TSICU:Main: Difference between revisions
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=='''Admin Updates & Reminders'''== | =='''Admin Updates & Reminders'''== | ||
*Please ensure continued and timely use of the OR to TSICU Handoff Tool | *Please review and remember the '''Standardized Work for Morning Rounds''' | ||
**[[media:Standardized_Work_3WICU_Morning_Rounds_v.5.pdf]] | |||
*Please ensure continued and timely use of the '''OR to TSICU Handoff Tool''' | |||
**[[media:OR_to_TSICU_RN_Handoff_Tool_.pdf]] | **[[media:OR_to_TSICU_RN_Handoff_Tool_.pdf]] | ||
*Ensure that '''Admit to ICU order is placed PRIOR to patient arrival in the SICU''' | |||
**[[media:ER_to_SICU_Workflow_v2.pdf]] | |||
===[[Media:SICU Intern Guide.pdf]]=== | ===[[Media:SICU Intern Guide.pdf]]=== | ||
| Line 10: | Line 16: | ||
=='''[[TSICU:General Administrative]]'''== | =='''[[TSICU:General Administrative]]'''== | ||
*'''[[TSICU: Phone Numbers]]''' | *'''[[TSICU: Phone Numbers]]''' | ||
| Line 53: | Line 54: | ||
===Referral to One Legacy=== | ===Referral to One Legacy=== | ||
*[[Brain death]] | *[[Brain death]] | ||
*[[media:Tissue_and_Organ_Donations.pdf]] | |||
===Death Packet Checklist=== | ===Death Packet Checklist=== | ||
| Line 59: | Line 61: | ||
=='''Core Clinical Conditions & Management'''== | =='''Core Clinical Conditions & Management'''== | ||
==='''Assessment & Management of the Injured Patient'''=== | |||
*'''Roles & Responsibilities of the Trauma Team''' | |||
**[[media:Trauma_roles_and_responsibilities_revised.pdf]] | |||
*'''Trauma Team Activation and Response''' | |||
**[[media:Trauma_team_activation_and_response.pdf]] | |||
*'''Initial Assessment and Management of the Trauma Patient''' | |||
**[[media:Initial_assessment_and_management_of_the_trauma_patient.pdf]] | |||
*'''Blunt Head Trauma Evaluation''' | |||
**[[media:Blunt_head_trauma_evaluation.pdf]] | |||
*'''Traumatic Intracranial Hemorrhage Algorithm''' | |||
**[[media:Traumatic_Intracranial_Hemorrhage.pdf]] | |||
*'''Blunt Neck Trauma Evaluation''' | |||
**[[media:Blunt_Neck_Trauma_.pdf]] | |||
*'''Blunt Cerebrovascular Injury Evaluation and Management''' | |||
**[[media:BCVI_Evaluation_and_Management.pdf]] | |||
*'''Cervical Spine Evaluation and Injury Management''' | |||
**[[media:C-Spine_Injury_Evaluation_and_Managment.pdf]] | |||
*'''Penetrating Neck Trauma Evaluation and Management''' | |||
**[[media:Penetrating_neck_trauma_evaluation_and_management.pdf]] | |||
*'''Blunt Chest Trauma Evaluation and Management''' | |||
**[[media:Blunt_Chest_Trauma_.pdf]] | |||
*'''Rib Fractures and Flail Chest''' | |||
**[[media:Rib_Fractures_&_Flail_Chest.pdf]] | |||
*'''Pneumothorax or Hemothorax''' | |||
**[[media:Pneumothorax_and_Hemothorax.pdf]] | |||
*'''Pneumomediastinum Evaluation and Management''' | |||
**[[media:Pneumomediastinum.pdf]] | |||
*'''Blunt Cardiac Injury''' | |||
**[[media:Blunt_Cardiac_Injury.pdf]] | |||
*'''Penetrating Precordial Trauma''' | |||
**[[media:Penetrating_Precordial_Trauma.pdf]] | |||
*'''Blunt Aortic Injury''' | |||
**[[media:Blunt_Aortic_Injury.pdf]] | |||
*'''Blunt Abdominal Trauma''' | |||
**[[media:Blunt_Abdominal_Trauma.pdf]] | |||
*'''Solid Organ Injury Management (Kidney, Spleen, Liver)''' | |||
**[[media:Solid_Organ_Injury.pdf]] | |||
*'''Genitourinary Trauma (Kidney, Ureter, Bladder)''' | |||
**[[media:GU_Trauma.pdf]] | |||
*'''Penetrating Abdominal/Flank/Back injury evaluation and management''' | |||
**[[media:Penetrating_Abdo_Flank_Back.pdf]] | |||
*'''Pelvic Fractures''' | |||
**[[media:Pelvic_fracture_Harbor_Trauma.pdf]] | |||
*'''Blunt Peripheral Vascular Trauma''' | |||
**[[media:Blunt_peripheral_vascular.pdf]] | |||
*'''Penetrating Peripheral Vascular Trauma''' | |||
**[[media:Penetrating_peripheral_vascular_trauma.pdf]] | |||
*'''Evaluation of the Thoracolumbar Spine after Blunt Trauma management''' | |||
**[[media:Blunt_Thoracolumbar_spine_.pdf]] | |||
*'''Traumatic Injury Potentially Requiring Catheter Based/Endovascular Intervention''' | |||
**[[media:Catheter-based-Endovascular Interventions.pdf]] | |||
*'''Evaluation and Management of Extremity Compartment Syndrome''' | |||
**[[media: Extremity_compartment_syndrome.pdf]] | |||
*'''REBOA''' | |||
**[[media: REBOA.pdf]] | |||
*'''Harbor-UCLA Medical Center Massive Transfusion Protocol Fact Sheet''' | |||
**[[media:Massive_Transfusion_Protocol_HUCLA.pdf]] | |||
*'''The Continuous Process of Performance Improvement''' | |||
**[[media:PIPS.pdf]] | |||
*'''ACS TQIP: Orthopedic Best Practices in the Management of Orthopedic Trauma''' | |||
**[[media:TQIP_Best_Practices_Ortho_Trauma.pdf]] | |||
*'''ACS TQIP: Geriatric Trauma Management Guidelines''' | |||
**[[media:TQIP_Geriatric_Trauma.pdf]] | |||
==='''Shock'''=== | ==='''Shock'''=== | ||
*[[Undifferentiated shock]] | *[[Undifferentiated shock]] | ||
| Line 84: | Line 151: | ||
====Discontinuing Mechanical Ventilation==== | ====Discontinuing Mechanical Ventilation==== | ||
*TSICU Extubation Standard Operating Procedure | *TSICU Extubation Standard Operating Procedure | ||
**[[media:Standardized_Work_-_3WICU_Morning_Rounds_v.4.pdf]] | |||
*[[Ventilation weaning]] | *[[Ventilation weaning]] | ||
*[[Extubation]] | *[[Extubation]] | ||
| Line 184: | Line 252: | ||
==='''Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)'''=== | ==='''Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)'''=== | ||
====RASS==== | *[[ICU sedation]] | ||
===='''RASS'''==== | |||
====[[Delirium]]==== | ====[[Delirium]]==== | ||
*CAM-ICU | |||
*[[media:CAM-ICU.pdf]] | |||
==='''Endocrine Emergencies'''=== | ==='''Endocrine Emergencies'''=== | ||
| Line 202: | Line 274: | ||
====[[Diabetes insipidus]]==== | ====[[Diabetes insipidus]]==== | ||
==='''Venous Thromboembolism''' | ==='''[[Venous Thromboembolism]]''' | ||
[[Category:Admin]]=== | |||
Latest revision as of 21:58, 31 August 2022
This is the main page for Harbor-UCLA Trauma SICU
Admin Updates & Reminders
- Please review and remember the Standardized Work for Morning Rounds
- Please ensure continued and timely use of the OR to TSICU Handoff Tool
- Ensure that Admit to ICU order is placed PRIOR to patient arrival in the SICU
Media:SICU Intern Guide.pdf
Coming Soon: TSICU Orientation & Welcome Video-Dr. Dennis Kim
TSICU:General Administrative
TSICU: Weekly Schedule
TSICU:Educational Conferences
TSICU:Clinical Documentation
TSICU:Order Sets
TSICU:Mandatory Call Criteria
TSICU:Equipment & Supplies
TSICU:Miscellaneous
TSICU:Patient Care Management
TSICU:Admissions
*Every admission to the TSICU requires Trauma/SICU Attending approval
TSICU:Transfers & Downgrades
TSICU:Ordering Labs, Tests, & Diagnostic Imaging
TSICU:Antibiotic Stewardship
TSICU:Bedside Procedures
Referral to One Legacy
Death Packet Checklist
TSICU:Educational Resources
Core Clinical Conditions & Management
Assessment & Management of the Injured Patient
- Roles & Responsibilities of the Trauma Team
- Trauma Team Activation and Response
- Initial Assessment and Management of the Trauma Patient
- Blunt Head Trauma Evaluation
- Traumatic Intracranial Hemorrhage Algorithm
- Blunt Neck Trauma Evaluation
- Blunt Cerebrovascular Injury Evaluation and Management
- Cervical Spine Evaluation and Injury Management
- Penetrating Neck Trauma Evaluation and Management
- Blunt Chest Trauma Evaluation and Management
- Rib Fractures and Flail Chest
- Pneumothorax or Hemothorax
- Pneumomediastinum Evaluation and Management
- Blunt Cardiac Injury
- Penetrating Precordial Trauma
- Blunt Aortic Injury
- Blunt Abdominal Trauma
- Solid Organ Injury Management (Kidney, Spleen, Liver)
- Genitourinary Trauma (Kidney, Ureter, Bladder)
- Penetrating Abdominal/Flank/Back injury evaluation and management
- Pelvic Fractures
- Blunt Peripheral Vascular Trauma
- Penetrating Peripheral Vascular Trauma
- Evaluation of the Thoracolumbar Spine after Blunt Trauma management
- Traumatic Injury Potentially Requiring Catheter Based/Endovascular Intervention
- Evaluation and Management of Extremity Compartment Syndrome
- REBOA
- Harbor-UCLA Medical Center Massive Transfusion Protocol Fact Sheet
- The Continuous Process of Performance Improvement
- ACS TQIP: Orthopedic Best Practices in the Management of Orthopedic Trauma
- ACS TQIP: Geriatric Trauma Management Guidelines
Shock
- Undifferentiated shock
- Hypovolemic
- Cardiogenic
- Distributive
- Resuscitation Endpoints
- Ultrasound: In Shock and Hypotension
Assessment of Fluid Responsiveness in the ICU
Pulmonary
Initiating Mechanical ventilation (main)
Discontinuing Mechanical Ventilation
- TSICU Extubation Standard Operating Procedure
- Ventilation weaning
- Extubation
Noninvasive ventilation
Acute Respiratory Distress Syndrome
Advanced Modes of Ventilation
- Extracorporeal Membrane Oxygenation
Cardio/Vascular
Arrhythmias
Hypertensive Emergency
Nontraumatic thoracic aortic dissection
Acute limb ischemia
Coming Soon: TSICU Anti-impulse Management Protocol
Renal
Acute kidney injury
Acid-base disorders
Electrolyte abnormalities
Rhabdomyolysis
Uremia
Renal Replacement Therapy
- CVVHD
- IHD
Sepsis & Septic Shock
Infections in the ICU & Appropriate Selection of Antibiotics
Post-operative fever
Ventilator Associated Event (VAE) formerly known as Ventilator associated pneumonia (VAP)
Catheter Associated Urinary Tract Infection
Central Line Associated Bloodstream Infection
Surgical Site Infections
- Superficial
- Deep
- Organ Space
C- difficile Infection
Harbor:Infectious Disease Threats
Hepatic & GI
Liver Failure
Abdominal compartment syndrome
Nutrition Therapy including Stress Ulcer Prophylaxis
FEED ME Protocol
Refeeding syndrome
Disseminated Intravascular Coagulopathy
Traumatic Brain injury
Mild traumatic brain injury
Moderate-to-severe traumatic brain injury
Spinal Cord Injury
- ASIA Score
- Spinal cord syndromes
Neurologic Emergencies
Altered mental status
Seizure
Alcohol withdrawal seizures
- CIWA Protocol
CVA
Management of Hemorrhage in Patients on Antithrombotic Therapy
Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)
RASS
Delirium
Endocrine Emergencies
Diabetic ketoacidosis
Nonketotic hyperglycemia
Hyperosmolar hyperglycemic state
Hypoglycemia=
Diabetes medications
Adrenal crisis
Pheochromocytoma
Thyroid storm
Myxedema coma
Hypothyroidism
Diabetes insipidus
===Venous Thromboembolism===
