Trauma Handbook

UC San Diego Trauma Handbook

Table of Contents with Links

Mission Statement / Introduction

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
  • Massive Transfusion Protocol
  • Request form for Emergency 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

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)
  • 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

  • C-Spine evaluation - awake and alert
  • C-Spine evaluation - unreliable, altered

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

Pelvic Fractures

REBOA Protocol


Peripheral Vascular Injury and Compartment Syndrome

Consulting Services

Service Responsibilities


Pediatric Trauma

Venous Thromboembolism prophylaxis

Surgical Critical Care

Disaster Planning

Acute Care Surgery

Video Links

Trauma Nurse Practitioner