Good afternoon; The EMS proposal was for Point of Care Lactates be sampled, like in Finger stick Blood Glucose sampling. We had found recommendations and methods to support this, but then discovered the only FDA approved POC Lactate meter had been discontinued. Our research buffers your statements that EMS blood draws for lactate is not supported. Wondered if anyone had encountered these roadblocks and any suggestions for working around them. Thanks! Andy DeWolf From: [email protected] To: [email protected]; [email protected]; [email protected] Subject: RE: [Sepsis Groups] Sepsisgroups Digest, Vol 62, Issue 7 Date: Wed, 26 Jun 2013 16:16:54 +0000
Lactates need to be drawn and put on ice. Drawing in the field does not provide you with an accurate result. We draw the lactate in triage. From: [email protected] [mailto:[email protected]] On Behalf Of Angela Craig Sent: Tuesday, June 25, 2013 12:57 PM To: 'Andrew DeWolf'; [email protected] Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 62, Issue 7 We currently do not have our EMS do a lactate level in the field either. Recently we have been noticing it seems we are having hyperelevated lacte levels in our emergency department. One thing to think about – if the EMS brings in a patient they may be bringing in blood as well and if we draw a lactate on this blood – if it has been drawn some time ago may give us false high levels correct?? Anyone having this issue as well? 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 Andrew DeWolf Sent: Friday, June 21, 2013 3:23 PM To: [email protected] Subject: Re: [Sepsis Groups] Sepsisgroups Digest, Vol 62, Issue 7 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 > > Send Sepsisgroups mailing list submissions to > [email protected] > > To subscribe or unsubscribe via the World Wide Web, visit > http://lists.sepsisgroups.org/listinfo.cgi/sepsisgroups-sepsisgroups.org > > or, via email, send a message with subject or body 'help' to > [email protected] > > You can reach the person managing the list at > [email protected] > > When replying, please edit your Subject line so it is more specific > than "Re: Contents of Sepsisgroups digest..." > > > Today's Topics: > > 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" > > > > ________________________________ > This message is intended for the sole use of the addressee, and may contain > information that is privileged, confidential and exempt from disclosure under > applicable law. 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