Hi Doug, Our ED triage uses it when patients meet enough SIRS criteria but are not hypotensive. If the POC Lactate is >3 then the charge and MD are called to consider moving directly to the Resuscitation room Our Point of Care Testing department has approved the device as a qualitative tool only not quantitative, so the result is documented as "moderate risk" for <3 and "high risk" for >3. We chose 3 because our data shows an increased mortality for cryptic shock with lactate between 3 and 4. We are in the process of revamping our sepsis protocol on the floors and a positive screen will trigger a call to Rapid response who now have POC Lactate that they have been testing and comparing to the lab draws. Hopefully the technology will continue to improve because our lab can take anywhere from 30 minutes to 2 hours to report a lactate value. Hope this helps, Bill
William (Bill) Demaray BS RRT Sepsis Mortality Improvement Coordinator Internal Medicine/Pulmonary MSC10-5550 1 University of New Mexico Albuquerque, NM 87131-0001 [email protected] Cell (505) 480-4716 Desk (505) 925-7408 >>> Doug Hall <[email protected]> 2/25/2013 9:13 PM >>> Is anyone using a POC Lactate device to help confirm 2 or more Early Sepsis Symptoms? Thanks in Advance.
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