(See policy #ED08-52)
Purpose: Establish a standard set of laboratory studies obtained for
each trauma activation.
THIS PANEL NO LONGER INCLUDES FORMAL ABG OR VBG.
Certain cases may require additional studies to be ordered at the discretion of the treating physicians.
PROCEDURE:
An arterial specimen
may be obtained in patients that are:
(a) Unstable
(b) Intubated
(c) Have significant mechanisms of injury.
Venous samples are appropriate for patients
that are:
(a) Stable
(b) non-intubated
(c) have minor mechanisms
of injury
(d) ALL pediatric patients.
Standard Lab Panel for
Trauma Alert Patients
•
Alcohol
level
•
BMP
• Trauma shock panel (bicarb and lactate)
•
Hemogram
•
Quantitative
Pain Management/Drugs of Abuse Screen
•
Type and
Screen
•
U/A with
micro
Standard Lab Panel for Trauma Alert Red
Patients:
In addition to the above labs, trauma
alert red patients will have
• TEG
Female Trauma Patients
of Child Bearing
Age**
• Urine pregnancy
test
•
If positive, Kleihauer-Betke test
** Female trauma patients
without history of prior
hysterectomy (Refer to “Evaluation
and Management of Injury
in Pregnancy,” located
in the protocol
manual).
Formerly 08-103
