Prehospital lactate measurements became available to AAKSS HEMS teams as an adjunct to clinical assessment in July 2017 using the NOVA StatStrip® Biomedical Xpress™ Point of care (POCT) Lactate Meter system [9, 10]. Current AAKSS Standard Operating Procedures (SOP), recommend lactate measurement in all patients with suspected major hemorrhage. Lactate was measured from venous blood, drawn in a 2 ml syringe during venapuncture or after insertion of an intravenous canula. Lactate was drawn and analyzed in the prehospital setting before EMS treatments (including transfusion of any blood products) was commenced, but generally after prehospital treatment by ground ambulance crews (such as circulatory support, analgesia, and haemostatic interventions) was initiated.
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