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Monday, December 23, 2024 thru Wednesday, January 1, 2025.
ACEP ID:
Scope of Application.
This guideline is intended for physicians working in emergency departments (EDs).
Inclusion Criteria.
This guideline is intended for nonpregnant adult patients with blunt trauma.
Exclusion Criteria.
This guideline is not intended for pediatric, pregnant, or penetrating patients with trauma.
Recommendations offered in this policy are not intended to represent the only diagnostic and management options that the emergency physician should consider. ACEP recognizes the importance of the individual physician’s judgment and patient preferences.
In adult patients presenting to the ED with blunt trauma, does whole-body CT improve clinically important outcomes in hemodynamically stable patients?
None specified.
Due to the lack of quality evidence, use clinical judgment and hospital-specific protocols to decide between selective CT and whole-body CT imaging in hemodynamically stable, adult, patients with blunt trauma. [Consensus]
None specified.
Due to the lack of quality evidence, use clinical judgment and hospital-specific protocols to decide between selective CT and whole-body CT imaging in hemodynamically stable, adult, patients with blunt trauma. [Consensus]
In geriatric patients presenting to the ED with blunt trauma, does age-based, differential trauma triage reduce morbidity and/or mortality?
Emergency physicians should factor age (greater than 65 years) into triage of older adult patients with trauma as they have increased morbidity and mortality compared with similarly injured adults.
None specified.
Emergency physicians should factor age (greater than 65 years) into triage of older adult patients with trauma as they have increased morbidity and mortality compared with similarly injured adults.
None specified.
In adult patients presenting to the ED with blunt trauma, what is the ideal blood product ratio to reduce morbidity and/or mortality in patients requiring transfusion?
None specified.
In adult patients presenting to the ED with blunt trauma, use a fresh frozen plasma (FFP): platelet: packed red blood cells (PRBC) ratio from 1:1:1 to 1:1:1.5 to reduce 24-hour mortality without increasing morbidity.
None specified.
None specified.
In adult patients presenting to the ED with blunt trauma, use a fresh frozen plasma (FFP): platelet: packed red blood cells (PRBC) ratio from 1:1:1 to 1:1:1.5 to reduce 24-hour mortality without increasing morbidity.
None specified.
In adult patients presenting to the ED with blunt trauma, does REBOA reduce morbidity and/or mortality in arrested or periarrest patients compared to ED thoracotomy?
None specified.
In arrested or periarrest adult, patients with blunt trauma, do not routinely use REBOA over ED thoracotomy.
None specified.
None specified.
In arrested or periarrest adult, patients with blunt trauma, do not routinely use REBOA over ED thoracotomy.
None specified.
