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30 total results found

Direct Peritoneal Resuscitation

Surgical Critical Care Gastrointestinal

Background, including pathophysiology The advent of damage control surgery (DCS) has led to a staged approach to the patient in extremis with intra-abdominal hemorrhage and shock that has undoubtedly saved lives. However, massive resuscitation associated with...

REBOA Instructions

Trauma 2. Initial Management and Resuscitation...

This page is intended to serve as a quick reference for easy access to the REBOA kit instructions. The information and images are directly from the insertion instructions, and were obtained from http://prytimemedical.com/wp-content/uploads/2017/08/ER-REBOA-Cat...

WELLNESS/RESILIENCY RESOURCES DOCUMENT

ACS Resources Fellow Resources

The University of Nebraska Medical Center has several resources in place to address workplace stress, burnout, depression and suicide. These resources will be useful in proactively identifying any colleagues exhibiting any signs and symptoms of burnout, depres...

DIVERSITY, EQUITY, AND INCLUSION RESOURCE DOCUMENT

ACS Resources Fellow Resources

DIVERSITY, EQUITY, AND INCLUSION (DEI) LEARNING RESOURCES AND TOOLKITS ACGME Equity Matters: https://www.acgme.org/what-we-do/diversity-equity-and-inclusion/ACGME-Equity-Matters/ACGME DEI Officers Forum: Email [email protected] to joinAmerican Academy of Fa...

ACGME Competencies and UNMC Scholarly Activities

ACS Resources Fellow Resources

UNMC Graduate Medical Education: Meeting the ACGME Core Competencies Competency Definition UNMC GME Professionalism CPR IV.B.1.a) : Residents/Fellows must demonstrate a commitment to professionalism and an adherence to ethical principles. • COP...

Preventing Physician Depression and Suicide

ACS Resources Fellow Resources

Department of Psychiatry UNMC   Top causes of death among residents #1 Neoplastic #2 Suicide Higher rates of death early in residency (first two years) Unchanged over the last 15 years   Yaghmour  et al. Causes of Death of Residents in ACGME-Accredi...

Physician Impairment and Substance Use Disorder

ACS Resources Fellow Resources

UNMC Psychiatry presentation   Physician Impairment “The inability to practice medicine with reasonable skill and safety to patients by reason of physical or mental illness, including deterioration through the aging process, the loss of motor skills, or the...

CCS Orientation

ACS Resources Resident Resources

Trauma Orientation

ACS Resources Resident Resources

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EGS Orientation

ACS Resources Resident Resources

Care of Patients with Rib Fractures

Chest Wall Injury

Purpose Rib fractures occur in approximately 10% of patients with traumatic injury. They are associated with greater injury burden especially when coupled with head, extremity, abdominal and blunt cardiac injury. Mortality rates increase with the number of fr...

rib fractures
rib plating
rib

Surgical Stabilization of Rib Fractures (SSRF or Rib Plating)

Chest Wall Injury

Purpose Surgical Stabilization of rib fractures should be considered in patients with flail chest, flail sternum, and painful rib fractures associated with movement that have been refractory to conventional pain management in order to improve morbidity and mo...

rib fractures
SSRF
rib plating
rib

Mangled Extremity Management

Trauma 7. Orthopedic Trauma

Purpose: To aid in the rapid evaluation of a trauma patient presenting with a severely injured limb, providing a decision-making tool for limb salvage vs. amputation in a multidisciplinary fashion. Background: Patients with a mangled extremity, defined as an ...

Mangled Extremity Management

Trauma 8. Vascular Trauma

Please see full page under orthopedic trauma section

Summary – Law Enforcement Requests for Patient Information

Trauma 14. Care of the Trauma Patient

Law Enforcement Request NM Staff Response 1 Staff safety/security concerns Staff may always request law enforcement’s presence when concerned for their safety/security. 2 Requests for patient information, general rule Ok to disclose pati...

law enforcement
police
patient information

Pharmaceutical Management of Post-TBI Neuropsychiatric Symptoms

Trauma 3. Neurological Trauma

Definitions 1.       Depression: TBI-associated depression is characterized by prolonged, persistent sadness associated with other symptoms such as anhedonia, lack of motivation, decreased self-care, variable sleep and/or appetite pattern, feelings of hopeles...

Alcohol Withdrawal Pathway- PAWSS

Trauma 14. Care of the Trauma Patient

  Date: January, 24, 2022 Key Contributor(s): Olabisi Sheppard, MD

Transverse and Spinous Process Fractures

Trauma 3. Neurological Trauma

Background: The majority of transverse process (TP) and spinous process (SP) fractures are structurally and neurologically stable injuries, which do not require spine service intervention. However there are some features which can be more worrisome for associ...

Airway Pressure Release Ventilation (APRV, Bivent)

Surgical Critical Care Pulmonary

Updated 8/20/24 Authors: Buesing, Bauman, Berning

CCS Orientation

Surgical Critical Care CCS Orientation Material

Objectives • Describe the most current evidence-based medical practices pertaining to the treatment of critically ill patients in the SICU.• Demonstrate knowledge and competency in resuscitation skills including advanced cardiopulmonary resuscitation, emergen...