Toward Standardized ICU Trauma Resuscitation via Markov Decision Processes

This study presents a clinically grounded MDP framework for trauma resuscitation that enables RL to be applied retrospectively in critical care. The learned policy mirrored trends previously observed in sepsis, aligning with clinician behavior while exposing variation in vasopressor use. These findings validate the relevance of the proposed MDP in trauma care, demonstrate feasibility of applying RL in this context, and establish a foundation for future modeling, evaluation, and decision support.

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Publication Details

Journal
Shock
Published
2025-09-12
DOI
https://doi.org/10.1097/shk.0000000000002707
Primary Topic
Sepsis Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Toward Standardized ICU Trauma Resuscitation via Markov Decision Processes

Grant E. O’Keefe, Ankur Teredesai, Catherine Beni, Qian Qiu et al.
Shock
Sepsis Diagnosis and Treatment
article

Toward Standardized ICU Trauma Resuscitation via Markov Decision Processes

Grant E. O’Keefe, Ankur Teredesai, Catherine Beni, Qian Qiu, Larry Preuett, Blake E. Murphy
article en

Abstract

This study presents a clinically grounded MDP framework for trauma resuscitation that enables RL to be applied retrospectively in critical care. The learned policy mirrored trends previously observed in sepsis, aligning with clinician behavior while exposing variation in vasopressor use. These findings validate the relevance of the proposed MDP in trauma care, demonstrate feasibility of applying RL in this context, and establish a foundation for future modeling, evaluation, and decision support.

Shock
University of Southern California (US), University of Washington (US), Harborview Injury Prevention and Research Center (US), University of Washington Tacoma (US), Seattle University (US)
Openalex Percentile: Top 58%
Sepsis Diagnosis and Treatment
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