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.

What is evidence-based medicine?

"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
Agitation and Delirum in the ICU
02-01-2005
Air Travel Following Traumatic Pneumothorax
03-18-2003
Alcohol Withdrawal
02-18-2003
Antibiotic Prophylaxis in Surgery
10-17-2006
Ascorbic Acid Infusion (Vitamin C) Infusion in the Resuscitation of Burn Patients
11-14-2006
Blood Conservation Strategies for the Surgical Patient
03-05-2002
Blunt Carotid Artery Injury: Anticoagulation
06-05-2006
Blunt Cerebrovascular Injuries
11-14-2006
Brain Death Determination / Apnea Test Procedure
03-01-2005
Brain Injury Resuscitation
05-16-2006
Candida Infections in Surgical Patients
05-07-2008
Central Venous Catheter Guidelines
06-20-2005
Central Venous Catheter Selection in the Surgical Patient
12-31-2002
Cervical Spine Clearance
06-07-2005
Chest Tube Management
05-17-2005
Coagulopathy of Acute Hemorrhage
10-17-2006
Continuous Antibiotic Infusions
05-16-2007
Coumadin (Warfarin) Administration / Correction
10-17-2006
Deep Venous Thrombosis Prophylaxis in the Critically Ill
04-01-2004
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
05-17-2005
Fosphenytoin Utilization
02-04-2003
Head of Bed Elevation
12-07-2005
Hyperglycemia Control in the Critically Ill
05-16-2006
Hypertension Management
03-29-2005
Hypertonic Saline Solution Instructions
05-07-2008
In-Hospital Transport of the Critically Ill
04-08-2003
Independent Lung Ventilation
02-21-2006
Inferior Vena Caval Filter Use in Patients at High Risk for Pulmonary Embolism
04-01-2004
Intra-abdominal Pressure Monitoring
02-22-2008
Methylprednisolone (Solumedrol) in Acute Spinal Cord Injury
10-07-2008
Neuromuscular Blocking Agents in the Adult ICU
10-05-2007
Neurosedation Protocol
10-17-2006
Nutrition Support: Assessment
06-10-2007
Nutritional Support in the Surgical Patient
04-08-2003
Nutritional Support: Route of Administration
05-25-2007
Octreotide in the Prevention and Treatment of Gastrointestinal and Pancreatic Fistulas
06-20-2005
Pain Management in Surgery
06-21-2005
Post-Splenectomy Vaccine Prophylaxis
10-17-2006
Post-Tracheostomy Hemorrhage
12-01-2005
Premature Gastrostomy / Jejunostomy Removal
03-01-2005
Presumptive Chest Tube Antibiotics
05-17-2005
Propofol Infusions for Refractory Intracranial Hypertension
04-14-2006
Recombinant Human Erythropoietin (rHuEPO) in Critical Illness
05-20-2003
Rhabdomyolysis: Prevention and Treatment
02-01-2005
Snakebite/crotalid Antivenoms
10-23-2007
Stress Ulcer Prophylaxis
01-13-2004
Thrombolytics for Pulmonary Embolism in the Intensive Care Unit
03-11-2003
Tissue Plasminogen Activator in Traumatic Hemothorax
03-05-2008
Vasopressin for Septic Shock
05-06-2003

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