Measurement of lactate in a prehospital setting is related to outcome

Paul A. van Beest*, Peter Jan Mulder, Suparto Bambang Oetomo, Bert van den Broek, Michael A. Kuiper, Peter E. Spronk

*Corresponding author for this work

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    Abstract

    Objective We evaluated the relationship of lactate measured in a preclinical setting with outcome. Simultaneously, we evaluated the feasibility of implementing blood lactate measurement in a prehospital setting as part of a quality improvement project

    Methods Chart review of patients from whom serum lactate levels prospectively were obtained in a prehospital setting. Total population was divided into two groups, that is, a shock group and a non-shock group according to the predefined shock symptoms. The shock group was divided into two groups, that is, a lactate less than 4 mmol/l (subgroup 1) and a lactate of at least 4 mmol/l (subgroup 11).

    Results In about 50% of possible cases, lactate was measured in the prehospital setting. Median lactate in subgroup I (n=74) was 3.2 (1.5-3.9) mmol/l versus 5.0 (4.0-20.0) mmol/l in subgroup I I (n = 61) (P

    Conclusion Implementation of lactate measurement in prehospital setting is feasible, and potentially clinical relevant. Lactate measured in a preclinical setting is related to outcome. Subsequent studies should evaluate whether treatment of shock patient Is based on prehospital lactate measurement will improve outcome. European Journal of Emergency Medicine 16:318-322 (C) 2009 Wolters Kluwer Health | Lippincott Williams & Wilkins.

    Original languageEnglish
    Pages (from-to)318-322
    Number of pages5
    JournalEuropean journal of emergency medicine
    Volume16
    Issue number6
    DOIs
    Publication statusPublished - Dec-2009

    Keywords

    • early diagnosis
    • lactic acid
    • prehospital emergency care
    • regional health planning
    • shock
    • OXYGEN-DERIVED VARIABLES
    • HUMAN SEPTIC SHOCK
    • BLOOD LACTATE
    • MYOCARDIAL-INFARCTION
    • OCCULT HYPOPERFUSION
    • CRITICALLY ILL
    • SEVERE SEPSIS
    • TRAUMA
    • MORTALITY
    • RELIABILITY

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