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