Trauma Guideline Manual - SUNY Upstate Medical University

More documents

Recommendations

Info

26____________ Trauma Guideline ManualUpstate Medial University Trauma CenterTo define the procedure for treatment of multiple trauma patients simultaneously admitted to theEmergency Department.DEFINITION:Multiple trauma patients: More than one patient arriving in the trauma resuscitation areasimultaneously or sequentially over a short time span.GUIDELINES:1. In general, patients are admitted to the trauma room one at a time and the usualassignment of responsibilities is followed (see Guideline: Role Assignment). The traumaand EM attendings will provide supervision for all patients.2. Assume the following responders: Trauma attending, EM attending, ED senior resident,ED junior resident, trauma junior resident, trauma intern, ED intern (intern = PG1). If notspecifically assigned, the responders will help where needed.3. When multiple patients are admitted simultaneously, the following assignments are made(acuity: Patient A > Patient B > Patient C > Patient D):a. Two patients:i. Patient A –Chief Trauma resident, junior EM residentii. Patient B –Trauma or EM attending, EM senior resident.b. Three patients:i. Patient A – Chief trauma resident.ii. Patient B – Senior EM residentiii. Patient C – EM attendingc. Four patients:i. Patient A – Chief trauma residentii. Patient B – Trauma attendingiii. Patient C – Senior EM residentiv. Patient D – EM attending4. The Trauma and EM attendings will provide general supervision for all patients.5. Make sure that all teams are communicating with each other to continually assess changingacuity and priorities for diagnostic studies. All important information should be relayed tothe most senior physician.6. Consider the activation of the back-up Trauma team (see Practice Guideline: Activation ofthe Back-Up Trauma Team)If additional trauma patients are anticipated, the EM attendingshould consider activation of the disaster plan according to established procedures.OPERATIONAL GUIDELINES: ACTIVATION OF THE BACK-UP TRAUMA TEAMOBJECTIVES:1. To define the situation in which the back-up team should be notified.2. To define the mechanism by which the back-up team should be activated.
Trauma Guideline Manual______________Upstate Medical University Trauma Center27GUIDELINES:1. At all times a trauma back-up team will be available. The back-up Trauma Attending can befound on the call schedule for Surgery.2. The back-up team should be notified under the following circumstances:a. The trauma team is in the OR trauma activation has occurred and no one can respond.b. The trauma team is occupied in multiple resuscitations.c. The trauma attending shall make the decision to activate the back-up team.3. When the trauma team is available again, the back-up trauma team should be notified thatthey are no longer needed.4. If patient demands exceed resources available, consider activation of the mass casualtyplan.
Page 11 and 12: Trauma Guideline Manual____________
Page 25: Trauma Guideline Manual____________
Page 48 and 49: 48____________ Trauma Guideline Man
Page 76 and 77:
76____________ Trauma Guideline Man
Page 78 and 79:
Page 80 and 81:
Page 82 and 83:
Page 84 and 85:
Page 86 and 87:
Page 88 and 89:
Page 90 and 91:
Page 92 and 93:
Page 94 and 95:
Page 96 and 97:
Page 98 and 99:
Page 100 and 101:
100____________ Trauma Guideline Ma
Page 102 and 103:
Page 104 and 105:
Page 106 and 107:
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
118____________ Trauma Guidelines M
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
Page 154 and 155:
Page 156 and 157:
show all

Trauma Guideline Manual - SUNY Upstate Medical University

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?