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

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    Author
    McClelland, Graham
    Younger, Paul
    Byers, Sonia
    Keyword
    Emergency Medical Services
    Sepsis
    Shock
    Pre-hospital Care
    Lactates
    Journal title
    Journal of Paramedic Practice
    
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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.
    ae974a485f413a2113503eed53cd6c53
    10.12968/jpar.2012.4.6.329
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