Exploiting multiple goals and intentions in decision support for the management of multiple trauma: a review of the TraumAID project

摘要

Managing a patient with multiple injuries is a cognitively intense task. While protocols provide invaluable support for maintaining quality care, they generally address a single condition, while multiple trauma generally involves many. The TraumAID system tries to address this by providing tools for reasoning, planning, plan recognition and text generation which essentially coordinate and integrate multiple recommendations from multiple protocols. This paper reviews work on all these tools, including their (individual) evaluations, setting the work within a uniform conceptual framework of goals, intentions and actions. Because TraumAID's use in real-time decision support depends critically on electronic forms of information sharing and recording practices in the Emergency Trauma Center, TraumAID continues to remain a laboratory exercise. Nevertheless, the general value of integrating multiple protocols for decision support justifies attention to the solution methods TraumAID provides.