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College of Medicine: Department of Surgery

Acute Care Surgery Guidelines

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Trauma Guidelines

  1. Trauma Team Activation Criteria
  2. Trauma Activation Table

Resuscitation

  1. Emergency Airway Guideline
  2. Massive Blood Transfusion
  3. Anticoagulant Rapid Evaluation and Reversal

Brain/Spine Injuries

  1. Traumatic Brain Injury (TBI) Management: Severe & Moderate
  2. Blunt Cerebrovascular Injury (BCVI) Screening and Treatment
  3. Spinal Cord Injury
  4. Spinal Column Injuries without Cord Involvement Management
  5. Cervical Spine Evaluation and Clearance

Chest/Abdominal/Pelvis Injuries

  1. Blunt Cardiac Injury Management
  2. Blunt Chest Wall Injury
  3. Chest Tube Placement & Management
  4. Solid Organ Injury Management Guideline (Spleen, Liver, Kidney)
  5. Pelvic Fracture Management Guideline

Fractures

  1. Antibiotics for Open Fractures
  2. Combined Orthopedic & Vascular Extremity Trauma
  3. Long Bone Fractures in Polytraumatized Patients
  4. Hip Fracture Orthopedic Trauma Guideline

Special Patient Populations & Rare Injuries

  1. Older Adult Trauma Guideline
  2. Burn Management
  3. Snakebite Management
  4. Pregnant Trauma Patients

Admitted Patients

  1. Pain Multimodal Protocol
  2. Venous Thromboembolism Prophylaxis
  3. Electrolyte Replacement Protocol (MEGA)
  4. Splenectomy Vaccines

SICU Guidelines

  1. Surgical Critical Care
  2. Open Abdomen Management
  3. Tube Feeding Before Surgery
  4. Gastric Ulcer Prophylaxis
  5. CAUTI Prevention Guideline
  6. CLABSI Prevention Guideline
  7. SICU Sleep Protection Guidelines
  8. SICU Indications & Transfer Out Process
  9. Surgical Site Infection (SSI) Reduction Bundle

EGS Guidelines

  1. Expectations for Resident on Emergency General Surgery
  2. Small Bowel Obstruction Guideline
  3. EGS/Trauma Intraoperative Consultation Guidelines
  4. Biliary Disease Guideline
  5. EGS Surgery Placement and Discharge Planning Guideline
  6. EGS Follow-up Guideline
  7. Amputations of the Leg for Necrotizing Soft Tissue Infection (NSTI)
  8. Diverting Colostomy Guideline

Operational Guidelines

  1. Expectations for Resident on Trauma Team
  2. Trauma Response Roles and Responsibilities
  3. Imaging of Trauma Patients & Rapid Imaging Protocol in Trauma (RIPIT)
  4. Radiology Communication of Critical Imaging Results
  5. Neurosurgery Emergency Bedside Consultation
  6. Orthopedic Emergency Bedside Consultation
  7. IR – EMBO-STAT
  8. Transport of Trauma Patient from the ED to procedures
  9. Burn Transfers
  10. Pediatric Transfers
  11. Assessment of Children for Nonaccidental Trauma
  12. Alcohol Misuse Screening & Interventions
  13. Mental Health Screening and Referral
  14. Transfer of Inpatient Service Protocol
  15. Inpatient Rehabilitation Services
  16. Rehabilitation and Discharge Planning
  17. Unknown Trauma Patient Identity
  18. Direct Admission of Trauma Patient
  19. Hopscotch Protocol (UAMS/MEMS) for pediatric patients who arrive with adult trauma patients
  20. Hand Microvascular/Replant Telemedicine
  21. Trauma Flow Sheet Completion Guideline
  22. Ophthalmology Consultation

ECMO

ECMO Guidelines

  1. ECMO Watch
  2. ECMO Antibiotic Stewardship
  3. ECMO Sedation Considerations

ECMO Checklists

  1. VV Cannulation – Physician
  2. VV Cannulation – Perfusion
  3. VV Cannulation – RN
  4. VA Cannulation – Physician
  5. VA Cannulation – Perfusion
  6. VA Cannulation – RN

ECMO Resources

  1. http://www.save-score.com/
  2. http://www.respscore.com/
  3. http://elso.org/

Trauma Resources

  1. TEG Link

Badge Cards

  1. TEG Interpretation
  2. Agitation Medications Guide

Copyright © 2025 by UAMS Trauma Service

All rights reserved. No part of this publication, or those contained therein, may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the UAMS Trauma Program Director, except in the case of brief quotations embodied in critical reviews and certain other noncommercial uses permitted by copyright law. For permission requests, write to the UAMS Trauma Program Director, addressed “Attention: Permissions Coordinator,” at the address below.

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