Publication

Lactate measurement in pre-hospital care: a review of the literature

McClelland, GrahamOrcid icon; 
Younger, Paul
; 
Byers, Sonia
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Keyword
Emergency Medical Services
 Sepsis
 Shock
 Pre-hospital Care
 Lactates
Journal Title
Journal of Paramedic Practice
Book Title
Publication Volume
Publication Issue
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Publication End Page
Publication Number of Pages
Collections
Publications - North East Ambulance Service
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URI
http://hdl.handle.net/20.500.12417/728
DOI
10.12968/jpar.2012.4.6.329
Abstract
Abstract published with permission. Background: Lactate has been identified as a useful marker of shock. Lactate can be measured in the pre-hospital environment rapidly and accurately. Method: A comprehensive literature search was conducted using a targeted search strategy. Additional literature was located through reference list searching and prior awareness by the authors. This identified a number of papers which were appraised for relevance. This appraisal identified 29 papers which were included in the review. Conclusion: Lactate has been shown to be measurable in the pre-hospital environment and to be prognostic of mortality. Lactate measurement needs to be linked to specific treatment algorithms with improved outcomes for patients in order to justify inclusion in pre-hospital practice.
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