Projected Impact: Our data extend the work on ED-based quantitative resuscitation by showing that important pulmonary complications can be prevented by interventions performed in the ED. The projected impact of this and related studies is twofold. First, our work supports the idea that monitoring serial lactates as a method to quantify the effectiveness of early resuscitation is a valuable practice and associated with improved outcomes. The second area of impact is related to ventilator management in the ED. We demonstrated improved outcomes for ED patients who were managed with lung-protective strategies. We hope that this will encourage providers to be conscientious about early ventilator management. While these data are drawn from retrospective studies, we acknowledge their limitations and hope that future work in prospective trials will support these early findings.
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ACEP Now: Vol 35 – No 05 – May 2016Dr. Dettmer is a critical care medicine fellow at Cooper University Hospital in Camden, New Jersey.
Reference
- Dettmer MR, Mohr NM, Fuller BM. Sepsis-associated pulmonary complications in emergency department patients monitored with serial lactate: an observational cohort study. J Crit Care. 2015;30(6):1163-1168.
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