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
14983
Axillary Artery and Vein Cannulation
07-30-2015
18062
Blunt Cardiac Trauma
09-29-2016
9963
Free Flap Management
02-21-2020
13068
Hypertension Management
11-26-2015
16130
Noninvasive Hemodynamic Monitoring
09-29-2016
9277
Resuscitative Balloon Occlusion of the Aorta (REBOA)
08-12-2018
7847
Vasopressors and Inotropes in Shock
09-12-2019
42109

Endocrine

EBM Guideline
Revision Date
Times Accessed
Critical Illness-Related Corticosteroid Insufficiency
03-03-2015
9035
Hyperglycemia Control in the Critically Ill
12-07-2011
12202
Thyroid Management in the ICU
06-18-2019
9362

Fluids/Electrolytes/Nutrition

EBM Guideline
Revision Date
Times Accessed
Electrolyte Replacement
08-12-2018
26882
Fluid Resuscitation
11-03-2017
16876
Nasogastric/Nasoenteric Tube Placement in Traumatic Craniofacial Fractures
01-26-2017
12165
Rhabdomyolysis: Prevention and Treatment
08-12-2018
15160

Gastrointestinal

EBM Guideline
Revision Date
Times Accessed
Acute Cholecystitis
01-08-2015
10848
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
12-13-2017
15501
Blunt Splenic Injury
09-30-2015
9600
Cirrhotic Management
02-25-2016
8549
Clostridium difficile Infection
06-29-2015
8955
Diverticulitis
09-30-2015
8445
Enteral Feeding Guidelines
04-10-2017
18991
Intra-abdominal Pressure Monitoring
03-23-2015
8310
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
11-03-2017
24763
Percutaneous Endoscopic Gastrostomy
06-11-2020
8177
Post-Splenectomy Vaccine Prophylaxis
01-27-2019
13027
Premature Gastrostomy / Jejunostomy Removal
10-21-2009
11837
Small Bowel Obstruction
06-04-2014
7813
Stress Ulcer Prophylaxis
11-03-2017
11701

Hematologic

EBM Guideline
Revision Date
Times Accessed
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
06-27-2019
8636
Deep Venous Thrombosis Prophylaxis in the Critically Ill
01-30-2014
12537
Disseminated Intravascular Coagulation
04-10-2017
7154
DVT Prophylaxis in Solid Organ Injury
12-05-2013
8851
Erythropoietin Use in the Critically Ill
02-06-2008
9544
Heparin Induced Thrombocytopenia
09-14-2019
9148
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-28-2009
7791
Massive Transfusion Protocol for Hemorrhagic Shock
05-27-2020
44334
Non-Vitamin K Anticoagulation Reversal
08-12-2018
8762
Thromboelastography (TEG) in Trauma
12-04-2014
10627
Ultrasound Guided Peripheral IV Insertion
05-27-2020
5808
Venous Thromboprophylaxis in Obesity
02-25-2016
18909
Warfarin Dosing
09-01-2009
8029
Warfarin Reversal
11-30-2017
9458

Infectious Disease

EBM Guideline
Revision Date
Times Accessed
Aerosolized Antibiotic Therapy in the ICU
03-30-2016
7616
Antibiotic Prophylaxis in Surgery
11-30-2013
17189
Candida Infections in Surgical Patients
04-10-2017
8999
Continuous Antibiotic Infusions
05-16-2007
7059
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
10211
Facial Fracture Antibiotics
04-29-2020
11444
Presumptive Chest Tube Antibiotics
03-07-2013
7403

Neurologic

EBM Guideline
Revision Date
Times Accessed
Acute Spinal Cord Injury Guideline
09-11-2018
13188
Antiplatelet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
04-10-2017
29817
Blunt Cerebrovascular Injury
09-30-2015
8469
Brain Death Determination / Apnea Test Procedure
09-10-2019
18339
Cervical Spine Clearance
12-13-2017
8129
Delirium Management in the ICU
08-12-2018
16200
Hypertonic Saline Bolus & Infusion Instructions
05-27-2020
17607
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
08-02-2014
11155
Pain Management in Surgery
09-30-2015
8046
Sedation and Agitation Management in the ICU
10-25-2009
8309
Seizure Prophylaxis in Traumatic Brain Injury
08-01-2017
38060
Severe Traumatic Brain Injury Management
09-11-2019
16196
Syncope Evaluation in the Trauma Patient
09-29-2016
7363
Therapeutic Hypothermia
09-01-2020
8675

Respiratory

EBM Guideline
Revision Date
Times Accessed
Air Travel Following Traumatic Pneumothorax
03-20-2015
8311
Chest Tube Management
09-29-2016
9913
Diaphragm Pacing
07-18-2019
6934
Extubating the Trauma Patient with an Open Abdomen
06-24-2018
9568
High frequency oscillatory ventilation in the surgical patient
03-04-2009
7107
Independent Lung Ventilation
12-04-2014
6929
Multi-modality Rib Fracture Management
03-05-2020
14610
Peri-Procedural Tracheostomy Complications
01-04-2013
6796
Post-Extubation Stridor
08-01-2017
10352
Post-Tracheostomy Hemorrhage
07-30-2015
9265
Rescue Ventilation
08-22-2018
8916
Retained Hemothorax
04-28-2016
14592
Surgical Fixation of Rib Fractures
09-04-2020
14953
Timing of Tracheostomy
04-29-2020
12938
Tissue Plasminogen Activator in Traumatic Hemothorax
04-01-2018
10193
Ventilator-Associated Pneumonia
02-25-2016
8019

Skin

EBM Guideline
Revision Date
Times Accessed
Burn Inhalation injury
06-18-2019
12813
Burn Resuscitation
11-26-2019
14337
Ketamine for Analgesia
12-27-2019
14611
Perioperative Hypothermia Prevention in Burn Patients
04-01-2018
15455
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
10842
Snakebite/crotalid Antivenoms
09-28-2018
8408

Miscellaneous

EBM Guideline
Revision Date
Times Accessed
Alcohol Withdrawal
07-30-2015
8499
Central Venous Catheterization
12-04-2009
11715
Fever Assessment
06-27-2019
15602
Gabapentin in Post-operative Pain Management
09-29-2016
10125
Ketamine for Analgesia
12-13-2017
14031
Laparoscopy in Trauma
02-25-2016
7444
Mangled Extremity
04-28-2016
9660
Muscle Relaxants in Multimodal Pain Management
01-26-2017
14553
Necrotizing Soft Tissues Infections
09-28-2018
9705
Negative Pressure Wound Therapy
02-06-2014
6937
Neuromuscular Blocking Agents in the Adult ICU
08-02-2018
12988