Kanz K G, Eitel F, Waldner H, Schweiberer L
Chirurgische Klinik und Poliklinik, Klinikum Innenstadt, Ludwig-Maximilians-Universität München.
Unfallchirurg. 1994 Jun;97(6):303-7.
Resuscitation and management of high-risk multiple trauma patients require a systematic and coordinated approach to diagnostic and therapeutic interventions. Clinical algorithms with branch chain decision logic can provide a clear and organized transformation of clinical standards for trauma care. Owing to their capability in formalization and standardization, algorithms define precisely the process of care and serve as a central interface within the system of quality assurance and quality control. The standardized document symbols and conventions for information processing according to ANSI/ISO/CCITT regulations are generally applied to the flowchart design of clinical algorithms. Special starting and ending point symbols make it possible to break down complex processes in several single interrelated algorithms. Inclusion of optional criteria checklists reduces the number of decision nodes and loops and minimizes the extent of a comprehensive algorithm. Clinical algorithms are an excellent tool for converting highly complex concepts of multiple trauma management into a logical, prioritized and systematic process of care.
高危多发伤患者的复苏与管理需要对诊断和治疗干预采取系统且协调的方法。具有分支链决策逻辑的临床算法可为创伤护理的临床标准提供清晰且有条理的转化。由于其具备形式化和标准化的能力，算法精确地定义了护理过程，并在质量保证和质量控制体系中充当核心接口。根据ANSI/ISO/CCITT规定的用于信息处理的标准化文档符号和惯例通常应用于临床算法的流程图设计。特殊的起始和结束点符号使得在几个相互关联的单一算法中分解复杂过程成为可能。纳入可选标准清单可减少决策节点和循环的数量，并使综合算法的范围最小化。临床算法是将多发伤管理的高度复杂概念转化为逻辑、有序且系统的护理过程的绝佳工具。
