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College of Medicine: Department of Surgery

Guidelines

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COVID-19 Guidelines

  1. Trauma Activation PPE (COVID-19) (new 4/9/2020)
  2. Medication Administration & Safety during the COVID-19 Response (new 4/2020)
  3. Minimum Contact ICU Care (COVID-19) (new 4/9/2020)
  4. Prone Positioning for Non-Intubated Patients (new 4/9/2020)

Education Primers

  1. Emergency General Surgery
  2. Trauma (updated 3/2021)
  3. Surgical Critical Care

Rotem

  1. Rotem link
  2. ROTEM Interpretation
  3. ROTEM Ordering Guidelines for Stat and Routine (reviewed 1/2019)

Activation Guidelines

  1. Trauma Team Activation Criteria (updated 12/2018)
  2. Trauma Roles and Responsibilities (updated 12/2018)
  3. Trauma Activation Table (updated 12/2018)

Clinical Practice Guidelines

  1. Rapid Evaluation and Reversal of Anticoagulants  and UAMS Pharmacy Guideline (updated 11/2018)
  2. Traumatic Cardiac Injury (updated 11/2018)
  3. Cervical Spine Evaluation and Clearance (updated 11/2018)
  4. Traumatic Chest Injury (updated 11/2018)
  5. Blunt Cerebrovascular Injury Screening and Treatment Guideline (updated 1/2021)
  6. Management of Spine Injuries – no cord involvement (updated 7/2020)
  7. Geriatric Trauma (updated 11/2018)
  8. Hypertonic Saline for Early Fascial Closure (updated 12/2018)
  9. Imaging of Trauma Patients (new 6/27/2019)
  10. Management of Liver and Spleen Injuries (updated 05/2020)
  11. Orthopedic Trauma Antibiotic Guideline (updated 3/2020)
  12. Traumatic Brain Injury Goal Directed Therapy (updated 5/2019)
  13. Antifibrinolytic Administration (TXA) (updated 7/2020)
  14. Venous Thromboembolism Prophylaxis (updated 7/1/2020)
  15. UAMS Chest Tube Management Guideline (updated 2/15/2019)
  16. Acute Pain Protocol (update 3/2020)
  17. UAMS Lab Guidelines (updated 3/15/2019)
  18. Small Bowel Obstruction Guideline (updated 3/15/2019)
  19. REBOA Insertion (updated 2/21/2019)
    1. Quick Reference Guide
  20. Utilization of Temporary Abdominal Closure (updated 2/21/2019)
  21. Spinal Cord Injury (updated 11/2018)
  22. Perioperative Tube Feeding (new 11/2018)
  23. Traumatic Pneumocephalus (new 4/2019)
  24. Post Splenectomy Vaccines (new 11/7/19)
  25. Orthopedic Hip Fracture Guideline (new 1/2020)
  26. Management of Major Bleeding following Trauma Guideline (new 7/2020)
  27. Management of Snakebites (new 11/20/20)
  28. Acute Pelvic Fracture Management Guideline (12/17/20)
  29. MEGA Electrolyte Replacement Protocol (revised 4/2022)
  30. GI Prophylaxis (new 3/2021)
  31. Surgical Site Infection (SSI) Reduction Bundle (new 5/2021)

Operational Guidelines

  1. Back Up Trauma Attending (reviewed 9/2019)
  2. Continuing Education (reviewed 4/2019)
  3. Determination of Brain Death 
  4. Diversion of Trauma Patients (reviewed 9/2019)
  5. Emergency Trauma OR Access (reviewed 12/2018)
  6. Emergency Bedside Neurosurgical Consultation (reviewed 9/2019)
  7. Emergency Bedside Orthopedic Consultation (reviewed 9/2019)
  8. Emergent IR Consultation (reviewed 5/2019)
  9. ER Delayed Capacity (reviewed 6/2019)
  10. Hopscotch Protocol (reviewed 9/2019)
  11. Inclement Weather Policy (reviewed 9/2019)
  12. Massive Blood Transfusion (updated 2/2022)
  13. Microvascular/Replant and Hand Telemedicine (reviewed 9/2019)
  14. Multi-team Communication (reviewed 8/2019)
  15. Neurotrauma Diversion/ Credentialing (reviewed 4/2019)
  16. Peer Review Patient Resuscitation Video (reviewed 8/2019)
  17. Pregnant Trauma Patients (reviewed 10/2019)
  18. Transfer of Burn Patients (reviewed 9/2019)
  19. Transfer of Pediatric Patients (new 8/13/2019)
  20. Transport of Trauma Patient from the ED to procedures (new 8/13/2019)
  21. Trauma Consults (reviewed 9/2019)
  22. Trauma Direct Admits (reviewed 9/2019)
  23. Trauma Panel Participation (reviewed 9/2019)
  24. Unknown Trauma Patient Identity (reviewed 9/2019)
  25. Completion of ED Trauma Flow Sheet Guideline (new 7/2020)
  26. Transfer of Service Protocol (new 1/2021)
  27. CAUTI Prevention Guideline (new 11/2021)

SICU Guidelines

  1. Indications for SICU Care & Transfer Out Process (new 1/2021)

ECMO Guidelines & Resources

ECMO Guidelines

  1. ECMO Watch (new 4/2021)
  2. ECMO Antibiotic Stewardship (new 4/2021)

ECMO Checklists

  1. VV Cannulation – Physician (new 4/2021)
  2. VV Cannulation – Perfusion (new 4/2021)
  3. VV Cannulation – RN (new 4/2021)
  4. VA Cannulation – Physician (new 4/2021)
  5. VA Cannulation – Perfusion (new 4/2021)
  6. VA Cannulation – RN (new 4/2021)

Resources

  1. Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care (SCCM/ASPEN) (new 4/2/2020)
  2. COVID-19 Guidelines (Surviving Sepsis Campaign – SCCM)
  3. COVID for Healthcare Providers App
  4. ICU One Pagers COVID-19
  5. Efficacy and Safety of Early Prone Positioning

Performance Improvement Plan

2021 PI Plan (PDF)

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UAMS Trauma Program Director
4301 West Markham St.
Slot 746
Little Rock, Arkansas 72205