Feasibility of Lactate Level Evaluation in Prehospital Care in Trauma
- Conditions
- Trauma, MultipleLactate Blood Increase
- Interventions
- Procedure: capillary and venous lactate level measurement
- Registration Number
- NCT03115970
- Lead Sponsor
- Masaryk Hospital Usti nad Labem
- 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.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 30
- patient having / suspected to have severe trauma treated by cooperating Emergency Medical System organization
- 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)
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Trauma patients capillary and venous lactate level measurement All patients having / suspected to have severe trauma injuries
- Primary Outcome Measures
Name Time Method 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
- Secondary Outcome Measures
Name Time Method