Good afternoon:
 
Working on developing a prehospital EMS based screening system for sepsis and 
severe sepsis, found out that the only  Point of Care Lactate meter FDA 
approved and CLIA waived has been discontinued on the market and in production. 
 There is currently no other FDA Approved/ClIA waived POC Lactate meters.
 
Has anyone else ran into this issue or problem solved it?  Working in NY and 
with our SEMAC and REMAC's we would need approval to use non FDA approved or 
CLIA Waived devices.  
 
Current plan is to use all of the sepsis screening criteria minus POC lactate 
and educate implement without .
 
Any thoughts, suggestions, or solutions from the group is appreciated.
 
Sincerely:
 
Andrew DeWolf - WCALS
Advanced Practice RSI Paramedic
 
> From: [email protected]
> Subject: Sepsisgroups Digest, Vol 62, Issue 7
> To: [email protected]
> Date: Fri, 21 Jun 2013 07:37:30 -0700
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> Today's Topics:
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>    1. Re: How do you determine the time zero for " not present on
>       arrival patients" (Angela Craig)
> 
> 
> ----------------------------------------------------------------------
> 
> Message: 1
> Date: Wed, 19 Jun 2013 10:01:37 -0500
> From: Angela Craig <[email protected]>
> To: "'Rohrbach, Dawn'" <[email protected]>,
>       "[email protected]"
>       <[email protected]>
> Cc: "Estill, Pamela" <[email protected]>
> Subject: Re: [Sepsis Groups] How do you determine the time zero for "
>       not present on arrival patients"
> Message-ID:
>       
> <343E31412FC9094487B54371286ADDA00376D4E25B@D109EXCHMB.crmchealth.hospital>
>       
> Content-Type: text/plain; charset="windows-1252"
> 
> I am attaching the pathway we use at CRMC when we have anyone who meets 
> criteria.  In the bottom right section of this form I have the Time Zero 
> criteria that we use.  I hope this helps!!
> 
> Angela Craig APN,MS,CCNS
> Clinical Nurse Specialist
> Intensive Care Unit
> Cookeville Regional Medical Center
> 931-783-5035
> 
> ________________________________
> From: [email protected] 
> [mailto:[email protected]] On Behalf Of Rohrbach, 
> Dawn
> Sent: Tuesday, June 11, 2013 3:08 PM
> To: [email protected]
> Cc: Estill, Pamela
> Subject: [Sepsis Groups] How do you determine the time zero for " not present 
> on arrival patients"
> 
> Can anyone tell us what you use to determine the time zero for your not 
> present on arrival severe sepsis patients?
> 
> Dawn Rohrbach RN/ CCRN
> Assistant Clinical Manager ICU/ STAT RNS
> Saint Patrick Hospital
> 500 West Broadway
> Missoula , MT. 59802
> [email protected]
> 406 329-2814
> " The single most problem with communication is the illusion that it has 
> taken place"
> 
> 
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