Trauma reception and resuscitation.
The hospital reception phase of major trauma management requires a great number of expedient decisions. However, despite widely taught programmes advocating a standardized, algorithmic approach to decision-making, there is an ongoing rate of human errors contributing to adverse outcomes. It is now time for a fundamental change in our approach to trauma resuscitation. Point-of-care computer technology linked to real-time decision-making and trauma team coordination may achieve error reduction through standardized decision-making and a corresponding reduction in preventable mortality and morbidity.
Fitzgerald
Mark C
MC
Emergency and Trauma Centre, The Alfred, Prahran, Vic., Australia. m.fitzgerald@alfred.org.au
Bystrzycki
Adam B
AB
Farrow
Nathan C
NC
Cameron
Peter A
PA
Kossmann
Thomas
T
Sugrue
Michael E
ME
Mackenzie
Colin F
CF
D000465:Algorithms; D004636:Emergency Service, Hospital / Q000458:organization & administration*; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D010043:Outcome and Process Assessment, Health Care; D019095:Point-of-Care Systems; D014218:Triage / Q000379:methods*; D014947:Wounds and Injuries / Q000175:diagnosis* / Q000628:therapy*