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.
Authors
- Grant E. O’Keefe (ORCID: https://orcid.org/0000-0001-7453-9429)
- Ankur Teredesai (ORCID: https://orcid.org/0000-0002-2112-5895)
- Catherine Beni
- Qian Qiu (ORCID: https://orcid.org/0000-0002-8281-6526)
- Larry Preuett
- Blake E. Murphy
Institutions
- University of Southern California (US)
- University of Washington (US)
- Harborview Injury Prevention and Research Center (US)
- University of Washington Tacoma (US)
- Seattle University (US)
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