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Head injury: All adult patients with blunt traumatic brain injury should be classified according to the mBIG criteria. Neurosurgical consultation is indicated for all patients who are mBIG 3. mBIG 1 and 2 patients should be managed according to the pathway. ...

Day-to-day guides Trauma Patient Admission Criteria Trauma Tertiary Survey PAWSS   Frequent Clinical Pathways mBIG pathway BCVI pathway Pediatric imaging guidelines C-spine evaluation and management Care of patients with rib fractures

Pediatric Needle Cricothyroidotomy  Supplies (Kit located in 2nd Drawer of Pediatric Grey Trauma Cart—Trauma Bay 2) 16G Angiocath (IV catheter) Macrobore IV Extension Tubing End of a 3.0 ETT 10 ml Syringe with 5ml saline (for air placement confirmation...

PURPOSE: To establish guidelines for addressing situations when minor/pediatric trauma patients depart prior to dismissal by provider (discharge against medical advice) and recognize the right of the patient’s legally recognized representative to make that de...

Patients Requiring Hand/Finger Reimplantation   Decision to transfer/divert a patient needing revascularization/replantation will be made based upon: ·         Patients with isolated, or near isolated, amputation or devascularization injuries should be tran...

Common Consults for Traumatic Injuries: Cardiothoracic Surgery PerfectServe: Cardiac Surgery Academic Service TNMC FACE (ENT, OMFS, Plastics) PerfectServe: Facial Trauma Unassigned TNMC HAND (...

Common medical procedures used to assess and treat children can cause significant pain and distress. Before initiating any non-emergent procedure in pediatric trauma patients, please take a moment to try and optimize pain and sedation management. Below are t...

Lymph node biopsies- Surgical Oncology Abdominal issues in cancer patients: Patient established with UNMC surgical oncology division for malignancy, seen within three years, and issue is related to previous intervention (for example, SBO) - Surgical oncolo...

Purpose: The trauma service frequently encounters critically injured pediatric patients that require pediatric specific resuscitation measures. To optimize patient outcomes and experiences, assistance in the initial resuscitation and care of these critically ...

Nebraska Medicine Policy Number: MS 29  Purpose To give an accurate and complete description required to establish a diagnosis of breath death/Death by Neurological Criteria (BD/DNC), and to describe the roles and responsibilities of various clinicians and s...

Purpose To ensure efficient utilization of operating room (OR) resources and timely case starts by outlining responsibilities for case reassignment at 6:00 a.m Scope Applies to all ACS surgeons, OR charge nurses, and ACS staff involved in scheduling and ass...

Purpose ·       To engage injured or ill patient’s and/or families in discussions regarding goals of care and advanced care planning early and provide guidelines for Palliative Care consultation to assist in facilitating discussions surrounding goals of care ...

Section One: Timing and Care Sequence:   1. Presentation to the Emergency Room      a. Assessment by the ED      b. Radiographs          i. Low AP pelvis, AP of affected hip, AP and lateral of affected femur          ii. MRI indicated if high suspicion but no...

Order set to be used by CCS team when assisting in the management of a flap preformed by the ENT service. - Q1h Doppler and flap checks by nursing - Q4h flap checks by ENT - Decadron 8mg q8h x24h - Daily labs - Daily ASA x30days - Judicious volume use to...

Quick Guide: Patients should be activated per their physiology and suspected injuries, which will most often be a full trauma given that the majority of suspected injuries include airway issues, level of consciousness/brain injury, and/or spinal cord injuries...

Quick Guide: Patients should be activated per their physiology and suspected injuries, which will most often be a full trauma given that the majority of suspected injuries include airway issues, level of consciousness/brain injury, and/or spinal cord injuries...

Process for Transferring Pediatric Trauma Patients to Children’s Nebraska Emergency Department As a level II pediatric trauma center, every effort should be made to care for pediatric trauma patients at Nebraska Medicine (NM). However, based on allocation of ...

Purpose:  To optimize the care of the spinal cord injured patient and prevent secondary complications. Admission:    All traumatic SCI patients will be admitted to ICU level of care with either Neurosurgery or Ortho Spine consult. Spine Stabilization: 1.   ...