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Sunday, January 19, 2020

Lactate


The BREACH, EM research bulletin
The Breach - By Barrie Stevenson - January 16, 2020
The paper: Wardi G, Brice J, Correia M. Demystifying lactate in the Emergency Department. Ann Emerg Med. 2019 [epub ahead of print]
"Take home points
  1. When confronted with a raised lactate, ask yourself: “Does this patient have signs of regional ischaemia or shock?”
  2. If not, consider why their lactate might be raised and whether you have to do something about it
  3. Try to resist the unthinking ‘Lacto-Bolo reflex’ if you can!"