Lactate Blood Increase, Trauma, Multiple
Conditions
Brief summary
Capillary or venous lactate level evaluation in prehospital care could be simple and beneficial tool for optimising prehospital care in patients with severe trauma.
Detailed description
Evaluation of blood lactate level and its trend are important morbidity and mortality predictive factors. In prehospital care, lactate level is more sensitive marker and have better prognostic value in severe trauma than basic vital signs. Worse outcome is associated with levels between 2 - 4 mmol/l. Measurement of lactate level in venous or capillary blood is quick and simple method with minimal risks and with no special needs for medical staff training. In spite of good availability of this method in the Czech Republic the method feasibility has never been analysed in patients with severe trauma.
Interventions
PROCEDUREcapillary and venous lactate level measurement
capillary and venous lactate level measurement
Sponsors
Masaryk Hospital Usti nad Labem
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patient having / suspected to have severe trauma treated by cooperating Emergency Medical System organization
Exclusion criteria
* possible alterations of plasma lactate level in the time of trauma (seizure, malignity, use of beta-2 agonists, severe liver and/or kidney failure, ketoacidosis, intoxication)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of lactate level measurement | 1 day - the time the patient is treated by Emergency Medical System | Proportion of subjects with measured and recorded prehospital lactate level |
Contacts
Primary ContactMarcela Bilska, Dr.
Backup ContactJosef Skola, Dr.
Outcome results
None listed