrcogs
Cktgrkg hg @bcrurlcgVis hg `bipgiuVis hg jivgttgVis hg omupgs
Nãhg`ck urlgktcstgPMP Nicks
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Hã`mktinckitcmk hg oi poicg
Jrmssilg hgs tcssusiogktmurs(hã`mktinckitcmk)
Virilg +++
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Og Virilg4
oi `oã hg oiprãvgktcmk hg
o–ckeg`tcmk
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Kmtcmk ik`cgkkg ! Hmnckcqug Oirrgy nãhg`ck gt`bcrurlcgk ncocticrg erikìics, pârg hg
oi nãhg`ckg h'urlgk`g. Æ oi jiticoog hg oi Pcgrri Kglri, coinputg gk ukg dmurkãg pis nmcks hg
:66 jogssãs.
O'inputitcmk ãtict (æ o–ãpmqug) oi sguogisgpscg geec`i`g, gk o'ijsgk`gh'iktcjcmtcqugs.
https://fr.wikipedia.org/wiki/Antibiotiquehttps://fr.wikipedia.org/wiki/Asepsiehttps://fr.wikipedia.org/wiki/Amputationhttps://fr.wikipedia.org/wiki/Bataille_de_la_Sierra_Negrahttps://fr.wikipedia.org/wiki/Aide_m%C3%A9dicale_urgentehttps://fr.wikipedia.org/wiki/Francehttps://fr.wikipedia.org/wiki/Chirurgiehttps://fr.wikipedia.org/wiki/M%C3%A9decin
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Og pirilg (hgjrchgngkt gk ikloics)Gkogvgr ogs tcssus nmrts 4
Pmur`g hg liklrâkg
Pmur`g h–ckeoinnitcmk ei`tgur eivmrcsikt ukg ckeg`tcmk
Zgtirhgkt oi `mktri`tcmk
tcssuoicrg kã`gssicrg æ oi`c`itrcsitcmk
Gx`cscmk hgs jgrlgs smucooãgs mu`mktinckãgs
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Gxgr`c`g
@mnngkt eictgs vmus vms ck`cscmks pmur og pirilg =
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Egrngturg pir poistcgs
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H–iutrgs gxgnpogs
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Vrãvgktcmk hg o–ckeg`tcmk
Og oivilg +++
HCOWXCMK CP XBG PMOWXCMK XM VMOOWXCMK
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Oivilg
Giu hu rmjckgt gst trâs geec`i`g !
Vis h–bypgrprgsscmk (hcssãnckg ogslgrngs gt triunitcsg ogs tcssus)
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Ogs iktcsgptcqugs =qug hcsgkt ogs INN =
Jãtihckg hgrncqug 4 Iktcsgpscg hgs poicgs mu jrñourgs
supgrec`cgoogs gt pgu ãtgkhugs. Hiack @mmpgr 4 Iktcsgpscg hg oi pgiu, hgs nuqugusgs gt hgs poicgs.
Jcsgptckg 4 Iktcsgpscg hgs poicgs `bcrurlc`iogs gt triunitcqugs
pgu prmemkhgs.@bomrbgxchckg iqugusg 4 Kgttmyilg gt iktcsgpscg hgs poicgssupgrec`cgoogs gt pgu ãtgkhugs.
BIP4 Pgrvc`g nãhc`io rgkhu EICJOG hiks `gttg ckhc`itcmk
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Ogs iktcsgptcqugs = qug hct oi octtãriturg =
Hiks tmutgs ogs pujoc`itcmks sur og trictgngkt hgs ckeg`tcmks,`–gst oi quiktctã hg ocquchg utcocsã quc `mnptg, pis oi quioctã
Ogs iktcsgptcqugs smkt cki`tcvãs pir og pus, og sikl, og
sãrun…Ogur nmhg h–i`tcmk ogs rgkh tmxcqugs pmur ogs `goouogs hg oi`c`itrcsitcmk..
Hmk` iu ncgux ckutcogs, iu pcrg hãoãtârgs !
Og jmk iktcsgptcqug gst `gouc qug vmus pmuvgz vmus ngttrg hiks o–mgco !
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Iktcjcmprmpbyoixcg =
KMK !
Ogs IXJ kg vmkt pis hiks ogs tcssusnmrts (quc hmcvgkt hmk` ätrg pirãs)
Co k–y i pis h–ãoãngkts hg prguvgsnmktrikt o–cktãrät h–ukg IXJprmpbyoixcghiks ogs poicgs hg oi nick
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Xiag bmng ngssilg !
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Og pirilg pucs og oivilg æ o–giu
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K–iymks pis pgur hgs nc`rmjgs, kms
pirtgkicrgs sm`cm prmegsscmkkgos