Trauma Handbook – Adult

General Information

• • Contact Numbers
  • Trauma Residents/APP’s Responsibilities
    • Chief Daily Responsibilities
    • Trauma Resident Guidelines(APP Roles and Responsibilities)
  • Education
    • Trauma and Emergency Surgery Rotation Core Objectives
    • Trauma Education Schedule
  • After Hours X-ray Reads
  • Triggers for Trauma Stat Operating Room Usage
  • Trauma Operating Rooms
  • Screening, Brief Intervention, and Referral for Treatment(SBIRT)
  • MCI

Trauma Resuscitation

• • Criteria for Priority 1 Trauma Activations
  • Criteria for Priority 2 Trauma Activations
  • Criteria for Priority 3 Trauma Activations
  • Trauma Resuscitation Protocol
    • Trauma Activation Response
  • ED Exsanguination Patient Protocol
  • Massive Blood Transfusion Algorithm
    • Massive Blood Transfusion Protocol
  • Rh(D) Whole Blood Algorithm(Low Titer O + Whole Blood Transfusion and WinRho Dosing)
  • REBOA
  • TXA
  • Pregnant Trauma Patient

Trauma Admission and Discharge Criteria

• • Trauma Order Sets
  • Trauma Admission Criteria
  • Criteria for ED Discharge for Trauma Activation Patients

Trauma Clinic

• • Trauma Clinic Standard Operating Procedure

End of Life

• • Determining Brain Death(in Adults at WVU Hospitals)
  • Reporting Medical Examiner Cases
  • WVU Medicine Apnea Test for Determination of Brain Death(By Neurological Criteria in Adults not on ECMO)

Neurologic and Spine

• • Traumatic Brain Injury
    • ICU Traumatic Brain injury Management
  • Traumatic Brain Injury Admission Protocol
  • Blunt Cerebral Vascular Injury (BCVI) Assessment and Management
  • Adult Cervical Spine Evaluation
  • Neuro trauma guidelines (NCCU) Neurotrauma
    • Neuro trauma guidelines (NCCU) Neuropalliative
  • Thoracolumbar Sacral Orthosis Device/Brace (TLSO) Order Set

Facial Trauma

• • Post-Operative Level of Care – Mandible Operative Repair
  • Facial Fracture Abx

Airway

• • Loss of Airway and Trach Change Guidelines
  • Tracheostomy and Peg Guidelines

Neck

• • Penetrating Neck Injury Flow cart/Penetrating neck trauma

Chest

• • Rib Fracture Practice Management Guideline
  • Hemothorax in Stable Patients Practice Management Guideline
  • TPA Protocol(Intrapleural Administration of Alteplase +/- Dornase Alfa )

Cardiac and Vascular

• • Traumatic aortic injury evaluation (TIA)
  • Guideline for peripheral vascular injury
  • ECMO

Abdomen

• • Solid Organ Injuries
    • Liver
      • Guidelines for Isolated Liver Injuries
      • Liver Injury Guidelines Grade 1-5
    • Spleen
      • Guidelines for Management of Spleen Injures
      • Isolated Spleen Injury Guidelines Grade 1-5
      • Splenectomy
      • Spleen Injury Vaccination Guideline
    • Renal
      • Guidelines for Management of Renal Injuries
      • Renal Laceration Protocol
  • Hollow Viscus Injuries
    • Treatment of Bowel Injures
    • Work-up of Small Bowel Injuries
  • IAH Monitoring Guideline

Orthopedic Injuries

• • Extremity
    • Hand Injuries
      • Hand Protocol – open injury
      • Hand Protocol – closed injury
    • Tibial Plateau Fractures
    • Management of Open Fracture and Joints
  • Pelvis
    • Pelvic fracture management guidelines
    • REBOA
  • Orthopedic Admission and Transfer(Patients Eligible For Direct Admission to Orthopedics)
  • External Fixator Pin Site Guideline
  • Orthopedic Trauma DVT Prophylaxis
  • Treatment Guidelines

Soft Tissue Injuries

• • Burn Injury Guideline
  • Snake Bite Guideline(Envenomation)

Geriatric Trauma

• • Geriatric Trauma Guideline(Trauma Service Geriatric Guidelines)
  • Geriatric Trauma Service (MHS-6) Admission Criteria
  • Trauma Team Expectations with Geriatric Trauma Admissions

Psych

• • Delirium Management(Protocol for Adult/Geriatric Trauma Patients)
  • Screening, Brief Intervention, and Referral for Treatment(SBIRT)

Pharmacology

• • Anticoagulant reversal recommendations
  • Trauma VTE Prophylaxis guidelines
  • Trauma Patients requiring orthopedic surgery DVT
  • Management of Open Fracture and Joints
  • Facial and skull fracture antibiotic coverage
  • Snake Bite Guideline(Envenomation)
  • Delirium Management(Protocol for Adult/Geriatric Trauma Patients)
  • TPA Protocol(Intrapleural Administration of Alteplase +/- Dornase Alfa )