M Möckel1, J Searle. 1. Arbeitsbereich Notfallmedizin/Rettungsstellen/CPU, Campus Virchow Klinikum und Campus Mitte, Charité - Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland, martin.moeckel@charite.de.
Abstract
BACKGROUND: Measurement of biological signals directly at the patient (point-of-care testing, POCT) is an established standard in emergency medicine when test results are needed quickly and within a reliable time frame or if external testing requires a disproportionate effort. OBJECTIVES: Currently, the rapid test for β-HCG in urine and POCT measurement of lactate, blood gases, cardiac tropinin, haemoglobin, and hematocrit are well established in emergency medicine. POCT of copeptin, fatty acid-binding proteins (FABP), procalcitonin, coagulation values, natriuretic peptides, D-dimer, and toxicological substances are of future interest. In this article, the appropriate use of point-of-care testing in prehospital emergency medicine is discussed. RESULTS: Application of POCT is dependent of the underlying conditions, the availability of appropriate devices, and of suitable reference methods in a central laboratory. In addition, economical and quality aspects play an important role. CONCLUSION: In emergency departments, POCT is currently developing into a standard measuring method for a number of markers because hospital laboratories are increasingly being merged and consequently reduce their emergency-analytic services. In countries with a high density of hospitals, however, preclinical POCT should be reduced to the minimum necessary.
BACKGROUND: Measurement of biological signals directly at the patient (point-of-care testing, POCT) is an established standard in emergency medicine when test results are needed quickly and within a reliable time frame or if external testing requires a disproportionate effort. OBJECTIVES: Currently, the rapid test for β-HCG in urine and POCT measurement of lactate, blood gases, cardiac tropinin, haemoglobin, and hematocrit are well established in emergency medicine. POCT of copeptin, fatty acid-binding proteins (FABP), procalcitonin, coagulation values, natriuretic peptides, D-dimer, and toxicological substances are of future interest. In this article, the appropriate use of point-of-care testing in prehospital emergency medicine is discussed. RESULTS: Application of POCT is dependent of the underlying conditions, the availability of appropriate devices, and of suitable reference methods in a central laboratory. In addition, economical and quality aspects play an important role. CONCLUSION: In emergency departments, POCT is currently developing into a standard measuring method for a number of markers because hospital laboratories are increasingly being merged and consequently reduce their emergency-analytic services. In countries with a high density of hospitals, however, preclinical POCT should be reduced to the minimum necessary.
Authors: Alexander Schellhaass; Andreas Walther; Stavros Konstantinides; Bernd W Böttiger Journal: Dtsch Arztebl Int Date: 2010-08-30 Impact factor: 5.594
Authors: Alan Maisel; Sean-Xavier Neath; Judd Landsberg; Christian Mueller; Richard M Nowak; W Frank Peacock; Piotr Ponikowski; Martin Möckel; Christopher Hogan; Alan H B Wu; Mark Richards; Paul Clopton; Gerasimos S Filippatos; Salvatore Di Somma; Inder Anand; Leong L Ng; Lori B Daniels; Robert H Christenson; Mihael Potocki; James McCord; Garret Terracciano; Oliver Hartmann; Andreas Bergmann; Nils G Morgenthaler; Stefan D Anker Journal: Eur J Heart Fail Date: 2012-02-02 Impact factor: 15.534