Feasibility of Lactate Level Evaluation in Prehospital Care in Trauma

Masaryk Hospital Usti nad Labem

Status

Unknown

Conditions

Lactate Blood Increase

Trauma, Multiple

Treatments

Procedure: capillary and venous lactate level measurement

Study type

Observational

Funder types

Other

Identifiers

NCT03115970

KAPIM-L

Details and patient eligibility

About

Capillary or venous lactate level evaluation in prehospital care could be simple and beneficial tool for optimising prehospital care in patients with severe trauma.

Full 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.

Enrollment

30 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

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)