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Trauma to the female genital tract is unfortunately relatively common, and often occurs during childbirth. However, serious genital trauma may also occur during consensual or non-consensual sex or be ...self-induced or accidental in origin, with all injuries requiring significant skills to identify and treat appropriately. This eChapter is from the eBook The Vulva and Vaginal Manual, and describes the most common forms of trauma to female genitalia, including an extended discussion on the topic of female circumcision. The author begins by emphasising that the commonest cause of moderate or severe physical trauma to the vulva and vagina is childbirth, with most primigravidas and many parous women delivering vaginally at or near term experiencing tearing of the lower vagina or vulva around the introitus, unless an episiotomy of the perineum is performed. Injuries associated with sexual trauma are then described, including tearing of the hymen, and injuries resulting from rape. The eChapter then considers the topic of accidental trauma, which, although relatively rare, is often the result of being thrown again the handlebars of a bicycle or motorcycle. Following this, self-induced injuries are discussed, and photographs are used to illustrate the descriptions. The second part of the eChapter is concerned with iatrogenic trauma, and focuses upon injuries occurring as a result of surgical interventions, excessive use of harmful chemicals in the treatment of certain diseases of the vulva and vagina and damage that may arise from radiotherapy used for the treatment of uterine cancer. An extended discussion on female circumcision dominates the latter half of this section, which concludes with a description of approaches to removal of foreign bodies from within the vagina. This eChapter forms part of the Ausmed publication The Vulva and Vaginal Manual, edited by Graeme Dennerstein, James Scurry, John Brenan, David Allen and Maria-Grazia Marin. A richly illustrated and comprehensive guide to the identification and treatment of over 275 vulvovaginal diseases The Vulva and Vaginal Manual is an invaluable resource especially suitable for: Gynecologists Dermatologists General Practitioners Obstetricians Midwives General nurses Practice nurses Nurse Practitioners There are also 14 additional eChapters from The Vulva and Vaginal Manual available for members to download from the Ausmed website. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within The Vulva and Vaginal Manual, including a richly populated catalogue of Audio Lectures, Fast Facts and Video Learning Activities on the topics of gynecology, obstetrics, oncology, women’s health and a wide range of other healthcare topics. Both members and non-subscribers alike may also purchase a hard copy of this book from the Ausmed Education Online Bookstore, along with hard copies of the complimentary publication Gynecological Cancer Care: A Guide to Practice.
Fast Facts: Bleeding Disorders
The overwhelming majority of hemorrhagic problems are emergencies, and rapid action is required to stop bleeding. Waiting for the results of laboratory tests and specialist consultations delays treatm...ent and permits expansion of hematomas, which can be life-threatening. To rapidly control bleeding, and understand the most effective choice of treatment, both nurses and physicians need a ready and reliable source of information about a variety of hemorrhagic conditions and their management. Fast Facts: Bleeding Disorders provides such a resource, and will be an invaluable aide in any hemorrhagic emergency. Since the publication of the first edition, there have been major advances in the diagnosis and treatment of bleeding disorders, and the authors have made numerous updates to this handbook to ensure it remains a comprehensive and up-to-date reference that reflects the very latest research and clinical guidelines. These include a description of bleeding scores that allow quantitative estimates of bleeding severity, objective criteria for diagnosing hereditary hemorrhagic telangiectasia, discussions on the benefits of prophylaxis in patients with hemophilia, updated methods for the evaluation of bleeding problems in pregnancy, and an overview of the scoring system of disseminated Intravascular coagulation (DIC). This new and updated contents builds upon a wealth of established material that remains invaluable to anyone in clinical practice. Beginning with an excellent review of the process of normal hemostasis, the authors provide guidelines for conducting a rapid- yet comprehensive- assessment of bleeding symptoms, and subsequently provide in-depth explorations of specific disorders and treatment options. Vascular purpuras, Von Willebrand’s Disease, disorders of platelets and hemophilia have dedicated chapters, and rare congenital conditions such as deficiencies of Factors II, FV, FVII, FX, FXI and FXIII are examined in depth. Disorders related to specific circumstances such as liver and renal failure are discussed, and contemporary management pathways for all but the most unusual of scenarios are described. The eBook Fast Facts: Bleeding Disorders is now available for Ausmed Education members to download. Subscription also entitles members to access the full range of resources that compliment and build upon the material described within Fast Facts: Bleeding Disorders, including a richly populated catalogue of Audio Lectures, Video Fast Facts and Video Learning Activities on the topics of hematology, trauma, acute and emergency care, pharmacology and a wide range of other clinical issues.
Emergency presentations involving children are both challenging and extremely stressful. This chapter discusses the emergency care of some potentially life-threatening situations involving children. I...t includes allergic reactions, seizures and resuscitation, and provides guidance for the treatment of these conditions. This material should be the cornerstone of knowledge for any nurse working in the pediatric specialties, and provides a basic overview that will lead to increased confidence in managing emergencies in young children.
Includes exemplary first aid advice in the treatment of a traumatic wound Explains gun-shot, crush and penetrating injuries and how to manage them Covers degloving injuries Includes a tabulat...ed summary for the classification of skin-tear wounds Because the skin has a protective function, it is always at risk of physical injury from trauma. Traumatic injuries include contusions, abrasions, tears, incisions, lacerations, punctures and penetrating injuries, thermal wounds, degloving and avulsion injuries, and crush injuries. This chapter provides a unique discussion surrounding the care of these traumatic wounds.
This chapter contains the index to the Ausmed chapter series Caring for People with Problem Behaviours. In addition to this useful reference, a glossary of key terms included in the series is included... and a post-series test that readers may find useful to check their knowledge.