A Preliminary Trial of the Introduction of Computerized Decision Support to Assist Resuscitation of the Severely Injured in a Level 1 Trauma Centre in India

Abstract Injury from motor vehicle accidents remains a leading cause of death in India with increasing number fatalities. Timely delivery lifesaving interventions is critical for survival and restoring physical functioning. As part the Australia Trauma Systems Collaboration, Reception Resuscitation (TRR©)-computerized decision support system was implemented Level 1 Centre order to determine whether this would reduce time performing improve vital sign data capture documentation. This prospective cohort study at Jai Prakash Narayan Apex Center, All Institute Medical Science, New Delhi, recruited total 106 participants into two groups: TRR© (76) controls (30). During first 30 min resuscitation, group recorded greater sets signs compared medical records. More importantly, real-time documentation ensured accuracy For interventions, oxygen administered only if SpO 2 < 93%, whereas as standard care controls. There no statistical difference mean times endotracheal intubation, intercostal catheter insertion or performance emergency chest x-ray between control groups. Importantly however, these 3 comparable were performed consistently within smaller timeframe patients receiving prompts. variability taken perform comparison clinicians assisted computerized preliminary not powered measure mortality patient recruitment limited 8 am–5 pm when trained staff could attend operating system.