TSICU:Main

This is the main page for Harbor-UCLA Trauma SICU

Admin Updates & Reminders

• 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

• Ensure that Admit to ICU order is placed PRIOR to patient arrival in the SICU
  • media:ER_to_SICU_Workflow_v2.pdf

TSICU:General Administrative

• TSICU: Phone Numbers

• TSICU:Consult Services

• Los Angeles ED phone directory

TSICU:Mandatory Call Criteria

• media: TSICU_Mandatory_Call_Criteria_Final.pdf

TSICU:Patient Care Management

TSICU:Admissions

*Every admission to the TSICU requires Trauma/SICU Attending approval

TSICU:Antibiotic Stewardship

• media:2018 Harbor-UCLA Antibiogram.pdf

Referral to One Legacy

• Brain death
• media:Tissue_and_Organ_Donations.pdf

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

• Undifferentiated shock
• Hypovolemic
  • Hemorrhagic Shock
  • Massive Transfusion
• Cardiogenic
  • Acute coronary syndrome (main)
  • ACLS (Main)
• Distributive
• Resuscitation Endpoints
  • IV fluid resuscitation
  • IVF composition
• Ultrasound: In Shock and Hypotension

Pulmonary

Initiating Mechanical ventilation (main)

• Ventilation modes
• Recruitment maneuver
• Ventilator associated lung injury
• Ventilator high pressures

Discontinuing Mechanical Ventilation

• TSICU Extubation Standard Operating Procedure
  • media:Standardized_Work_-_3WICU_Morning_Rounds_v.4.pdf
• Ventilation weaning
• Extubation

Acute Respiratory Distress Syndrome

• ARDSnet Ventilator Settings

Advanced Modes of Ventilation

• APRV
  • media:CCM APRV Algorithm.pdf

• High frequency oscillation ventilation

• Extracorporeal Membrane Oxygenation

Renal

Acid-base disorders

• Anion gap acidosis
• Non anion gap acidosis

Electrolyte abnormalities

• Hyper
  • Hypernatremia
  • Hyperkalemia
  • Hypercalcemia
  • Hypermagnesemia
  • Hyperphosphatemia

• Hypo
  • Hyponatremia
  • Hypokalemia
  • Hypocalcemia
  • Hypomagnesemia
  • Hypophosphatemia

Renal Replacement Therapy

• CVVHD
• IHD

Sepsis & Septic Shock

• Sepsis (Main)
• Initial Antibiotics in Sepsis (Main)

Infections in the ICU & Appropriate Selection of Antibiotics

Surgical Site Infections

• Superficial
• Deep
• Organ Space

Traumatic Brain injury

• Glasgow Coma Scale

Moderate-to-severe traumatic brain injury

• Elevated intracranial pressure

Spinal Cord Injury

• ASIA Score
• Spinal cord syndromes

Neurologic Emergencies

Seizure

• Anticonvulsant levels and reloading

Alcohol withdrawal seizures

• CIWA Protocol

CVA

• NIH Stroke Scale

Management of Hemorrhage in Patients on Antithrombotic Therapy

• Anti-platelet agent reversal
• Anticoagulant reversal for life-threatening bleeds

Pain, Agitation, Delirium, Immobility, and Sleep (PADIS)

• ICU sedation

Delirium

• media:CAM-ICU.pdf

Endocrine Emergencies

Diabetes medications

• Insulin

Diabetes insipidus

===Venous Thromboembolism===