Surgicalcriticalcare.net

Evidence Based-Medicine Guidelines

The following is a collection of best practice guidelines currently in use by the Surgical Critical Care service at Orlando Regional Medical Center (ORMC). They are based upon the most recent medical literature and are reviewed and updated on a regular basis. Guidelines that are either or have been within the past 180 days are marked accordingly. Please note that certain aspects of these guidelines, such as antibiotic sensitivities and recommendations, are specific to the adult ICU's at ORMC and may not be applicable to other patient populations. These guidelines may be downloaded and adapted for use in your own intensive care unit. Please contact the Webmaster if you have questions or suggestions regarding these guidelines.

The Evidence-Based Medicine Guidelines Committee is pleased to share these guidelines for clinical use in your intensive care unit. If you choose to do so, the Committee requests that the time and effort involved in developing these guidelines be appropriately recognized. All guidelines contained on this site are copyrighted by Surgicalcriticalcare.net unless otherwise indicated.

Guidelines should be referenced in the following manner: Rojas K, Birrer K, Cheatham M, Smith C. Seizure Prophylaxis following Traumatic Brain Injury. http://www.surgicalcriticalcare.net/Guidelines/Seizure prophylaxis in TBI 2017.pdf. Updated July 26, 2017. Accessed January 13, 2021.


Cardiovascular

EBM Guideline
Revision Date
Times Accessed
Acute Atrial Fibrillation in the Surgical Patient
12-13-2017
10836
Axillary Artery and Vein Cannulation
07-30-2015
13366
Blunt Cardiac Trauma
09-29-2016
5897
Free Flap Management
02-21-2020
7849
Hypertension Management
11-26-2015
12104
Noninvasive Hemodynamic Monitoring
09-29-2016
5494
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
4073
Vasopressors and Inotropes in Shock
09-12-2019
37244

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
5291
Hyperglycemia Control in the Critically Ill
12-07-2011
8171
Thyroid Management in the ICU
06-18-2019
4199

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
21276
Fluid Resuscitation
11-03-2017
12140
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
7920
Rhabdomyolysis: Prevention and Treatment
08-12-2018
11258

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
6855
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
10848
Blunt Splenic Injury
09-30-2015
5816
Cirrhotic Management
02-25-2016
4580
Clostridium difficile Infection
06-29-2015
5306
Diverticulitis
09-30-2015
4828
Enteral Feeding Guidelines
04-10-2017
14532
Intra-abdominal Pressure Monitoring
03-23-2015
4575
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
21006
Percutaneous Endoscopic Gastrostomy
06-11-2020
4526
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
9513
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
7802
Small Bowel Obstruction
06-04-2014
4161
Stress Ulcer Prophylaxis
11-03-2017
7614

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
4917
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
8593
Disseminated Intravascular Coagulation
04-10-2017
3575
DVT Prophylaxis in Solid Organ Injury
12-05-2013
5174
Erythropoietin Use in the Critically Ill
02-06-2008
5911
Heparin Induced Thrombocytopenia
09-14-2019
5580
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
4114
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
39395
Non-Vitamin K Anticoagulation Reversal
08-12-2018
5269
Thromboelastography (TEG) in Trauma
12-04-2014
6886
Ultrasound Guided Peripheral IV Insertion
05-27-2020
2102
Venous Thromboprophylaxis in Obesity
02-25-2016
15155
Warfarin Dosing
09-01-2009
4482
Warfarin Reversal
11-30-2017
5943

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
3832
Antibiotic Prophylaxis in Surgery
11-30-2013
13265
Candida Infections in Surgical Patients
04-10-2017
5619
Continuous Antibiotic Infusions
05-16-2007
3454
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
6634
Facial Fracture Antibiotics
04-29-2020
6463
Presumptive Chest Tube Antibiotics
03-07-2013
3897

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
9568
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
25662
Blunt Cerebrovascular Injury
09-30-2015
4978
Brain Death Determination / Apnea Test Procedure
09-10-2019
11985
Cervical Spine Clearance
12-13-2017
4666
Delirium Management in the ICU
08-12-2018
8809
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
9332
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
7683
Pain Management in Surgery
09-30-2015
4452
Sedation and Agitation Management in the ICU
10-25-2009
4781
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
34345
Severe Traumatic Brain Injury Management
09-11-2019
12159
Syncope Evaluation in the Trauma Patient
09-29-2016
3719
Therapeutic Hypothermia
09-01-2020
4902

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
4119
Chest Tube Management
09-29-2016
5839
Diaphragm Pacing
07-18-2019
2945
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
4787
High frequency oscillatory ventilation in the surgical patient
03-04-2009
3495
Independent Lung Ventilation
12-04-2014
3340
Multi-modality Rib Fracture Management
03-05-2020
9221
Peri-Procedural Tracheostomy Complications
01-04-2013
3204
Post-Extubation Stridor
08-01-2017
6556
Post-Tracheostomy Hemorrhage
07-30-2015
5291
Rescue Ventilation
08-22-2018
4440
Retained Hemothorax
04-28-2016
10012
Surgical Fixation of Rib Fractures
09-04-2020
11016
Timing of Tracheostomy
04-29-2020
7714
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
5696
Ventilator-Associated Pneumonia
02-25-2016
4245

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
6009
Burn Resuscitation
11-26-2019
9879
Ketamine for Analgesia
12-27-2019
6442
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
9015
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
7314
Snakebite/crotalid Antivenoms
09-28-2018
4835

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
4657
Central Venous Catheterization
12-04-2009
7777
Fever Assessment
06-27-2019
9489
Gabapentin in Post-operative Pain Management
09-29-2016
6333
Ketamine for Analgesia
12-13-2017
8803
Laparoscopy in Trauma
02-25-2016
3772
Mangled Extremity
04-28-2016
5757
Muscle Relaxants in Multimodal Pain Management
01-26-2017
10457
Necrotizing Soft Tissues Infections
09-28-2018
5998
Negative Pressure Wound Therapy
02-06-2014
3222
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
9298