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Trauma: Level I Adult & Pediatric

UW Medicine Trauma & Emergency Services provides emergency medical services 24 hours per day, seven days per week, and is staffed and equipped to care for all emergent medical conditions, illnesses and injuries. Our research scientists advance the standards of trauma and emergency care by exploring new therapeutic strategies to enhance the care of these complex patients.


Increase of Influenza B Seen with This Year's Outbreak: Every flu season is unique. The 2019-2020 outbreak features more cases of influenza B, the viral strain that usually emerges later in the season.

How to Support Sexual Assault Survivors: Emily Dworkin, senior fellow at the UW School of Medicine, discusses how to best support a survivor as they work through their PTSD.

C-Collar Sizing: This video provides an overview of how to fit a Cervical Collar for pediatric patients.

Broselow Tape: This video provides an overview of how to use the Broselow Tape. The Broselow tape is a standardized, color coded, pediatric emergency measuring tape. This tape provides you with a rapid estimate of a child’s weight based on their recumbent length.

Spine Board: This video provides a step-by-step demonstration of how to best use a spine board when treating and immobilizing children and infants.

Pediatric Head Anatomy: This video provides an overview of important things to consider when dealing Pediatric Head Anatomy in a trauma situation.

Pre-hospital Management with Dr. Saman Arbabi: Saman Arbabi, MD, discusses the importance of prehospital care and how it affects outcomes of patients with Traumatic Brain Injuries.

Geriatric Traumatic Brain Injury: Hilaire Thompson, PhD discusses prevention and treatment of geriatric traumatic brain injury.

ECMO Used for Life Saving Treatment at Harborview Medical Center: Eileen Bulger, MD, Chief of Trauma at Harborview Medical Center, discusses how the ECMO provides life saving treatment.

Development of a Comprehensive Emergency Medical Service: The Seattle Story: Hugh M. Foy, MD provides an understanding of the coincident factors that led to our EMS system.

Geriatric Traumatic Brain Injury: Hilaire Thompson, PhD, discusses the epidemiology of geriatric TBI in the US and implications for injury prevention and management.

Prehospital Management of Patients with Traumatic Brain Injury: Saman Arbabi, MD, presents Prehospital Management of Patients with Traumatic Brain Injury at the "Hot Topics & Best Practice in Adult TBI" webinar.

What Everyone Should Know About Child Trauma: Georganna Sedlar, PhD, discusses the effects of trauma on youth, the role of avoidance, and how trauma treatment works.

Firearm Violence and Injury Prevention: Frederick Rivara, MD, MPH, discusses the magnitude of the problem of gun violence in the US and aims to educate providers about what they can do to reduce the risk of gun violence in their patients.

Color Coding for Pediatric Trauma Care, Resuscitation and Disaster Preparedness: and Disaster Preparedness Mary King, MD, discusses the importance of color coding for pediatric trauma care, resuscitation and disaster preparedness.

Thromboelastography & Coagulation Management in Trauma: John R. Hess, MD, discusses how the coagulation system works and why it fails in trauma.

Pelvic Sheeting for Immobilization: This video from Harborview Medical Center in Seattle, WA demonstrates proper technique for traumatic pelvic fracture immobilization using a bedsheet.


Acute Assessment and Management of Pediatric Trauma

Welcome to the online curriculum in the acute assessment and management of pediatric trauma patients, hosted by Harborview Medical Center (Seattle, WA) - the designated Level I Pediatric Trauma Center for Washington state and the surrounding WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) region. This curriculum is designed primarily for inpatient providers (physicians and nurses) of early care to injured children. It has been specifically designed as a resource to allow providers in adult-designated trauma centers and pediatric-designated trauma centers in Washington state to meet the "Pediatric Education Requirement" (PER) developed by the Washington State Emergency Medical Services and Trauma System, and defined in Washington Administrative Code (WAC 246-976-700). However, the curriculum is also of potential value to all pediatric trauma care providers, both in the inpatient and prehospital settings.

This curriculum is available free of charge to all users/providers, and consists of seven (7) independent modules, each focused on a specific, key topic in pediatric trauma care. Each module contains a 5-question post-test, and can be completed in approximately one hour (i.e., the entire curriculum can be completed in 7 hours or less). The curriculum does not have to be completed in a single setting. The curriculum focuses on the acute assessment, diagnosis, and treatment of children with major or multiple injuries, and incorporates guidelines and other key information promoted by several national sources, including Advanced Trauma Life Support (ATLS, American College of Surgeons), Pediatric Advanced Life Support (PALS, American Heart Association), Advanced Burn Life Support (ABLS, American Burn Association), and the Brain Trauma Foundation. The curriculum was developed by pediatric trauma care providers at Harborview Medical Center (University of Washington School of Medicine faculty) and reviewed/approved by the Pediatric Technical Advisory Committee of the Washington State Emergency Medical Services and Trauma Committee (Washington state Department of Health).


Screening, Brief Intervention, and Referral for Treatment (SBIRT): Screening, brief intervention, and referral (SBIRT) can be used for both alcohol and drug issues.

Initial Management of Traumatic Brain Injury: Algorithm for the initial management of traumatic brain injury.

Pediatric Consultation and Transfer Guidelines: This document contains guidelines of when to transfer the critically injured and/or ill pediatric patient.

Initial Management of Major Pelvic Fractures: To ensure life threatening injuries are identified appropriately, a systematic approach should be taken when assessing patients with pelvic fractures.

Interfacility Transport: The decision to transfer to the next higher level of care must be made rapidly based on the physician's assessment and clinical expertise.

Geriatric Trauma Management Guidelines: This document serves to consolidate recommendations from existing guidelines to provide concise, evidence-based, expert panel rated lists of protocols and practices to improve trauma care among elderly patients.

Head Injury in Anticoagulated Patients: To rapidly identify intracranial hemorrhage in anticoagulated patients and reduce the time from presentation to reversal of anticoagulation.

Geriatric Trauma Care Guideline: Early aggressive trauma care has been shown to improve outcome for geriatric patients with survivable injuries.

Trauma Team Activation Criteria: This Trauma Team Activation Criteria Guideline defines the minimum patient criteria for full or modified trauma team activation.

Initial Evaluation & Management of Blunt Thoracic Aortic Injury: A trauma evaluation and management guideline for initial evaluation and management of blunt thoracic aortic injury (TAI).

Evaluation and Management of Blunt Abdominal Trauma: Abdominal trauma remains a leading cause of mortality in all age groups. A systematic approach should be taken when assessing the trauma patient.

Cervical Spine Injury Evaluation: To provide guidance for determining if a trauma patient has a cervical injury; adult and pediatric algorithms.

Empiric Antimicrobial Therapy in Sepsis Based on Suspected Primary Source: Recommendations based on local microbiology and antimicrobial resistance patterns

Sepsis Transfer Center Stabilization Protocol: Clinical recommendations developed to aid in the early identification and management of suspected infection

Aortic Protocol: This protocol is in the interest of facilitating rapid, safe and expeditious transfer while maximizing the chances for survival


Wound Healing in Mucous Tissues Could Ward off AIDS: Wound-repair capabilities preserve tissue integrity during early infection and might prevent inflammation that underlies immune exhaustion.

2019 EMS & Trauma Conference: September 23 & 24, 2019

Injury & Prevention Center Now a CDC-Funded Injury Control Research Center: UW Medicine’s Harborview Injury Prevention & Research Center has been awarded a $4.2 million grant to promote injury prevention and control by the Centers for Disease Control and Prevention.

Transfer Center: UW Medicine is a world-class academic health system. We accomplish our mission—improving the health of the public—by providing patient care, educating tomorrow’s health professionals and conducting leading-edge medical discovery.

Level I Trauma Services: Across Washington, Alaska, Montana and Idaho, Harborview Medical Center is the only facility providing Level I trauma services – the most advanced care, available 24/7 – to adult and pediatric patients.

Airlift Northwest: Airlift Northwest is the pre-eminent provider of air medical transport services in the Pacific Northwest, dedicated to providing safe, efficient air medical care to critically ill and injured infants, children and adults.

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