Design and prospective evaluation of an algorithm for penetrating truncal injuries.
The major aim was to develop a branch-chain decision tree for penetrating truncal injury and to subject this to a prospective trial of its feasibility to track management decisions. In contrast to the conventional trauma study which focuses on highly selected, well-defined surgical problems, this algorithmic approach was designed to look at the whole gamut of problems of unselected patients with penetrating injury as they enter the ED. The branch-chain algorithm primarily focuses on priorities, order of procedures, and the immediate therapeutic options. The algorithm was used to track clinical management of 280 consecutive patients with penetrating truncal injuries; 31 were dead on arrival, 12 were alive on admission but died during their hospitalization. Of 209 patients whose management was in satisfactory compliance, four (2%) died; eight (20%) of 40 patients who had major deviations from the algorithm died (p less than .01).
Liu
M
M
Department of Surgery, King-Drew Medical Center, Los Angeles, CA.
Shoemaker
W C
WC
Kram
H B
HB
Harrier
H D
HD
D000465:Algorithms; D002985:Clinical Protocols; D003663:Decision Trees; D004630:Emergencies; D006323:Heart Arrest / Q000209:etiology / Q000401:mortality; D006801:Humans; D011446:Prospective Studies; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000401:mortality; D014950:Wounds, Penetrating / Q000150:complications / Q000401:mortality / Q000628:therapy*