SurgCritCare Clinical Handbook

Clinical topic/content/elderly-rib-fracture-pathwayElderly Rib Fracture PathwayPathway for elderly patients with rib fractures covering functional pain assessment, multimodal pain management, and mobilization protocol.

Clinical topic/content/cervical-sci-acuteAcute Cervical Spinal Cord Injury — Diagnosis & ManagementPatients with acute cervical spinal cord injury present complex clinical challenges. These injuries may result in motor and sensory deficits and also in cardiovascular and respiratory perturbations. Increased attention...

Clinical topic/content/spine-injury-acs-tqipACS TQIP Spine Injury GuidelinesACS TQIP spine injury guidance covering initial evaluation, spinal motion restriction, imaging, classification, spinal cord injury care, neurogenic shock, and VTE prophylaxis.

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/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/severe-tbi-lectureSevere TBI Management — Lecture NotesSevere TBI Management Mechanisms of TBI • Focal = contact injury ocausing laceration, contusion, intracranial hemorrhage • Diffuse = acceleration/deceleration injury, anoxic oleading to brain swelling, diffuse axonal...

Clinical topic/content/spinal-cord-injurySpinal Cord InjurySpinal cord injury overview including secondary injury prevention, MAP goals, ASIA classification, neurogenic vs. spinal shock, autonomic dysreflexia, and SICU complications.

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.

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