Trauma Resuscitation Clinical Pathway — Emergency Department

Care for Vascular Injuries

Any decision to divert/transfer a patient away from CHOP must be discussed with the Trauma Attending.
Upper extremity vascular injuries	CHOP Hand service handles all upper extremity vascular injuries. If single limb injury-related (eg. supracondylar fracture with vascular compression) you may only need Ortho to be involved. Can be admitted to Orthopedics service. If multi-injury patient (eg. car accident with associated head and torso injuries) trauma must also be involved. Should be admitted to trauma service.
Lower extremity vascular injuries	Trauma is the initial contact for these patients. The Trauma Fellow/Attending will contact the appropriate Vascular Surgeon (Vasc LE Trauma Cnslt). Trauma attending should be involved in all decisions to divert/transfer patients away from CHOP.
Torso/Neck vascular injuries	CHOP Trauma can handle all torso/neck vascular injuries and may bring in CT surgery as necessary. Trauma is the primary contact.

If you have questions about any of the clinical pathways or about the process of creating a clinical pathway, please contact us.

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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Trauma Resuscitation Clinical Pathway — Emergency Department

Care for Vascular Injuries

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Trauma Resuscitation — Care for Vascular Injuries — Clinical Pathway: Emergency

Trauma Resuscitation Clinical Pathway — Emergency Department

Care for Vascular Injuries