Goals & Objectives Surgical Intensive Care Unit

Goals

Upon completion of the SICU rotation, the neurosurgical resident will:

1. Understand the anatomy, physiology, pathophysiology, and presentation of traumatic injuries of the neck, extremities, chest, abdomen and pelvis

2. Integrate the sciences applicable to trauma with clinical experiences in a progressive manner

3. Formulate and implement appropriate diagnostic and treatment plans for traumatic injuries to the neck, extremities, chest, abdomen and pelvis, both surgical and non-surgical

4. Triage trauma patients to and from a trauma setting

5. Manage trauma patients in the trauma setting

6. Understand and perform osteopathic manipulative treatment to assist in the management of the trauma patient

7. Interpret trauma clinical research

8. Collaborate with colleagues and allied health professionals

9. Counsel patient and families regarding trauma issues

10. Make sound ethical and legal judgments and provide cost-effective care in the practice of trauma

11. Perform surgery of the trauma patient

Objectives

1. Describe the assessment of patients with polytrauma

2. Perform and document pertinent history, physical findings, treatment plans, and radiologic findings in a polytrauma patient

3. Analyze principles of resuscitation of polytrauma patients including appropriate fluid resuscitation and explain the anticipated effects of shock on fluid shifts, electrolyte and kidney function, and coagulation

4. Identify the causative and precipitating factors in posttraumatic seizures and prescribe treatments

5. Identify nutritional requirements and appropriate treatment in patients with polytrauma

6. Discuss the pathophysiology and management of coagulopathy after head injury

7. Propose appropriate initial ventilator settings for patients with trauma conditions and explain changes in that choice based on specific changes in the patient’s metabolic or pulmonary status

8. Analyze management priorities in the polytrauma patients

9. Perform and document pertinent history, physical findings, and radiologic findings in a patient with polytrauma

10. Discuss moral and ethical issues pertaining to polytrauma patients including: Patient or family requests to withhold or withdraw treatment; Organ donation

Technical

1. Place central lines

2. Place Swan-ganz catherters

3. Place arterial lines

4. Intubate patients

5. Place chest tubes

6. Perform trachiostomies

7. Perform percutaneous feeding tube insertions

8. Manage ventilators

9. Perform exploratory laporatomies

10. Perform bronchoscopies