Open AccessImplementation of a Standardized Renal Trauma Protocol at a Level 1 Trauma Center: 7-Year Protocol and 10-Year Institutional Review
Author(s) -
Zachary Werner,
Ahmad Haffar,
Emma Bacharach,
Jennifer Knight-Davis,
Ali Hajiran,
Adam Luchey
Publication year - 2022
Publication title -
research and reports in urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.506
H-Index - 20
ISSN - 2253-2447
DOI - 10.2147/rru.s349504
Subject(s) - medicine , protocol (science) , trauma center , center (category theory) , renal injury , emergency medicine , renal function , pathology , alternative medicine , retrospective cohort study , chemistry , crystallography
Current urologic renal trauma guidelines favor conservative management. In 2012, we implemented an institution-wide renal trauma protocol to standardize management. This protocol details initiation of DVT (deep vein thrombosis) prophylaxis, cessation of bed rest, and frequency of laboratory studies. We hypothesized that low-grade injuries (grade I-III) could be managed without urologic consultation and that our chemical DVT prophylaxis regimen would not pose an increased risk of hemorrhage requiring transfusion.