Emergency Colorectal Surgery Protocol Template

1. Initial Assessment

Patient Triage

• Vital signs monitoring
• Pain assessment (0-10 scale)
• Abdominal examination findings
• Relevant history documentation

Required Emergency Labs

• CBC with differential
• Basic metabolic panel
• Coagulation profile
• Type and cross-match
• Lactate level

2. Emergency Imaging

Priority Scans

• Abdominal/Pelvic CT with contrast
• Plain abdominal radiographs
• Point-of-care ultrasound when indicated

3. Common Emergency Scenarios

Acute Large Bowel Obstruction

• Emergency colonoscopic decompression setup
• Volvulus management equipment
• Surgical intervention preparation

Perforated Viscus

• Peritonitis management protocol
• Emergency laparotomy setup
• Stoma equipment preparation

Massive Lower GI Bleeding

• Rapid transfusion protocol
• Angiography coordination
• Emergency colonoscopy setup

4. Operating Room Requirements

Emergency Cart Contents

• Laparotomy instruments
• Stapling devices
• Stoma supplies
• Emergency vascular set

Staff Mobilization

• On-call team notification protocol
• Anesthesia team coordination
• OR staff emergency activation

5. Post-Procedure Protocol

Critical Care

• ICU bed arrangement
• Post-op monitoring requirements
• Immediate care protocols

Documentation

• Emergency surgery checklist
• Consent forms
• Operative notes template
• Critical incident reporting

6. Quality Assurance

Audit Requirements

• Emergency response times
• Outcomes documentation
• Complication tracking
• Team debriefing protocol