PPI/ANESTHESIOLOGY
Vitals (not updated on the DCF yet)- BASED ON ED
●​ BP ≥ 70
●​ BP ≥ 100 and HR ≥ 100
Other Injury Includes: Burns, and brain bleeds (hemorrhage), hemorrhagic SHOCK (no
hemorrhagic stroke)
Calling PPI Team: “Hello, this is trauma research calling for a potential PPI pt. MRN is #####, this
is a [PAGER] coming in with [mechanism]. Pt has [ED vital signs that qualify], & is in [current
location]. Pt got #transfusions [if any]
●​ Anesthesiology will lyk if they are gonna enroll pt; if not, contact/message them
●​ Calling PPI= pt is a potential, NOT ENROLLED YET
MATIC
Use the Badge vital sign guidance for peds age to see if a peds pt may qualify for the study
Follow for 3 hrs if pt is a potential for enrollment
Blood Domain- MTP activation
●​ Calling Blood Blank
○​ “Hello this is trauma research, there may be a pedi MTP activation for [PAGER] in rm
#. Could we please have a MATIC-2 cooler and regular MTP cooler ready once MTP
is activated? Also could we make sure there’s enough whole blood in the first
MATIC-2 cooler? I’ll call you back once eligibility is confirmed, ty.”
■​ 1st MATIC cooler should have 2 to 4 whole bloods; make sure to ask the
trauma attending if they want to continue with the whole blood so you can call
blood blank to bring down or trade w/ 2nd MATIC cooler. There, a 3rd MATIC
cooler only consists of 2 WB in case they need more or continuing with the
WB transfusion. A MATIC pt should only be infused max 8 WBs
■​ MATIC whole bloods can be shared with the regular MTP: Once the whole
bloods in MATIC cooler are completed; pt can get regular MTP or 1:1 after, if
needed
○​ Once eligibility is confirmed to be MATIC, call the blood bank: “Hi this is trauma
research, calling back that eligibility is confirmed for the pt [PAGER]. Could we get
the 2nd MATIC cooler if attending wants to continue w/ WB.
■​ May need to ask the nurse or LAB RA to trade off the 1st MATIC cooler w/ 2nd
MATIC cooler
○​ Once eligibility is confirmed to be NOT MATIC, call the blood bank: “Hello this is
trauma research, just calling to lyk that [PAGER] pt will not a potential MATIC-2
candidate, will bring back MATIC-2 cooler
■​ May have to bring back MATIC cooler to Blood Bank or let the nurse know to
return cooler
■​ Shortcut to blood bank- walk straight across the OR, once past the double
doors on the other side of the OR, the door to Blood Bank is to the left. Door
code is on their desktop monitor (look straight thru the window}
●​ Tracking Blood Products: you follow pt for blood products UNTIL MTP is deactivated
(similar to TOWARS)
●​ Notifying Trauma attendings: 2 options
○​ “Hi, Dr [attending that’s on shift], could you please lmk if you’re gonna transfuse the
pt?” usually if they get blood, could be potential
○​ “Hi, Dr [attending that’s on shift], would this pt be a potential MATIC2 candidate?”
TXA - Call Dr. Drucker to place in TXA/Placebo order if pt is eligible for TXA domain
●​ If she does not pick up- pt automatically times out for the domain
●​ Make sure to grab the TXA/Placebo drug and DOSE DOCUMENT SHEET for Savanah.
Record the time the TXA/Placebo was administered
●​ If pt need more than 10ml of TXA/Placebo - tell nurse to grab another TXA/Placebo- make
sure you mention on the MATIC email that an extra vial was used due to whatever reason
○​ Could be pt weight to be actually an adult weight
○​ Or the 1st vial was dropped or was actually less than 10ml
LAB Draws: Do NOT obtain draws if pt’s weight is ≤6.3kg
SCI
●​ Once Spine/Ortho call ask for: MRN, Pt name, resident name, and a good number to call
back
●​ Check for injury lost, any exclusion
●​ Ask for ASIA Score and neurological level of injury
●​ Verify w/ trauma attending & randomize w/ them
○​ “Hi Dr [attending on shift], this is trauma research calling for a potential pt for SCI
enrollment. MRN is ####, Pt came in for [injury mechanism]. They have a ASIA
score of # and neurological level of injury of #.” Once they say yes, then randomize
on redcap under “MAP & SCI STUDY”
●​ Call whoever called for the patient to be enrolled in SCI to let them know the randomization
score
ANY Deficits- CVA deficits are excluded
Seizures alone are not necessarily are an exclusion; need to be Seizures w/ some deficits to be
excluded
TRAIT
If enox dose is too low for pt’s body weight, that does not count as a dose
FPA
HS- any blood products given
TBI: GCS ≤9 w/ brain bleed: Brain hematomas, contusions, hemorrhage, SAH, SDH, brain
herniation, anoxic brain injury, hypoxic brain injury, intraparenchymal hemorrhage (Google is
BFF)
●​ Must be confirmed w/ BRAIN CT
Blood Draw Sheet: record BD times & if the full 30 ccs; If not 30cc, email Savanah/CC Willa