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Highland Trauma Guide

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Handbook section/sicu-curriculumSICU CurriculumPGY-1 and PGY-2 SICU rotation competencies mapped to SurgCritCare references and tools.

Clinical Topic Guides

Focused topic guides from SurgCritCare source material.

Clinical topic/content/trauma-activationTrauma Activation & Initial AssessmentTrauma activation criteria, trauma bay readiness, ABCDE primary survey, and damage control resuscitation framework. Based on ATLS principles and ACS TQIP guidance.Clinical topic/content/tbi-acs-tqip-guidelinesACS TQIP Severe TBI GuidelinesACS TQIP traumatic brain injury guidance covering GCS assessment, triage and transport, treatment goals, ICP management, operative considerations, nutrition, tracheostomy, VTE prophylaxis, and special populations.Clinical topic/content/ards-primerARDS — Definition, Pathophysiology & ManagementARDS primer covering definition, epidemiology, pathophysiology, diagnosis, lung-protective ventilation, supportive management, and recovery after critical illness.Clinical topic/content/ardsnet-trialARDSnet — Lower Tidal Volumes (NEJM 2000)Landmark ARDSnet trial summary covering lower tidal volume ventilation for acute lung injury and ARDS, including mortality and ventilator-free day outcomes.Clinical topic/content/icu-arrhythmias-overviewArrhythmias in the ICU — Comprehensive ReviewComprehensive review of tachyarrhythmias and bradyarrhythmias in ICU patients, including risk factors, consequences, and management considerations.Clinical topic/content/cardiac-arrestCardiac Arrest — Initial StepsInitial steps in sudden cardiac arrest: early recognition, chest compressions before code team arrival, and adherence to ACLS guidelines.Clinical topic/content/driving-pressureDriving Pressure & Transpulmonary PressureReview of driving pressure and transpulmonary pressure during mechanical ventilation, including strain, stress, plateau pressure, PEEP, and lung-protective ventilation concepts.Clinical topic/content/mechanical-ventilationMechanical VentilationIndications for intubation, ventilator modes (AC/IMV/PSV), Highland Hospital ventilator protocol, SAT/SBT criteria, and weaning pathway.Clinical topic/content/ventilator-basics-lectureMechanical Ventilation — BasicsMechanical Ventilation Basics Normal Respiratory v Mechanical Ventilation What’s different? Negative pressure v Positive Pressure Respiratory Terminology • Compliance: ΔV/ΔP • Elastance: ΔP /ΔV • Dead Space: Portion of...Clinical topic/content/respiratory-mechanicsRespiratory Mechanics — Detailed ReviewDetailed review of respiratory mechanics monitoring during mechanical ventilation, including pressure, flow, volume, compliance, resistance, and ventilator-associated injury prevention.Clinical topic/content/secondary-surveySecondary Survey & Injury AssessmentHead-to-toe secondary survey for trauma patients: AMPLE history, systematic physical examination to identify all injuries after primary survey stabilization.Clinical topic/content/ventilator-weaning-akellaVentilator Weaning — Practical Guide (Akella 2022)Practical ventilator-weaning review covering weaning classification, causes of weaning failure, predictors, spontaneous-breathing trials, and liberation strategies.Clinical topic/content/volume-assessmentVolume Assessment & Endpoints of ResuscitationDetermination of intravascular volume status and endpoints of resuscitation: limitations of CVP, role of lactate, ScvO2, and IVC ultrasound in guiding resuscitation.

Tools and Templates

Calculators, note templates, and practical bedside aids.

Template/templates/trauma-hpTrauma History & PhysicalInitial trauma H&P for trauma bay and emergency department evaluation.

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Handbook Sections Clinical Topic Guides Tools and Templates