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STAN Clinical Practice Guidelines

Specialist Trauma Advisory Network (STAN) is a specialist advisory and oversight network for complex trauma care across B.C.

Index



Brain injury


Burns

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B.C. imaging guidelines for major trauma

There are four fundamental steps in medical imaging in the setting of major trauma: 

  1. Patient selection
  2. Modality selection
  3. Image acquisition and reconstruction
  4. Report generation and communication

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Hypothermia

Patients can be considered to have hypothermia if they have a history of cold exposure (primary hypothermia) or a disease that predisposes them to hypothermia (secondary hypothermia), and if their trunk is cold to touch or they have a core temperature measurement  of less than 35C.


Liver

(Updated August 2024) The purpose of this clinical practice guideline (CPG) is to outline the preferred clinical management of isolated blunt liver trauma in adult patients, and the key performance indicators (KPIs) by which the delivery of appropriate care can be assessed across the province.

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Massive Hemorrhage

Hemorrhage is the most common cause of death in the first hour of arrival to a trauma facility. The utilization of massive hemorrhage protocols improves appropriate blood use, mobilizes necessary teams in a more organized fashion, and facilitates standardized communication between the various teams involved.

(Updated August 2024) The prompt diagnosis of a major pelvic ring injury and rapid and effective control of massive pelvic hemorrhage is a key clinical priority in the successful management of the blunt trauma patient with a mechanically unstable pelvic ring injuries. This clinical practice guideline (CPG) outlines recommendations for the management of hemodynamically unstable adult patients (age >16) with pelvic ring injuries in B.C.

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Rib

(Updated September 2024)  The purpose of this clinical practice guideline (CPG) is to review best evidence and generate expert consensus on recommendations for the management of rib fractures in adult patients (age ≥16 years) in B.C.



Spleen

(Updated August 2024) This CPG offers recommendations for the management of isolated blunt splenic trauma in adult patients in B.C.

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Spine

This CPG offers recommendations for the management of spinal injury in adult patients in B.C.

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SOURCE: STAN Clinical Practice Guidelines ( )
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