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[Design of an expert system for decision-making in an emergency situation]
G Baños1, B Arcay, J Carceller
1Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Xeral de Galicia-Hospital Gil Casares, Santiago de Compostela.
Objectives:
To study the clinical applicability of the expert system URGSANT as a help in making up decisions in emergencies.
Material And Methods:
URGSANT is an expert system implemented in INSIGT 2+ which is structured in a modular and hierarchical form. It contemplates 44 urgent situations relating to the central nervous system, hematopoietic, cardiovascular, respiratory, gastrointestinal, genitourinary, endocrinological, and miscellaneous group. Validation of the program was made by four anesthesiologists who evaluated the performance of the program in 25 emergency cases and in 25 other situations that were treated by other specialists.
Results:
The rationale of the system was basically correct. In most cases the program was considered efficient or very efficient during the different clinical situations and only in one case its guidance was wrong.
Conclusions:
The URGSANT expert system is an efficient and useful method for the clinician during emergency situations.