Evidence Based-Medicine Guidelines

The following is a collection of best practice guidelines currently in use by the Surgical Critical Care team. 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.

"Utilizing Evidence Based Outcome Measures to Develop Practice Management Guidelines: A Primer"
An excellent resource document from the Eastern Association for the Surgery of Trauma (EAST)

EBM Guideline (click to sort)
Revision Date (click to sort)
Acute Atrial Fibrillation in the Surgical Patient
10-23-2007
Acute Gastrointestinal Hemorrhage: Pharmacologic Management
02-21-2006
Adrenal Insufficiency in Critical Illness
04-02-2008
Aerosolized Antibiotic Therapy in the ICU
10-25-2009
Air Travel Following Traumatic Pneumothorax
10-07-2009
Alcohol Withdrawal
10-30-2009
Antibiotic Prophylaxis in Surgery
10-17-2006
Antiplatlet Agent Reversal in Adults With Traumatic Intracranial Hemorrhage
07-01-2011
Ascorbic Acid Infusion (Vitamin C) Infusion in the Resuscitation of Burn Patients
11-14-2006
Blood Conservation and Transfusion Avoidance Strategies in the Surgical Patient
10-25-2009
Blunt Carotid Artery Injury: Anticoagulation
06-05-2006
Blunt Cerebrovascular Injuries
11-14-2006
Brain Death Determination / Apnea Test Procedure
10-11-2009
Brain Injury Resuscitation
10-22-2009
Candida Infections in Surgical Patients
05-07-2008
Central Venous Catheterization
12-04-2009
Cervical Spine Clearance
10-25-2009
Chest Tube Management
10-25-2009
Coagulopathy of Acute Hemorrhage
10-17-2006
Continuous Antibiotic Infusions
05-16-2007
Deep Venous Thrombosis Prophylaxis in the Critically Ill
10-25-2009
Delirium Management in the ICU
01-05-2011
Electrolyte Replacement
02-22-2008
Empiric Antibiotic Use in Critically Ill Patients
05-09-2007
Erythropoietin Use in the Critically Ill
02-22-2008
Factor VIIa (Recombinant) (Novoseven®) in Trauma
10-07-2008
Fever Assessment
10-08-2007
Fluid Resuscitation
10-25-2009
High frequency oscillatory ventilation in the surgical patient
03-04-2009
Hyperglycemia Control in the Critically Ill
12-07-2011
Hypertension Management
10-12-2009
Hypertonic Saline Solution Instructions
05-07-2008
Independent Lung Ventilation
12-07-2011
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
10-25-2009
Intra-abdominal Pressure Monitoring
02-22-2008
Ketamine Sedation for Adult Burn Dressing Changes
10-25-2009
Massive Transfusion Protocol for Hemorrhagic Shock
05-26-2010
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
10-07-2008
Multi-modality Rib Fracture Management
12-01-2010
Neuromuscular Blocking Agents in the Adult ICU
10-05-2007
Neurosedation Protocol
10-17-2006
Nutrition Support: Assessment
06-10-2007
Nutritional Support: Route of Administration
05-25-2007
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
10-02-2009
Pain Management in Surgery
10-12-2009
Paracostal Infusion of Bupivacaine for Management of Rib Fracture Pain
04-21-2010
Post-Splenectomy Vaccine Prophylaxis
11-02-2011
Post-Tracheostomy Hemorrhage
10-02-2009
Premature Gastrostomy / Jejunostomy Removal
10-02-2009
Presumptive Chest Tube Antibiotics
10-21-2009
Propofol Infusions for Refractory Intracranial Hypertension
04-14-2006
Remifentanil Infusion for Adult Burn Dressing Changes
10-29-2009
Rhabdomyolysis: Prevention and Treatment
10-08-2009
Sedation and Agitation Management in the ICU
10-25-2009
Snakebite/crotalid Antivenoms
12-01-2010
Stress Ulcer Prophylaxis
09-16-2011
Thrombolytics for Pulmonary Embolism in the Intensive Care Unit
12-03-2008
Tissue Plasminogen Activator in Traumatic Hemothorax
03-05-2008
Vasopressors and Inotropes in Shock
04-20-2011
Ventilator-Associated Pneumonia
08-30-2009
Warfarin Dosing
09-02-2009
Warfarin Reversal
01-04-2012

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