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Emergency General Surgery
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Trauma and Surgical Critical Care Practice Management Guidelines

Reviews and updates of all practice management guidelines are performed on a rolling two-year cycle

General
Kidney Injury grading scale _{updated Apr 2022}
Liver Injury grading scale _{updated Apr 2022}
Pancreas Injury grading scale _{updated Apr 2022}
Spleen Injury grading scale _{updated Apr 2022}

Operational
AUDIT-C _{added Jan 2024}
Consultation Guidelines For Trauma Sub-Specialties _{updated Apr 2024}
ECMO PMG_{updated Jan 2025}
ED Discharge Instructions for Penetrating wounds _{updated Sep 2022}
Geriatric Trauma PMG _{updated May 2024}
Guidelines for Evaluation & Management of Neurosurgical Trauma Patients _{updated May 2024}
In-house STEMI algorithm _{updated Mar 2023}
Mental Health Screening_{added Jan 2024}
Neuro Consult Times _{updated Mar 2023}
Ortho Consult Times _{updated Sep 2023}
Operating Room: Level 1 Pre-Brief _{Updated July 2024}
Stroke Trauma Algorithm _{updated Jan 2024}
Speech Therapy/Cog Evaluations _{added Oct 2023}
T2 Resident-NP service _{updated Aug 2024}
Trauma and Burn Activation Criteria _{updated Feb 2024}
Trauma-OB PMG _{updated Feb 2023}
Trauma Response by Criteria _{updated Mar 2023}
VUMC Facial Trauma PMG _{updated Jan 2024}

Initial Evaluation and Management
Blunt Cerebrovascular Injury _{updated June 2024}
CT Scan in the Pregnant Patient _{reviewed Aug 2024}
CT Contrast Flowchart_{updated Apr 2025}
Exposure Keratopathy _{added May 2024}
Friction Burn Management _{updated Aug 2024}
Massive Transfusion _{updated Oct 2023}
Ortho Trauma Admission _{updated Aug 2022}
pREBOA Algorithm _{updated Sep 2023}
REBOA Sheath and Catheter Removal _{updated Sep 2023}
Solid Organ Injury _{updated Apr 2025}
Urogenital Trauma _{Updated July 2024}
Whole Blood SOP _{updated Dec 2024}

Neurotrauma
Brain Death Algorithm _{updated Jul 2023}
C-Collar Clearance Guideline _{updated Nov 2023}
Diabetes Insipidus in Brain Injury _{updated May 2024}
Pentobarbital Coma _{updated Jan 2025}
Restraints in TBI _{updated June 2024}
Seizure Prophylaxis _{updated Jan 2025}
Spinal Cord Injury _{updated Mar 2024}
Thoracic Lumbar Compression & Endplate Fractures _{added Nov 2023}
Traumatic Brain Injury _{updated June 2025}

Chest and Pulmonary
Blunt Cardiac Injury _{updated Jan 2024}
Hemopneumothorax Guidelines _{updated Sep 2023}
Rib Fracture Guidelines _{updated December 2024}
TEC vs ESPB vs PVB _{updated May 2024}
COPD Exacerbation

Infection
Antibiotics in Craniofacial Trauma _{updated Dec 2024}
Antibiotic Prophylaxis in Abdominal Trauma _{updated Nov 2024}
Aspiration Screening_{added Dec 2024}
Orthopedic Prophylactic Antibiotics _{updated May 2024}
Trauma Antimicrobial Stewardship_{updated May 2024}
Trauma and Fever PMG _{updated Apr 2023}
Splenectomy Vaccination Guideline _{updated Nov 2024}

Procedures
Bedside Surgery _{Reviewed April 2024}
Bronchoscopy Performance Guidelines _{Reviewed April 2024}
Central Venous Access _{Reviewed April 2024}
Percutaneous Endoscopic Gastrostomy Practice Guidelines _{Reviewed May 2024}
Rapid Sequence Intubation w/checklist _{Updated April 2024}
Tracheostomy _{Reviewed May 2024}

Pharmacology
Analgesia Sedation for Intubated Patients_{added Sep 2021}
Atrial Fibrillation Treatment Algorithm _{updated May 2024}
Stress Ulcer Prophylaxis _{updated Aug 2024}
Alcohol Withdrawal Prevention Guideline _{updated Jan 2023}
Trauma Delirium Management _{updated May 2024}
Trauma DVT/VTE Prophylaxis Guidelines _{updated June 2025}

Fluids, Electrolytes And Nutrition
Bowel Regimen _{updated Dec 2024}
Electrolyte Replacement _{updated Feb 2024}
Trauma Glycemic Control _{updated July 2024}
Trauma ICU Nutrition Guidelines _{updated Apr 2023}
Management of High Ostomy Output_{added Jan 2024}

ICD 10 Codes
Trauma Risk Factor Capture
TBI Cheat Sheet

Trauma

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