Algorithms in trauma management

• Published in: Der Unfallchirurg Vol. 100; no. 11; p. 913
• Main Authors: Waydhas, C, Kanz, K G, Ruchholtz, S, Nast-Kolb, D
• Format: Journal Article
• Language: German
• Published: Germany 01.11.1997
• Subjects: Algorithms; Critical Care; Decision Trees; First Aid; Humans; Multiple Trauma - diagnosis; Multiple Trauma - therapy; Patient Care Team; Quality Assurance, Health Care
• ISSN: 0177-5537
• DOI: 10.1007/s001130050212

A well-controlled, meticulous process has a far higher probability of resulting in a high quality of medical care than improvization and unstructured creativity. Algorithms display decision-making treatment processes and problem-solving strategies by giving clearly defined and formalized guidelines. The flow chart for decision-making follows the yes/no dichotomy of binary logic. The systematic ordering of decision points and consequent actions is guided by medical priority and thus regulates the time-frame and sequence of each single step in a logical manner. With the help of clinical algorithms highly complex processes such as the management of the severely injured patient can be translated into a clearly structured, logical pathway. Clinical algorithms represent scientifically recognized treatment rules, indicate a solution for solving problems and help users to organize ideas and recognize connections. They delineate a consistent and valid guideline, while allowing deviations in proven exceptions. The use of algorithms allows a systematic search for errors in the process of quality management. In emergency situations they suggest a structured means of problem solving for the less experienced user. Algorithms are useful instruments in the teaching of medical decision-making.