Trauma Resuscitation Clinical Pathway — Emergency Department

Disposition

Traumatically injured patients should be admitted to the Trauma Service. Other surgical subspecialty services may be considered for admission in the case of an isolated injury.

Location	Considerations
ED	Monitoring per Trauma Standards
OR	To initiate immediate transfer, can contact OR Desk 54444.
Medical/Surgical	Admit all injured patients to the Trauma Service, or an appropriate surgical service if patient has isolated injury that is not to the head. Examples: Patients with single limb fracture can be admitted to orthopedics. Patients with eye injuries must be admitted to Trauma, NOT General Pediatrics. Patients with multi-trauma should be admitted to the Trauma Service. Suspected non-accidental trauma Admit to Gnl Peds if no concern for acute injuries; admission is for social reasons. Admit to Trauma if any concern for acute injury. Epic Order: What bed location/unit: Surgical Admit service: Trauma (33) If transfer to Med/Surg is delayed, initiate ED High Occupancy Hold (HOH) for Med/Surg order set while holding in the ED. Continue monitoring vital signs per Trauma standards.
PICU	Patients are admitted to a PICU bed under the Trauma Service Including isolated head injury. Epic Order: What bed location/unit: PICU Admit service: Trauma (33) If transfer to PICU is delayed, initiate ED HOH for PICU order set while holding in the ED. Trauma patients cannot be admitted to the NICU.
Transfer to Burn Center	Discuss with Trauma Fellow Classification of Minor, Moderate, Major Burns

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

Disposition

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Trauma Resuscitation — Disposition — Clinical Pathway: Emergency

Trauma Resuscitation Clinical Pathway — Emergency Department

Disposition