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Division of Trauma & Surgical Critical Care

Protocols And Guidelines

CONTENTS LINKS

Infection

Neurotrauma

Procedures

General

Initial Evaluation and Management

Chest Pulmonary

Pharmacological

Fluids, Electrolytes and Nutrition

GENERAL

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OPERATIONAL

Consultation Guidelines for Emergency General Surgery
Consultation Guidelines For Trauma Sub-Specialties added Aug 05
Pregnancy in Trauma updated Dec 07

Pregnancy Evidence updated Mar 07

Pediatric Trauma Process
Risk Mgmt Algorithm updated Aug 05
Trauma Alert updated Sep 05
Trauma Resuscitation Guidelines updated Sep 05
Trauma Team Composition updated Sep 05
Call Changes for Patients with Scalp/Facial Trauma added Nov 07
Guidelines for Evaluation and Management of Neurosurgical Trauma Patients added Feb 08

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INITIAL EVALUATION AND MANAGEMENT

Anemia Practice Mgt Guidlines added Jun 08
Damage Control Hematology updated May 07
Damage Control Surgery updated May 07
Exsanguination Protocol updated May 07
ED Thoracotomy updated May 07
Hemorrhage in Pelvic Fracture Evidence added Apr 07
Penetrating Trauma True Abdomen updated Sep 05
Penetrating Extremity Trauma updated Sep 05
Radiology updated Sep 05
Sick Patient Protocol updated Aug 05

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NEUROTRAUMA

Brain Death Algorithm updated May 07
Diabetes Insipidus in Brain Injury updated May 07
Cervical Immobilization updated Aug 07
Paraplegia-Quadriplegia updated Aug 07
Traumatic Brain Injury - GCS < 9 updated May 07
Traumatic Brain Injury - GCS 9 - 15 updated May 07
Traumatic Brain Injury - GCS = 15 updated May 07

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CHEST AND PULMONARY

Bronchial Hygiene updated May 07
Blunt Cardiac Injury updated Sep 05
Chest Wall Injury updated May 07
Ventilator in SIMV or AC convert to PSV
Ventilator Weaning
- Vent Weaning Evidence added feb 06
Ventilator Weaning Intolerance

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INFECTION

ABX Prophylaxis in Abdominal Trauma updated Sep 05
ABX and Open Fractures updated Sep 05
Craniofacial ABX prophylaxis updated Sep 05
Empiric ABX Therapy for Sepsis

Sepsis Evidence updated Mar 07

Fever
Fungal Infection Guidelines added Feb 06

Fungal Inf Evidence updated Apr 07

Suspected Fungal Infections
Splenic Vaccination Protocol updated Sep 05

Splenctomy Vaccine Evidence added Mar 07

Surgical Critical Care Antibiotic Program added Feb 06
Ventialtor Associated Pneumonia added feb 06

VAP Evidence updated Sep 05

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PROCEDURES

Bedside Surgery updated May 07
Bronchoscope / Gastroscope Use Guideline updated Feb 2005
Bronchoscopy Performance Guidelines updated Feb 2003
Central Venous Access updated Sep 05
Central Venous Access Algorithm updated Aug 07
Endoscopy Placement Post-Pyloric Naso-Enteric Feeding Tube updated Oct 07
Gastrostomy Tube/Site Care
Intra-Abdominal Hypertension Added Apr 08
IVC Filter Evidence updated Apr 07
Percutaneous Endoscopic Gastrostomy Practice Guidelines updated Oct 07
Tracheostomy updated May 07

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PHARMACOLOGY

Atrial Fibrillation updated Sep 05
Atrial Fibrillation Guidelines added Sep 05

Atrial Fib Evidence updated Apr 07

Beta Blockade in Trauma added May 07
Delirium updated May 07
Anxiety and Agitation updated May 07
Delirium Algorithm added May 07
Pain Management added May 07
PE / DVT Prophylaxis updated Sep 05
Rapid Sequence Intubation updated Aug 05

RSI Evidence

RASS and CAM-ICU added May 07
Sedation and Analgesia
Sleep Regimens updated May 07
Stress Ulcer Prophylaxis updated Aug 05

Stress Ulcer Prohylaxis Evidence added Mar 07

Substance Abuse updated Sep 05

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FLUIDS, ELECTROLYTES AND NUTRITION

Acute Renal Failure updated Aug 07
Anti-oxidant Therapy added Sep 05
Bowel Regimen updated Aug 07
Combination TPN/TEN Feeding Oct 07
Electrolyte Replacement updated Sep 07
Glycemic Control
Nutrition Guidelines updated Oct 07
Critical Care Nutrition Guidelines Oct 07
Gastric Residual Volume Oct 07
Pre-operative Enteral Feeding Oct 07
Total Enteral Nutrition Oct 07

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