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Trauma Protocols & Policies

UC San Diego Trauma Handbook

Quick Links to Trauma handbook Contents

Mission Statement / Introduction

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

Massive Transfusion Protocol

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

Airway with C-Spine Control

Airway Management

King LTA and EOTA Airways

CMAC Video Laryngoscope

Esophageal Tube Introducer

Rapid Sequence Intubation Protocol

Head Injuries

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

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

Stab Wound Abdomen management

Zones of Abdomen and Diaphragm Injury

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 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

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

Trauma patient phone call algorithm

Acute Surgery/White Surgery Phone Call Algorithm


Lund & Browder Burn Area Chart

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

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 Guidleines in Special Populations

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



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


Opioid oral prescribing General Surgery

Video Links

Trauma Nurse Practitioner