Trauma Guidelines - Stanford Medicine
Trauma Guidelines
June 2016
ADULT Glasgow Coma Scale
Eye Opening
Spontaneous
4
To Voice
3
To Pain
2
None
1
Verbal Response
Oriented
5
Confused
4
Inappropriate words
3
Incomprehensible words
2
None
1
Motor Response
Obeys commands
6
Localizes to pain
5
Withdraws to pain
4
Abnormal flexion
3
Abnormal extension
2
None
1
Qualifiers: ?Patient Chemically Sedated ?Patient Intubated ?Obstruction to the Patients Eye
Trauma Guidelines
Stanford Hospital and Clinics Lucile Packard Children's Hospital Stanford
Training Programs
The protocols in this book are guidelines only. Individual cases may vary and clinical judgment should always be used. When in doubt, consult with the trauma attending on-call. This manual reflects an abridged version of the Stanford/LPCHS Trauma Program documents.
A-1
TABLE OF CONTENTS
TRAUMA GUIDELINE Phone Numbers Trauma/ACS Rotation Goals & Expectations Trauma Nurse Practitioner Roles/Responsibilities Trauma Admission Policy Trauma Team Notification & Response Trauma Team Activation ? Code 99, 97, 95 Trauma Resuscitation Roles Trauma Order Sets Clinical Trials & Prevention Programs Intervention (CAGE) Programs IV Access Massive Transfusion Guidelines Antibiotics in Trauma Airway Management Rapid Sequence Induction: Adult Head Injury ? Indications for CT Blunt Cerebrovascular Injury (BCVI) C-Spine Evaluation ? Adult TLS Spine Evaluation
PAGE 1-4 5-6 7 8 9
10-12 13-20
21 22 23 24 25-26 27-28 29-30 31-32 33-36 37-38 39-40 41
TABLE OF CONTENTS
TRAUMA GUIDELINE Rib Fracture Penetrating Neck Trauma Blunt Aortic Injury Blunt Cardiac Injury Penetrating Chest Trauma to the "BOX" ED Thoracotomy (EDT) Hemothorax Truncal Stab Wounds (Back, Flank, Abdomen) Blunt Abdominal Trauma Blunt Splenic Trauma Blunt Bowel and Mesenteric Injury Rectal Injury Pelvic Fracture Peripheral Vascular Injury Compartment Syndrome - Extremity Compartment Syndrome - Fasciotomy Trauma In Pregnancy OB Trauma Response
PAGE 42
43-44 45-46 47-48 49-50 51-52 53-54 55-56 57-58 59-60 61-62 63-64 65-66 67-68 69-70
71 72-73
74
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