Trauma Guideline Manual - SUNY Upstate Medical University

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12____________ Trauma Guideline ManualUpstate Medial University Trauma CenterOBJECTIVES:1. Define the protocol for trauma team notification for pediatric trauma patients who arebrought to the trauma center at SUNY, Upstate.2. Describe the respective roles of the pediatric surgeons and the adult trauma surgeons inthe resuscitation of pediatric patients.3. Define the responsibility of the resident teams in the resuscitation of pediatric traumapatients.DEFINITIONS:1. Pediatric trauma patients: those patients transported to the trauma center who are 14years old or younger and meet the trauma patient definitions.2. Pediatric surgeons: Dr Ahmed, Dr. Meier, Dr. Wallenstein3. Trauma resident team: Residents assigned to or covering the trauma team4. Pediatric Surgery resident team: Residents assigned to or covering the pediatric surgeryservice.GUIDELINES:1. Pediatric trauma patients enter the trauma center system in the same fashion as allother patients2. Scene transport – contact will be made with the Emergency Medicine (EM) attendingphysician or representative3. Acute inter-hospital transport – contact will be made through the referral line to thepediatric surgeon. The pediatric trauma surgeon will notify the EM attending that apatient has been accepted5. Hospital-to-hospital transfer – for patients who are already admitted to another hospital.Initial contact will be made with responsible pediatric trauma surgeon. Admissions will bedirected to the PICU or floor after discussion between the pediatric trauma surgeon andthe pediatric attending physician.6. Trauma Codesa. A pediatric group page will be used to alert the trauma team and the pediatricsurgeonb. The alpha-numeric message will include the approximate age of the patient (lessthan or equal to 14)c. Response time for the pediatric attending surgeon will be according to nationalguidelines (i.e. less than 15 minutes to the resuscitation room). The “TraumaSurgeon” parking spot is available for the pediatric surgeon’s use whenresponding to the trauma code.
Trauma Guideline Manual______________Upstate Medical University Trauma Center13d. The resuscitation will be started by the Trauma residents and directed by the PedsEM attending until the pediatric surgeon arrives. The pediatric surgeon will bethe responsible attending after arrival.e. The adult trauma surgeon is the back-up in the case of a multiple pediatric traumacodes.7. Trauma Consultsa. The pediatric surgeon will be contacted within 60 minutes of the initial traumaconsult (or sooner if the condition dictates).b. Patients who require admission will be initially seen and evaluated by the Traumateam but admitted to the pediatric surgery service.8. Direct Transfer of Inpatients:a. The pediatric surgeon will communicate with the referring medical team.b. The admission will be to the pediatric surgical service without the involvement ofthe Trauma team.
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