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  2. Divisions
  3. Trauma, Surgical Critical Care, Burns & Acute Care Surgery
  4. Training & Education
  5. Trauma Protocols & Policies

Trauma Protocols & Policies

UC San Diego Trauma Handbook

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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 Hemotoma 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
    • Extremiity Vascaulr injury algorithm
    • Mangled Extremity Algorithm
  • Consulting Services
    • Neurosurgery
    • Plastic Surgery / Head and Neck Surgery
    • Hand Surgery
    • Orthopedic Surgery
    • Orthopedic Procedures on Head Injured patienst
    • 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 & 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
    • mFASTHUGGs / RASS Score
    • Talking to SICU Families / Family meetings
    • Indications for Howell Service Consult
    • Family Presence During Resuscitations
    • Universal Upset Patient Protocol
    • ARDS Protocol
    • Inititiation 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 & 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 AreaLimited Treatment Area Trauma Resuscitation Room Acute & 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 Diverticultis
    • Acute Calculous Cholecystitis
    • Suspected necrotizing fasciitis
      • LRINEC Score
    • Extremity and Truncal Infection Algorithms
    • Opioid oral prescribing General Surgery
  • Video Links
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Trauma Nurse Practitioner