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Isolated Orthopedic Injury Admission Guidelines
Purpose · To identify which isolated traumatically injured patients can appropriately be admitted to the Orthopedic Service Background/Definitions Quality of care and length of stay continue to be areas for improvement at Nebraska Medicine. Given ...
Evaluation and Management of Delirium
Purpose Provide guidance on the evaluation, diagnosis, and management of hospitalized patients who develop delirium. Background/Definitions Delirium is a neuropsychiatric disorder that is characterized by a disturbance in attention, consciousness and cogni...
Adult Traumatic Agonal Arrest and Resuscitation
Purpose To outline the procedure for the treatment of the adult traumatic patient with a penetrating or blunt mechanism of injury who has no signs of life. In patients without signs of life for >10 minutes in blunt trauma or >15 minutes in penetrating trau...
Indications to Consult Neuro Critical Care
Overview: The UNMC Neurocritical Care Service will provide consult service to assist in the care of patients in adult ICUs. The Neurocritical Care Consult service will not replace either the Neurology Consult Service or the Stroke Service. The goal is to as...
Initial Assessment and Management of Spine Injury
Purpose To provide an evidence-based, practical guide to the evaluation and management of an adult patient with a spinal injury, including both spinal column fracture (SCF) and spinal cord injury (SCI). Background/Definitions Although fractures of the spine...
Indications to Consult Pediatric Critical Care
Purpose The trauma service frequently encounters critically injured pediatric patients (aged 18 years or less) that require admission to the pediatric ICU for resuscitation and management of injuries. To optimize outcomes, assistance in resuscitation and care...
ACS Roles & Responsibilities (2025-2026)
Acute Care Surgery - Roles and Responsibilities 2025-2026 Purpose: The purpose of this document is to outline the roles and responsibilities for each team member providing patient care on the Acute Care Surgery service in order to provide coordinated and tim...
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 less). To optimize outcomes and inpatient care, assistance in the management and care of these injured pediatric trauma patients is enhanced by involvement of the p...
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 pediatric trauma patients (18 years and younger) admitted to Nebraska Medicine following injury. As part of their role in the patient’s care, pediatric co-management wil...
Mental Health Screening and Intervention Guidelines for Pediatric Trauma Patients at Nebraska Medicine
Childhood traumatic stress happens when unexpected, violent, life-threatening, or devastating events overwhelm the ability to cope. The ACS reports that 20-30% of pediatric trauma patients report mental health symptoms and/or decreased quality of life followin...
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 and reporting of children with injuries concerning for abuse. Background/Definitions: Annually, nearly 1 million children are victims of child maltreatment in t...
Reimplantation Triage and Transfer Pathway
Reimplantation Triage and Transfer Pathway Purpose: As an American College of Surgeons, verified level I trauma center, we are responsible for thorough assessment of the traumatically injured patient. This document is to aid in the triage and transfer process...
Managment of Open Pediatric Orthopedic Fractures
Purpose: To provide guidance on the management of open orthopedic fractures in pediatric trauma patients. Background/definitions: An open fracture is a fracture in which there is an open wound or break in the skin near the site of the broken bone. Most ofte...
Management of Pediatric Long Bone Fractures
Purpose: To provide guidance on the management of long bone fractures in pediatric trauma patients. Background/definitions: A long bone is defined as any bone of the extremity that has a length greater than the width to include: Femur Tibia/fibula Hume...
Management of Pediatric Pelvic Fractures
Purpose: Provide guidance on the initial evaluation and management of pediatric trauma patients with pelvic fractures. Background: Injures to the pelvis range from benign to life threatening. They include pelvic ring fractures, acetabular fractures, avulsio...
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 for at Nebraska Medicine. POLICY AND PROCEDURE STATEMENTS The pediatric trauma accreditation standards, as set forth by the American College of Surgeons, encoura...
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 and management of pediatric trauma patients sustaining blunt solid organ injuries to the liver, spleen, or kidney at Nebraska Medicine. Background/definitions: Sol...
Guidelines for Imaging the Pediatric Trauma Patient
Purpose: These guidelines are meant to help guide the provider’s decision-making regarding imaging of the pediatric trauma patient during the initial trauma evaluation. Background/Definitions: There is considerable agreement that diagnostic imaging, particu...
Pediatric Transport Contact Information
Critical Pediatric Trauma Patient Transfer Requests Please be prepared with the following information: Provider's name requesting transport and call back number Patient's name, age, DOB, and weight Chief complaint/diagnosis and present conditio...
Child Life in Trauma Resuscitations
Child Life ED Presentation.pdf