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    Evaluation of pre-hospital point-of-care testing for lactate in sepsis and trauma patients

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    Author
    Younger, Paul
    McClelland, Graham
    Keyword
    Emergency Medical Services
    Sepsis
    Trauma
    Point-of-Care Testing
    Lactates
    Journal title
    Journal of Paramedic Practice
    
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    URI
    http://hdl.handle.net/20.500.12417/489
    DOI
    10.12968/jpar.2014.6.10.526
    Abstract
    Abstract published with permission. Objective: Lactate is a significant marker of critical illness and mortality in sepsis and trauma patients. The purpose of this study is to evaluate point-of-care lactate testing by paramedics in a UK ambulance service. Methods: Selected enhanced care paramedics were trained to use the lactate meter in patients with suspected sepsis and patients who trigger the major trauma bypass protocol. Feedback was collected on the practicalities of using the meter and the potential impact on the diagnosis of sepsis. Results: Data were collected on 114 patients, 96% had suspected sepsis (n=109) and 4% (n=5) were patients who had sustained trauma. The participants found that the ability to take lactate readings was useful and increased their confidence in their clinical decision making. Conclusions: Point-of-care lactate measurement is feasible in pre-hospital care and appears to support paramedics in their decision making.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2014.6.10.526
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