Lactate; Roadside to Resus

The Resus Room

Simon Laing

Science, Emergencymedicine, Medicine, Health & Fitness, Em, Ae

4.8 • 678 Ratings

🗓️ 18 July 2022

⏱️ 26 minutes

🔗️ Recording | iTunes | RSS

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Summary

So when people talk about patients having a high lactate we think about them being sick, it can at times be easy to slip into thinking that this equals sepsis or maybe ischaemia. And whilst the presence of a high lactate in the context of infection and ischaemia is important to note, there is a lot more to interpreting a raised lactate than may first be apparent...

So in this episode we’re going to delve down into lactate, have a think about what it is, what normal and raised levels are, consider the mechanisms behind it’s formation and breakdown and think about the causes of raised lactate. We'll then put this all together and have a think about how we can interpret and lactate levels ensuring we give the best treatment to our patients!

Enjoy!

Simon, Rob & James

Transcript

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0:00.0	Welcome to the Recess Room podcast.
0:03.5	Five, four, three, two, one, fire.
0:11.9	So hi, and welcome back to the Recess Room podcast.
0:15.4	I'm Simon Lang.
0:16.8	And I'm Rob Fenwick.
0:17.9	And I'm James Yates.
0:19.1	And we're back with another episode.
0:21.1	And this time we're looking at lactate.
0:24.1	Oh yes.
0:25.1	Everybody's absolutely favouritist blood test when it comes to ED and emergency care.
0:31.1	It's not the D-Dimer anymore, boys.
0:32.7	It's all about the lactate.
0:34.1	Oh, yes. Well, I'm looking forward to this because lactate gets a bit of a bad rap and I wonder if we can try and correct some of that unfair hating on the lactate molecule.
0:42.9	Yeah, well, you know, I'm not taking it too personally against the actual serum blood test,
0:46.8	but I think this has been a really useful topic to run through, actually. It certainly provides
0:50.9	some clarity for us. So hopefully it'll be useful to a couple of you out there as well.
0:56.0	Before we get into the episode, as always a big thanks to SJTrem,
0:59.4	the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
1:02.5	who partner with us on this podcast and make it all free and open access and available to you.
1:08.1	Make sure if you like the sorts of topics we cover here
1:10.2	that you go and check out
1:11.3	their online journal and all of their free open access articles via the hyperlink on our
	...

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