KBSIM/FLUIDTHERAPY: a system for optimized design of fluid resuscitation in trauma |
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Authors: | T Groth M Hakman A Hedlund B Zaar |
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Affiliation: | Unit for Biomedical Systems Analysis, Uppsala University, Sweden. |
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Abstract: | An application of the KBSIM (Knowledge-Based SIMulation) system to the improved design of fluid resuscitation is described. The system integrates knowledge from three domains, viz. the pathophysiology of traumatized patients represented in a quantitative biodynamic model, the heuristics of fluid resuscitation of such patients as represented in 'production rules', and some 'metaknowledge' reflected in the design of a multi-window user interface. This technique of combining numerical simulation with symbolic reasoning has obvious advantages during the design process and in training, by giving the user a possibility to evaluate his measures by direct feedback from the system. This feature of the system to assist in evaluation of alternative resuscitation procedures should also be useful as a means for decision support. |
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