Practice Management Guidelines

For more information on Trauma Practice Guidelines, please contact:
Elliott Haut, MD
The Johns Hopkins School of Medicine
625 Osler Bldg 
600 N Wolfe St 
Baltimore, MD 21287


For more information on evidence based medicine and practice guidelines, please visit the following links: (Link is broken please provide a new url)

Members of the American College of Surgeons can access an Evidence Based Reviews in Surgery (EBRS) module for free. It teaches critical appraisal skills to practicing general surgeons and residents so they can critically evaluate the literature and practice evidence based surgery. Visit the EBRS area at the following link:

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Guideline Pub
Citation Down-load Comments 
Appropriate Triage of the
Victim of Trauma
2010   pdf  
Child Passenger Safety:
Evidence Based Review
2010   pdf  
Motorcycle Helmet Efficacy:
Evidence Based Review
2010   pdf  
SCCM: Red Blood Cell Transfusion in Adult Trauma and Critical Care 2010   pdf Copyright SCCM
Identifying Cervical Spine Injuries
Following Trauma - 2009 Update 
2009   pdf   
Diagnosis and Management of 
Pancreatic Trauma 
2009   pdf  
Diagnosis and Management of 
Pancreatic Trauma
2009   pdf  
Prophylactic Antibiotic Use in 
Open Fractures - Update
2009   pdf   
Management of Penetrating 
Neck Injuries
2008 J Trauma. 64(5):1392-1405,
May 2008 
Stress Ulcer Prophylaxis 2008   pdf   
Prehospital Fluid Resuscitation  2008   pdf   
Nonoperative Management of Penetrating Abdominal Trauma 
2007   pdf   
Small Bowel Obstruction 2007 J Trauma. 64(6):1651-1664, 
June 2008
Blunt Cerebrovascular Injury  2007   pdf  
Timing of Tracheostomy in Trauma Patients  2006   pdf   
Management of Pulmonary Contusion and Flail Chest 2006   pdf   
Screening the Thoracolumbar Spine 2006 J Trauma. 63(3):709-718. 
September 2007
Diagnosis and Management of Injury in the Pregnant Patient 2005   pdf  
Pain Management in Blunt Thoracic Trauma 2004 J Trauma. 59(5):1256-1267, November 2005 pdf   
Management of Genitourinary Trauma  2004   pdf  
Evaluation of Genitourinary Trauma  2003   pdf  
Non-Operative Management of Blunt Injury to the Liver and Spleen 2003   pdf  
Nutritional Support in Trauma Patients 2003 J Trauma. 57(3):660-679, September 2004. pdf   
Endpoints of Resuscitation  2002 J Trauma. 57(4):898-912, October 2004.  pdf  
Management of Penetrating Trauma to the Lower Extremity  2002   pdf  
Emergency Tracheal Intubation Following Traumatic Injury  2002 J Trauma. 55(1):162-179, July 2003. pdf   
Management of Mild Traumatic Brain Injury 2001 J Trauma. 51(5):1016-1026, November 2001. 
Management of Pelvic Hemorrhage in Pelvic Fracture  2001   pdf  
Evaluation of Blunt Abdominal Trauma 2001 J Trauma. 53(3): 602-615, September 2002  pdf   
Geriatric Trauma  2001 J Trauma. 54(2):391-416, February 2003.  pdf   
Identifying Cervical Spine 
Injuries Following Trauma - Update
2000   pdf  Currently
being updated
Primer on Evidence Based Medicine  2000   pdf   
Diagnosis and Management of Blunt Aortic Injury 2000 J Trauma. 48(6)1128-11443, June 2000. 
Optimal Timing of Long Bone Fracture Stabilization in Polytrauma Patients  2000 JTrauma. 50(5):958-967, May 2001. pdf Currently
being updated 
Screening of Blunt Cardiac Injury 
1998 J Trauma. 44(6):941-956, June 1998. pdf  Currently
being updated 
Identifying Cervical Spine 
Injuries Following Trauma
1998  J Trauma. 44(6):941-956, June 1998. pdf 

being updated

Penetrating Intraperitoneal Injuries  1998 J Trauma. 44(6):941-956, June 1998.  pdf   
Prophylactic Antibiotics in Tube Thoracostomy for Traumatic Hemopneumothorax  1998 J Trauma. 48(4): 758-759, April 2000. 
pdf  Currently
being updated 
Prophylactic Antibiotics in Open Fractures 1998    pdf  Updated in 2009
Prophylactic Antibiotics in Penetrating Abdominal Trauma  1998  J Trauma. 48(3):508-518, March 2000.  pdf   
Management of Venous Thromboembolism in Trauma Patients 1998 J Trauma. 53(1):142-164, July 2002.  pdf Includes 2001 update