Skip to main content
Department of Surgery Department of Surgery
  1. Department of Surgery
  2. Divisions
  3. Trauma, Surgical Critical Care, Burns and Acute Care Surgery
  4. Education
  5. Trauma Protocols & Policies

Trauma Protocols and Policies

UC San Diego Trauma Handbook

Trauma handbook QR code

Trauma Handbook Contents

  • Mission Statement/Introduction
  • Must Call Attending Criteria
  • Overview of Trauma Service
    • Contact Information
    • Telephone Numbers
    • Trauma Service Protocols Overview
  • The Resuscitation Room
    • Trauma Page and Trauma Team Activation
    • Transfers
    • Trauma Bypass
    • Operating Room Resuscitation
    • BSI/Universal Precautions
  • Initial Assessment and Resuscitation
    • Resuscitation Room Coordination
    • Obtaining Blood Samples
    • Ordering Blood Units
    • Femoral Stick Indications
    • Massive Transfusion Protocol
    • Low Titer Group O Whole Blood
    • MIVT Report
    • Responsibilities of Team Members
    • Physicians Orders in Resuscitation Room
    • Resuscitation Room Lab Investigations
    • Radiology
    • Organ Injury Scale
    • Radiology Request Form
    • Non-Operative Management of Major Trauma
    • Trauma Resuscitation Debriefing
    • Intimate Partner Violence/SART/Abuse Reporting
  • Airway with C-Spine Control
    • Airway Management
    • King LTA and EOTA Airways
    • CMAC Video Laryngoscope
    • Esophageal Tube Introducer
    • Rapid Sequence Intubation Protocol
  • Traumatic Brain Injury
    • Clinical Guideline for Traumatic Brain Injury
    • ICP Monitoring
    • Treatment of Increased ICP
    • Adjunctive Medications and Prevention of Complications
    • Surgical Management of TBI
    • Intracranial Hypertension Management
  • Reversal of Anticoagulation
    • Trauma Patient on Anticoagulation with CHI
    • Blood Product and Factor Algorithm - Not on Warfarin
    • Interpreting Thromboelastograms (TEG)
    • Thromboelastography
    • Patient on Anticoagulant or Antiplatelets
    • Guideline to Emergent Bleeding Reversal
    • Factor Algorithm for Life-Threatening Bleeding Due to Warfarin
  • Concussion Screening
    • Acute Concussion Evaluation
    • Concussion Return to Play Protocol
    • Current Concepts in Concussion
  • C-Spine Workup and Management
    • Cervical and Thoracolumbar Spinal Precautions
    • C Spine Clearance Algorithm
  • Neck Trauma
    • Blunt Neck Trauma
    • Blunt Cerebrovascular Screening
    • Denver BCVI Grading Scale
  • Penetrating Neck Trauma
    • Penetrating Neck Wound - Exploration Zones
    • Esophageal Injury
    • Penetrating Neck Wound Algorithm
    • WTA Penetrating Neck Wound Algorithm
  • Facial fractures
    • Facial Fractures Without CHI
    • Facial Fractures With Mild CHI
  • Chest Trauma
    • Non-op Management Chest Trauma
  • Blunt Chest Trauma
    • Blunt Chest Trauma Algorithm
    • Chest Tube Insertion/Removal
    • Rib Fracture Management Protocol
  • Penetrating Chest Trauma
    • Penetrating Chest Injuries Algorithm - Stable
    • Penetrating Chest Injuries Algorithm - Unstable
    • Retained Hemothorax 
    • Prophylaxis Against PostPericardotomy Syndrome (PPS) Protocol 
  • Abdominal Trauma
    • Blunt Abdominal Trauma
    • Non-op Management of Liver Injury
    • Operative Management of Liver Injury
    • Non-op Liver Injury Algorithm
    • Overview of Splenic Injuries
    • Non-op Splenic Injury Management
    • Operative Splenic Injury Management
    • Zones of Abdomen and Diaphragm Injury
    • Stab Wound Abdomen Management
    • Pancreatic Injury
    • Pancreatic Injury Algorithm
    • Non-op Management of Renal Injuries
    • Operative Management of Renal Injuries
    • Renal Injury on CT Scan Algorithm
    • Zone II Retroperitoneal Hematoma in OR
  • Pelvic Fractures
    • Pelvic Fracture Algorithm
    • T-POD Pelvic Binder Application
  • REBOA Protocol
    • Indications
    • REBOA Aortic Zones
    • ER-REBOA Quick Reference Guide
  • Ultrasound
    • Enhanced FAST Ultrasound
    • Positive FAST Images
    • FATE Limited Echo
  • Peripheral Vascular Injury and Compartment Syndrome
    • Vascular Trauma Protocol Overview
    • Extremity Vascular Injury Algorithm
    • Mangled Extremity Algorithm
  • Consulting Services
    • Neurosurgery
    • Plastic Surgery/Head and Neck Surgery
    • Hand Surgery
    • Orthopedic Surgery
    • Orthopedic Procedures on Head-Injured Patients
    • Guideline for Orthopedic Procedures on TBI patients
    • OB-GYN/Post-Partum Trauma Consult
  • Service Responsibilities
    • Tertiary Survey of Trauma Patients
    • Handoffs /I-PASS
    • Daily SICU Huddle
    • Brief Operative Note
    • Trauma deaths
    • Reporting Deaths and Complications for M&M conference
    • Discharge Planning
    • Trauma Clinic Follow-Up
  • Burns
    • Lund and Browder Burn Area Chart
    • Nurse-Driven Fluid Resuscitation Pathways
  • Pediatric Trauma
    • Pediatric Trauma Hemodynamics
    • Approach to Child With Multiple Injuries
    • Pediatric Transfer Considerations
    • Child Abuse Screening, Assessment and Reporting – Trauma Team Guidelines
    • Classification of Hemorrhagic Shock in Pediatric Trauma
    • Drugs used in Pediatric ALS (PALS)
  • Geriatric Trauma
    • G-60/ACS/TQIP Geriatric Protocol
    • Geriatrics Consultation
  • Venous Thromboembolism Prohylaxis
    • VTE Risk Stratification
    • VTE Prophylactic Measures
    • IVC Filter Candidates
    • Summary of Trauma VTE Protocol
    • VTE Risk Factors
    • VTE Prophylaxis Notes
    • Weight-based Lovenox Dosing
    • Enoxaparin Guidelines in Special Populations
    • Post-Discharge VTE Prophylaxis
  • Surgical Critical Care
    • ICU Nurse-Led Rounding
    • FAST HUGS/RASS Score
    • Talking to SICU Families/Family meetings
    • Indications for Howell Service Consult
    • Family Presence During Resuscitations
    • Universal Upset Patient Protocol
    • ARDS Protocol
    • Initiation of Mechanical Ventilation
    • Discontinuation of Mechanical Ventilation
    • Ventilator STEER Protocol
    • Ventilator Extubation Protocol
    • Extubation Algorithm
    • Additional Notes - Extubation
    • Timing of Tracheostomy
    • Anemia and Transfusion in Stable Patients
    • Brain Death Protocol
    • Central Venous Catheter Insertion
      • Don't Hub the Line!
    • Antibiotics and Antifungals in Trauma/SICU Patients
    • Guideline for Antibiotic Duration
    • Guideline for Stress Ulcer Prophylaxis
    • Nutrition Notes
    • NPO Guidelines for Preop patients
      • Cortrak Post-pyloric Feeding
    • Nutritional On-Hold Unexpectedly Guideline
    • Pain-Agitation-Delirium-Guideline
      • Pain-Agitation-Delirium-Algorithm
      • Ketamine
      • Pain Ladder
    • Confusion-Assessment Method in ICU (CAM-ICU)
    • Guideline for Hypertonic Saline
  • Disaster Planning
    • Health System Codes
    • Ten Predictable Surprises in Disasters
    • Functional Areas/Teams
      • Hospital Command Post
      • Hillcrest Triage Area Limited Treatment Area Trauma Resuscitation Room Acute and Delayed Areas of ER Shock and Holding Area (PACU)
    • Disaster Treatment Record (Paper)
    • Chemical, Biological, Radiological Terrorism
    • Radiologic Weapons
    • Potential Biologic Agents
    • Potential Chemical Agents
    • Acute Radiation Syndrome
    • Burn Surge Plan
  • Acute Care Surgery
    • Appendicitis - Uncomplicated
    • Appendicitis - Complicated
    • Acute Diverticulitis
    • Acute Calculous Cholecystitis
    • Suspected Necrotizing Fasciitis
      • LRINEC Score
    • Extremity and Truncal Infection Algorithms
    • Opioid Oral Prescribing General Surgery
  • Video Links
  •  

Trauma Nurse Practitioner