Emergency Vascular Surgery Procedures Protocol Template

1. Initial Assessment and Triage

Priority Classification

• Code Red: Immediate surgical intervention required (≤1 hour)
• Code Yellow: Urgent intervention needed (≤6 hours)
• Code Green: Semi-urgent intervention required (≤24 hours)

Critical Conditions

• Ruptured aortic aneurysm
• Acute limb ischemia
• Traumatic vascular injury
• Complicated aortic dissection
• Vascular access emergencies

2. Emergency Response Protocol

Staff Activation

1. Primary vascular surgeon on call
2. Backup vascular surgeon
3. Vascular OR team
4. Interventional radiology (if needed)

Equipment Readiness

• Emergency vascular tray
• Endovascular suite preparation
• Rapid infusion systems
• Point-of-care testing devices

3. Procedure-Specific Guidelines

Acute Limb Ischemia

• Initial assessment timeline: ≤15 minutes
• Imaging requirements: CTA/Angiogram
• Revascularization options ready

Ruptured Aneurysm

• Immediate CT if patient stable
• OR preparation while imaging
• Blood products protocol activation

4. Documentation Requirements

Essential Forms

• Emergency procedure consent
• Time-out documentation
• Operative notes template
• Post-procedure orders

5. Quality Metrics

Time Benchmarks

• Door-to-needle time
• Code activation to OR time
• Procedure completion times

6. Contact Information

Key Personnel

• Emergency department coordinator
• OR charge nurse
• Blood bank supervisor
• Interventional radiology team