ICU Best Practices for the Trauma Patient is a TCAA course created from a previous live webinar which provides valuable guidance on crucial assessments needed to prevent complications and improve outcomes for the trauma patient in the ICU.
Estimated completion time: 60 minutes
Target Audience: The Trauma healthcare team and other clinical departments
Learning Objectives
At the conclusion of this course, the learner should be better able to:

1. Discuss current strategies to assess and manage pain in critically ill trauma patients.

2. Identify best practices to prevent complications in the intensive care unit.

3. Detail methods to improve communication among intensive care team members in order to maximize outcomes.

Faculty Presenter: Melody Campbell

Faculty Bio:

Dr. Melody Campbell is the Trauma Program Manager/Clinical Nurse Specialist at Kettering Medical Center.  Dr. Campbell earned a BSN and MSN with a concentration in Burn & Trauma Nursing from the University of Cincinnati.  She has published in critical care, emergency and trauma texts including the Trauma Nursing Core Course, Emergency Nursing Core Curriculum, and is a reviewer for the Journal of Trauma Nursing.  Dr. Campbell obtained her DNP from Wright State University with a dissertation focus on early mobility in the ventilated patient.

AACN Practice Alert.  Assessment and Management of Delirium across the Life Span.  Published 2016.  Evidence Update 10/1/2018.

American Psychiatric Association.  Diagnostic and Statistical Manual of Mental

Disorders:  DSM 5.  Arlington VA:  American Psychiatric Association, 2013.

Barr, J., Fraser, G.L., Puntillo, K… & Jaeschke. (2013). Clinical practice guidelines for the management of pain, agitation and delirium in adult patients in the intensive care unit. Critical Care Medicine, 41 (1), 263-306.

Bergeron N., Dubois MJ., Dumont M., Dial S., Skrobik Y. Intensive Care Delirium Screening Checklist: Evaluation of a new screening tool. Intensive Care Med. 2001:27(5):859-864.

Chanque G., Veil E., Constantin J.M., Jung B., de Lattre S., Carr J., et al: The measurement of pain in intensive care unit: comparison of 5 self-report intensity scales. Pain 2010; 151: pp. 711-721

Devlin, J.W., Skrobik, Y., Gelinas, C., Needham, D.M., Slooter, A.J.C., …& Alhazzani, W. (2018). Clinical practice guidelines for the prevention and management of pain, agitation/sedation, delirium, immobility, and sleep disruption in adult patients in the ICU. CCM, 46(9), e825-873.

Ely, EW., Margolin R., Francis J., et al. Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Crit Care Med. 2001; 29(7):1370-1379.

Gelinas C.: Review: Pain assessment in the critically ill adult: recent evidence and new trends. Intensive Crit. Care Nurs. 2016; 34: pp. 1-11

Gelinas C., Harel F., Fillion L., Puntillo K.A., and Johnston C.: Sensitivity and specificity of the Critical-Care Pain Observation Tool for the detection of pain in intubated adults after cardiac surgery. J Pain Symptom Manag 2009; 37: pp. 58-67

Girard TD et al. Lancet 2008; 371:126-34

Jungquist, C.R., Quinlan-Colwell, A., Carlisle, H.L. …. & Watson, C.  (2020).  American Society for Pain Management Nursing Guidelines on monitoring for Opioid-Induced Advancing Sedation and Respiratory Depression:  Revisions.  Pain Management Nursing, 21, 7-25.

Pasero, C. (2009). Assessment of sedation during opioid administration for pain management.  J PeriAnesth Nurs, 24 (3), 186-190.   

Payen J.F., Bru O., Bosson J.L., Lagrasta A., Novel E., Deschaux I., …Jacquot C.: Assessing pain in critically ill sedated patients by using a behavioral pain scale. Critical Care Medicine 2001; 29: pp. 2258-2263

Payen J.F., Chanques G., Mantz J., Hercule C., Auriant I., Leguillou J.L., et al: Current practices in sedation and analgesia for mechanically ventilated critically ill patients: a prospective multicenter patient-based study. Anesthesiology 2007; 106: pp. 687-695

Puntillo K.A., Max A., Chaize M., Chanques G., and Azoulay E.: Patient recollection of ICU procedural pain and post ICU burden: the memory study. Crit. Care Med. 2016; 44: pp. 1988-1995

Von Rueden, K.T., Wallizer, B., Thurman, P. … & Son, H.  92017).  Delirium in trauma patients:  Prevalence and Predictors.  Critical Care Nurse, 37(1), 40-46.