At first glance the concept of introducing another variable and potential distraction in the often high-stress, fast-moving situation of trauma resuscitation is not appealing. However, the study by Fitzgerald et al makes a convincing argument for such a consideration, given the demonstrable decrease in errors found during the first 30 minutes of trauma resuscitations. In fact, the authors have demonstrated a significant increase (16.0% to 21.8%; P = .049) in error-free resuscitations during the first 30 minutes of resuscitation. Furthermore, the authors showed reduction in morbidity from shock management (P = .03), blood use (P < .001), and aspiration pneumonia (P = .046).
Eastman AB. Are Computers a New Member of the Trauma Team?Comment on “Trauma Resuscitation Errors and Computer-Assisted Decision Support”. Arch Surg. 2011;146(2):225. doi:10.1001/archsurg.2010.334