A comparison of prehospital lactate and systolic blood pressure for predicting the need for resuscitative care in trauma transported by ground.

Publication Type:

Journal Article

Source:

The journal of trauma and acute care surgery, Volume 78, Issue 3, p.600-6 (2015)

Keywords:

Adult, Ambulances, Biological Markers, Blood Pressure, Female, Humans, Lactates, Male, Predictive Value of Tests, Prognosis, Prospective Studies, Resuscitation, Sensitivity and Specificity, Systole, Trauma Centers, Triage, Wounds and Injuries

Abstract:

Reliance on prehospital trauma triage guidelines misses patients with serious injury. Lactate is a biomarker capable of identifying high-risk trauma patients. Our objective was to compare prehospital point-of-care lactate (P-LAC) with systolic blood pressure (SBP) for predicting the need for resuscitative care (RC) in trauma patients transported by ground emergency medical services.