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. 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
| Acute Atrial Fibrillation in the Surgical Patient | |
| Axillary Artery and Vein Cannulation | |
| Blunt Cardiac Injury | |
| Blunt Thoracic Aortic Injury | |
| Free Flap Management | |
| Hypertension Management | |
| Noninvasive Hemodynamic Monitoring | |
| Resuscitative Balloon Occlusion of the Aorta (REBOA) | |
| Resuscitative Thoracotomy | |
| Ultrasound Guided Peripheral IV Insertion | |
| Vasopressors and Inotropes in Shock |
Endocrine
| Critical Illness-Related Corticosteroid Insufficiency | |
| Hyperglycemia Control in the Critically Ill | |
| Thyroid Management in the ICU |
Fluids, Electrolytes, Nutrition
| Burn Nutrition | |
| Electrolyte Replacement | |
| Fluid Resuscitation | |
| Hypertonic Saline Bolus & Infusion | |
| Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures | |
| Rhabdomyolysis: Prevention and Treatment |
Gastrointestinal
| Acute Cholecystitis | |
| Acute Gastrointestinal Hemorrhage: Pharmacologic Management | |
Acute Liver Failure Management |
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| Blunt Splenic Injury | |
| Cirrhotic Management | |
| Clostridium difficile Infection | |
Diverticulitis |
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| Enteral Feeding Guidelines | |
| Intra-abdominal Pressure Monitoring | |
| Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas | |
| Percutaneous Endoscopic Gastrostomy | |
| Post-Splenectomy Vaccine Prophylaxis | |
| Premature Gastrostomy / Jejunostomy Removal | |
| Small Bowel Obstruction | |
| Stress Ulcer Prophylaxis |
Hematologic
| Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient | |
| Deep Venous Thrombosis Prophylaxis in Surgery and Trauma Patients | |
| Disseminated Intravascular Coagulation | |
| Erythropoietin Use in the Critically Ill | |
| Heparin Induced Thrombocytopenia | |
| Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism |
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| Massive Transfusion Protocol for Hemorrhagic Shock | |
| Non-Vitamin K Anticoagulation Reversal | |
| Thromboelastography (TEG) in Trauma | |
| Warfarin Dosing | |
| Warfarin Reversal |
Infectious Disease
| Aerosolized Antibiotic Therapy in the ICU | |
| Antibiotic Administration in Facial and Skull Fractures | |
| Antibiotic Prophylaxis in Surgery | |
| Candida Infections in Surgical Patients | |
| Continuous Antibiotic Infusions | |
| Empiric Antibiotic Use in Critically Ill Patients | |
| Presumptive Chest Tube Antibiotics |
Miscellaneous
| Alcohol Withdrawal | |
| Central Venous Catheterization | |
| Fever Assessment | |
| Gabapentin in Post-operative Pain Management | |
| Ketamine for Analgesia | |
| Laparoscopy in Trauma | |
| Mangled Extremity | |
| Muscle Relaxants in Multimodal Pain Management | |
| Necrotizing Soft Tissues Infections | |
| Negative Pressure Wound Therapy | |
| Neuromuscular Blocking Agents in the Adult ICU |
Neurologic
| Acute Spinal Cord Injury Guideline | |
| Analgosedation Management in the Adult Critically Ill | |
| Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage | |
| Blunt Cerebrovascular Injury | |
| Brain Death Determination / Apnea Test Procedure | |
| Cervical Spine Clearance | |
| Delirium Management in the ICU | |
| Management of Status Epilepticus in Adults | |
| Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury | |
| Pain Management in Surgery | |
| Seizure Prophylaxis in Traumatic Brain Injury | |
| Syncope Evaluation in the Trauma Patient | |
| Therapeutic Hypothermia Following Cardiac Arrest | |
| Traumatic Brain Injury Management |
Pulmonary
| Burn Inhalation Injury |
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| Pulmonary Blast Injury | |
| Thrombolytics for Pulmonary Embolism | |
| Air Travel Following Traumatic Pneumothorax | |
| Chest Tube Management | |
| Extubating the Trauma Patient with an Open Abdomen | |
| Independent Lung Ventilation | |
| Management of Hemothorax (This describes the process of chest tube irrigation for hemothorax; an updated guideline is under way) | |
| Multi-modality Rib Fracture Management | |
| Paracostal Infusion of Bupivacaine for Management of Rib Fracture Pain | |
| Peri-Procedural Tracheostomy Complications | |
| Post-Extubation Stridor | |
| Post-Tracheostomy Hemorrhage | |
| Rescue Ventilation | |
| Retained Hemothorax | |
| Surgical Fixation of Rib Fractures | |
| Timing of Tracheostomy | |
| Tissue Plasminogen Activator in Traumatic Hemothorax | |
| Tracheostomy Dislodgement | |
| Ventilator-Associated Pneumonia |
Skin
| Acute Adult Burn Resuscitation | |
| Perioperative Hypothermia Prevention in Burn Patients |
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| Skin Biopsy for Stevens-Johnson & Toxic Epidermal Necrolysis |
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| Snakebite/Crotalid Envenomation |