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Invited Critique
February 2011February 21, 2011

Are Computers a New Member of the Trauma Team?Comment on “Trauma Resuscitation Errors and Computer-Assisted Decision Support”

Author Affiliations

Author Affiliation: Scripps Health, San Diego, California.

Arch Surg. 2011;146(2):225. doi:10.1001/archsurg.2010.334

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).

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