Computerized Decision Support System for Fluid Management Lowers Mortality in Burn Patients

Use of the system reduced crystalloid volume and increased urine output.

Fluid management significantly lowers mortality in patients with severe burns, but formulas are complicated and overresuscitation is common. Researchers developed and evaluated a computerized decision support system (CDSS) for fluid management in patients in a burn intensive care unit (BICU) who had >20% total body surface area burns. Researchers compared outcomes in 32 patients who were treated with the aid of the CDSS and 38 historical controls. The CDSS was linked to the electronic medical record and was automatically executed on bedside computers.

Mortality was significantly lower in the CDSS group (29% vs. 44%). Total crystalloid volume administered during the first 48 hours in the BICU was significantly lower in the CDSS group (9679 mL…

Reviewing Author

Kristi L. Koenig, MD, FACEP

Disclosures

Editorial boardsKoenig & Schultz's Disaster Medicine: Comprehensive Principles and Practices

Kristi L. Koenig, MD, FACEP

Disclosures

Editorial boardsKoenig & Schultz's Disaster Medicine: Comprehensive Principles and Practices