Trauma
Trauma guidelines
1. Trauma Service Overview
Orientation materials and additional information regarding work flow and requirements of the trau...
Daily Floor Rounding Checklist for Trauma Patients
Important Phone Numbers and Contact Information
Acute Care Surgery Attendings: Attending Pager Cell Office Zachary Bauman, DO ...
Isolated Orthopedic Transfers to Bellevue Medical Center Requiring Joint Replacement
Purpose: · To Identify which patients can appropriately be transferred to Bellevue Med...
Reimplantation Triage and Transfer Pathway
Reimplantation Triage and Transfer Pathway Purpose: As an American College of Surgeons, verified...
Trauma Patient Admission Criteria
Trauma patients can be complex with multiple injuries requiring various management strategies, in...
Trauma Team Activation (TTA) Criteria
LEVEL 3 trauma team includes: Trauma attending Emergency medicine (EM) attending and resi...
Trauma Tertiary Survey
A tertiary survey (exam) should be performed on all patients admitted to the trauma service appro...
Trauma Quality Indicators
Background: From the time a trauma patient is picked up by EMS on scene through the patient's in...
2. Initial Management and Resuscitation of the Trauma Patient
Educational materials and pathways regarding the initial approach to the evaluation, management a...
Adult Traumatic Agonal Arrest and Resuscitation
Purpose To outline the procedure for the treatment of the adult traumatic patient with a penetra...
Drowning
Quick Guide: Patients should be activated per their physiology and suspected injuries, which wil...
e-FAST for Trauma
Purpose To standardize the application of e-FAST in the seriously injured patient, the technique...
Early Femoral Arterial Line Placement for Trauma
Purpose Identify patients who would benefit from early femoral arterial access and describe the ...
Hanging
Quick Guide: Patients should be activated per their physiology and suspected injuries, which wil...
Management of the Pregnant Trauma Patient
Purpose: Pregnancy alters baseline physiology and anatomy. These changes can influence the ...
Massive Transfusion for Trauma Protocol
Purpose Hemorrhage is the leading cause of early death following traumatic injury. Protocol-driv...
REBOA Instructions
This page is intended to serve as a quick reference for easy access to the REBOA kit instructions...
Whole Blood Usage in Trauma
Purpose: The implementation of a whole blood program at Nebraska Medicine is designed to optimiz...
3. Neurological Trauma
Educational materials and pathways regarding the evaluation and management of neurological injuries.
Cervical Spine Evaluation and Management
Cervical Spine Evaluation and Management Purpose: Although cervical spine injuries are relativel...
Intracranial Hypertension Management Algorithm
Management of Traumatic Brain Injury
Management of Traumatic Brain Injury This document provides an overview of considerations and g...
Modified Brain Injury Guidelines (mBIG)
mBIG guidelines apply only to adult trauma patients (18 yrs and older). Pediatric trauma patients...
Pharmaceutical Management of Post-TBI Neuropsychiatric Symptoms
Definitions 1. Depression: TBI-associated depression is characterized by prolonged, persis...
Initial Assessment and Management of Spine Injury
Purpose To provide an evidence-based, practical guide to the evaluation and management of an adu...
Transverse and Spinous Process Fractures
Background: The majority of transverse process (TP) and spinous process (SP) fractures are struc...
Care of Patients with Spinal Cord Injuries Practice Guideline
Purpose: To optimize the care of the spinal cord injured patient and prevent secondary complicat...
4. Head and Neck Trauma
Educational materials and pathways regarding the evaluation and management of head and neck injur...
5. Thoracic Trauma
Educational materials and pathways regarding the evaluation and management of thoracic injuries.
6. Abdominal Trauma
Educational materials and pathways regarding the evaluation and management of abdominal injuries.
Blunt Abdominal Trauma
Evaluation and Management of Blunt Splenic Injury
Purpose Splenic injury is one of the most common injuries following blunt abdominal trauma and c...
Evaluation and Management of Hepatic Injury
Purpose The liver is the most frequently injured abdominal organ. Most injuries are minor and ca...
7. Orthopedic Trauma
Educational materials and pathways regarding the evaluation and management of orthopedic injuries.
Antibiotic Prophylaxis in Open Fractures
BACKGROUNDOpen fractures are high energy injuries with an increased risk of infection due to pote...
Hand/Finger Reimplantation
Patients Requiring Hand/Finger Reimplantation Decision to transfer/divert a patient needing r...
Isolated Hip Fracture Protocol
Section One: Timing and Care Sequence: 1. Presentation to the Emergency Room a. Assessmen...
Isolated Orthopedic Injury Admission Guidelines
Purpose · To identify which isolated traumatically injured patients can appropriately be...
Orthopedic Trauma Discharge VTE Prophylaxis
Not Indicated: In general, VTE prophylaxis at discharge is not indicated for the following inj...
Management of Open Fractures
Purpose Open fractures are high energy injuries that have increased risk of infection due to pot...
Mangled Extremity Management
Purpose: To aid in the rapid evaluation of a trauma patient presenting with a severely injured li...
8. Vascular Trauma
Educational materials and pathways regarding the evaluation and management of vascular injuries.
9. Thermal Injury
Educational material and pathways regarding the management of thermal injury.
Care of Trauma Patient with Accidental Hypothermia Practice Guidelines
Purpose: The purpose of this practice guideline is to provide guidance and standardize the appr...
Guidelines for the Initial Management of Frostbite
Purpose: Provide guidance on the initial evaluation and management of patients sustaining fros...
Initial Management of Burns
Purpose: Provide a brief overview of the classification of burns, initial resuscitation and mana...
Thrombolytic Therapy for the Management of Severe Frostbite
Purpose Provide guidance on the administration of thrombolytic therapy (t-PA) for the purpose ...
10. Critical Care for Trauma
Educational materials and pathways regarding the evaluation and management of the critically ill.
Adult ICU Electrolyte Replacement
Purpose To define patients eligible for the electrolyte replacement protocol; to define the proc...
Evaluation and Management of Atrial Fibrillation
Purpose Establish a unified guideline for the diagnosis and treatment of new-onset atrial fibr...
Nebraska Medicine Brain Death Criteria
Nebraska Medicine Policy Number: MS 29 Purpose To give an accurate and complete description re...
Percutaneous Tracheostomy Protocol
Purpose To provide guidance on safe practices to perform percutaneous tracheostomy in the operat...
11. Geriatric Trauma
Educational materials and pathways regarding the evaluation and management of geriatric trauma pa...
Advanced Care Planning and Palliative Care Consultation in Acute Care Surgery
Purpose · To engage injured or ill patient’s and/or families in discussions regarding goal...
Indications for Geriatric Consultation In Trauma Patients
Purpose Identify criteria for early geriatric consultation and geriatric expertise on the multid...
Isolated Hip Fracture Protocol
Section One: Timing and Care Sequence: 1. Presentation to the Emergency Room a. Assessmen...
12. Pediatric Trauma
Information dedicated to the care of injured children
Alcohol and Substance Misuse Screening, Brief Intervention and Referral for Treatment (SBIRT) Guidelines for Pediatric Trauma Patients at Nebraska Medicine
Policy and Procedure Statement The pediatric co-management team will be consulted on all pediatr...
Behavioral Consultation Team Contact Information
Child Life in Trauma Resuscitations
Child Life ED Presentation.pdf
Discharging a Pediatric Trauma Patient Against Medical Advice (AMA)
PURPOSE: To establish guidelines for addressing situations when minor/pediatric trauma patients ...
Evaluation and Management of Blunt Solid Organ Injuries in Pediatric Trauma Patients
Purpose: These guidelines are meant to help guide the provider through the initial evaluation an...
Evaluation and Management of Non-Accidental Trauma (NAT) in Children at Nebraska Medicine
Purpose: To provide guidance and a standardized approach for the initial evaluation, management ...
Guidelines for Imaging the Pediatric Trauma Patient
Purpose: These guidelines are meant to help guide the provider’s decision-making regarding imagi...
Indications to Consult Pediatric Critical Care
Purpose The trauma service frequently encounters critically injured pediatric patients (aged 18 ...
Indications to Consult Pediatric Co-Management Team for Pediatric Trauma Patients
Purpose: The trauma service frequently admits and cares for injured children (aged 18 years or l...
Managment of Open Pediatric Orthopedic Fractures
Purpose: To provide guidance on the management of open orthopedic fractures in pediatric trauma ...
Management of Pediatric Long Bone Fractures
Purpose: To provide guidance on the management of long bone fractures in pediatric trauma patien...
Management of Pediatric Pelvic Fractures
Purpose: Provide guidance on the initial evaluation and management of pediatric trauma patients ...
Mental Health Screening and Intervention Guidelines for Pediatric Trauma Patients at Nebraska Medicine
Childhood traumatic stress happens when unexpected, violent, life-threatening, or devastating eve...
Non-Surgical Service Admissions of Pediatric Trauma Patients at Nebraska Medicine
SCOPE AND PURPOSE The document is applicable to pediatric patients (age <19) assessed and cared ...
Pediatric Needle Cricothyroidotomy
Pediatric Needle Cricothyroidotomy Supplies (Kit located in 2nd Drawer of Pediatric Grey Tra...
Pediatric Transport Contact Information
Critical Pediatric Trauma Patient Transfer Requests Please be prepared with the following inform...
Contact Information for Pediatric Trauma Patients
Common Consults for Traumatic Injuries: Cardiothoracic Surgery PerfectServe: C...
Recommendations for Acute Pain Treatment and Procedural Pain and Sedation Management for Pediatric Patients
Common medical procedures used to assess and treat children can cause significant pain and dist...
Pediatric Presence at Pediatric Trauma Activations
Purpose: The trauma service frequently encounters critically injured pediatric patients that req...
Transferring Pediatric Trauma Patients to Children's Nebraska Emergency Department
Process for Transferring Pediatric Trauma Patients to Children’s Nebraska Emergency Department A...
13. VTE Prophylaxis in Trauma
14. Care of the Trauma Patient
Information and miscellaneous things involved in caring for trauma patients throughout their acut...
Advanced Care Planning and Palliative Care Consultation in Acute Care Surgery
Purpose · To engage injured or ill patient’s and/or families in discussions regarding goal...
Alcohol Withdrawal Pathway- PAWSS
Date: January, 24, 2022 Key Contributor(s): Olabisi Sheppard, MD
Assessing Capacity
Why assess capacity? Informed consent promotes individual autonomy and fosters rational decision...
Evaluation and Management of Delirium
Purpose Provide guidance on the evaluation, diagnosis, and management of hospitalized patients w...
Forensic Examiner Program Nebraska Medicine
Summary – Law Enforcement Requests for Patient Information
Law Enforcement Request NM Staff Response 1 Staff safety/security concerns Staff ...
15. Recovery of the Trauma Patient
17. Trauma Resident Resources
Frequently Used Pages
Day-to-day guides Trauma Patient Admission Criteria Trauma Tertiary Survey PAWSS Frequent ...
Neurotrauma Quick Reference
Head injury: All adult patients with blunt traumatic brain injury should be classified according...
Trauma Resident Week at a Glance
Trauma week at a glance: Monday: 6am signout 8:30am – run list with team + Molli (case manag...