The Trauma Center
at Maricopa Medical Center

Level 1
Adult & Pediatric Designated

The Trauma Center at Maricopa Medical Center
Department of Surgery
  Division of Burns, Trauma, & Surgical Critical Care
Ph: 602-344-5387
Fax: 602-344-1205
e-mail: aztraumacenter@dmgaz.org

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Section 4: Surgical Critical Care Guidelines

4.2 Sedation and Analgesia
4.2.1 Algorithm (11/06)
4.2.1.1 Sedation and Analgesia Order Form (11/06)
4.2.2 Sedation and Analgesia FAQ’s (06/06)
4.2.3 Neuromuscular Blockade
4.2.4 Delirium

4.3 Cardiopulmonary Physiology
4.3.1 Hemodynamic principles
4.3.2 Oxygen Transport Principles

4.5 Pneumonia (Nosocomial and Ventilator-Associated)
4.5.1 Pneumonia Work-up
4.5.1.1 Bronchoscopy – Bronchoalveolar Lavage Performance Guideline
4.5.2 Ventilator Associated Pneumonia
4.5.3 Bronchial Hygiene

4.6 ARDS: Summary and Management

4.7 Severe Sepsis and Septic Shock Management Guideline
4.7.1 Severe Sepsis – Septic Shock Hemodynamic Algorithm
4.7.2 Clinical Use of Activated Protein C
4.7.3 Empiric AB Therapy for Sepsis
4.7.4 Fever

4.8 Relative Adrenal Insufficiency

4.9 Electrolyte Replacement Protocol (11/06)

4.10 Intensive Glycemic Control (05/06)
4.10.1 Insulin Protocol

4.11 Stress Ulcer Prophylaxis (11/08)
4.11.1 Stress Ulcer Prophylaxis Algorithm (11/08)

4.12 Jehovah’s Witness Management Guidelines

4.13 Recombinant Factor VIIa Use Guidelines

4.14 Deep Venous Thrombosis (11/08)
4.14.1 DVT Treatment Guideline (11/08)
4.14.2 DVT Risk Assessment Guideline (11/08)
4.14.3 Inferior Vena Cava Filter Guideline (11/08)

4.15 Alcohol and Narcotic Abuse Screening
4.15.1 Alcohol Withdrawal Syndrome (11/08)
4.15.2 Narcotic Withdrawal Algorithm

4.16 Acute Renal Failure
4.16.1 Sodium Bicarbonate for Prevention of Contrast Nephropathy

4.17 Fungal Infection
4.17.1 Known Infections
4.17.2 Suspected Infections
4.17.3 Fungal Infections Algorithm

4.18 Central Venous Access Change Guidelines
4.18.1 Line Change Algorithm

4.19 Tube Thoracostomy Guidelines

4.20 Percutaneous Tracheostomy Guideline

4.21 Rapid Sequence Intubation Algorithm

4.22 Mechanical Ventilation
4.22.1 Ventilator Weaning – Intolerance
4.22.2 Ventilator Weaning – FiO2
4.22.3 Ventilator Weaning – IMV
4.22.4 Ventilator Weaning – PEEP

4.23 Skin and Soft Tissue Infection
4.23.1 Skin and Soft Tissue Infection Antibiotic Guideline

4.24 Acute Upper GI Bleeding: Algorithm

4.25 Acute Lower GI Bleeding: Algorithm

4.26 Acute pancreatitis: Algorithm