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Trauma Protocols & Policies

UC San Diego Trauma Handbook

Quick Links to 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
Trauma Bypass
Operating Room Resuscitation
BSI/Universal Precautions
Initial Assessment and Resuscitation
Resuscitation Room Coordination
Obtaining Blood samples
Ordering Blood units
Femoral Stick indications

Low Titer Group O Whole Blood
MIVT Report
Responsibilities of Team Members
Physicians Orders in Resuscitation Room
Resuscitation Room Lab Investigations
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)
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


REBOA Aortic Zones

ER-REBOA Quick Reference Guide


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


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 Responsibities

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


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


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 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 & 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


Extremity and Truncal Infection Algorithms

Opioid oral prescribing General Surgery

Video Links

Trauma Nurse Practitioner