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dc.contributor.authorLightowler, Bryan
dc.date.accessioned2021-01-06T10:08:54Z
dc.date.accessioned2021-01-06T15:31:02Z
dc.date.available2021-01-06T10:08:54Z
dc.date.available2021-01-06T15:31:02Z
dc.date.issued2020-04-02
dc.identifier.citationLightowler B (2020) Point-of-care lactate measurement for suspected sepsis in the prehospital environment: are we missing the point at the sharp end?. British Journal of Health Care Management. 26(4): 1-9.en_US
dc.identifier.urihttp://hdl.handle.net/10454/18283
dc.descriptionNoen_US
dc.description.abstractExpecting ambulance clinicians to dependably differentiate the life-threatening organ dysfunction caused by sepsis from an inflammatory response to a non-infectious aetiology, relying upon vital signs and a physical examination of the patient alone, must be considered unrealistic. Although lactate measurement has been integrated into numerous prehospital sepsis screening tools, it is not yet measured routinely within UK ambulance services. Research has generally focused on whether handheld point-of-care lactate measurement devices are as accurate as laboratory analysis of venous or arterial samples. The weight of literature has concluded negatively in relation to this. However, there is potential for handheld devices to be used independently to monitor trends in lactate elimination or accumulation to inform decisions on the efficacy of prehospital interventions, or simply to report categorical data in terms of whether lactate levels are elevated or not. This offers UK paramedics the opportunity to improve sepsis care through the enhanced assessment of risk and acuity, the identification of patients with cryptic shock, more aggressive fluid resuscitation and advanced notification to receiving units.en_US
dc.language.isoenen_US
dc.publisherMark Allen Group
dc.subjectHandhelden_US
dc.subjectLactateen_US
dc.subjectPoint-of-careen_US
dc.subjectPrehospital careen_US
dc.subjectSepsisen_US
dc.titlePoint-of-care lactate measurement for suspected sepsis in the prehospital environment: are we missing the point at the sharp end?en_US
dc.status.refereedYesen_US
dc.date.Accepted2020-01-13
dc.typeArticleen_US
dc.type.versionNo full-text in the repositoryen_US
dc.identifier.doihttps://doi.org/10.12968/bjhc.2019.0071
dc.date.updated2021-01-06T10:08:55Z
refterms.dateFOA2021-01-06T15:31:34Z


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