Möckel Martin, Müller Christian, Lindner Tobias, Searle Julia
Dtsch Med Wochenschr. 2016 Mar;141(5):322-8. doi: 10.1055/s-0041-109207. Epub 2016 Mar 3.
Laboratory parameters in emergency medicine can be divided into 3 categories. Urgent obligatory parameters are necessary for immediate therapeutic decisions and must be available within 60 minutes. For these, testing in the emergency department (ED) as point-of-care-testing (POCT) should be considered. The second category are obligatory parameters which require diagnostic / therapeutic consequences in the emergency department, but are not necessary for immediate life-saving actions. Due to international consensus of a 4-hour length of stay target for ED, results should be available within this time. The third category are parameters which do not lead to immediate diagnostic or therapeutic consequences, but are important for process management and patient flow in the ED. They should therefore be available as emergency tests. POC-testing should be used for a limited number of very urgent parameters and should be organized as a satellite laboratory in cooperation with the central laboratory.
急诊医学中的实验室参数可分为三类。紧急必需参数对于立即做出治疗决策是必要的，且必须在60分钟内获得结果。对于这些参数，应考虑在急诊科（ED）进行即时检验（POCT）。第二类是必需参数，这些参数在急诊科需要有诊断/治疗结果，但对于立即挽救生命的行动并非必要。由于国际上对于急诊科4小时住院时长目标达成了共识，因此结果应在这段时间内获得。第三类是那些不会立即产生诊断或治疗结果，但对急诊科的流程管理和患者流量很重要的参数。因此，它们应作为急诊检验项目提供。POCT应仅用于少数非常紧急的参数，并应作为卫星实验室与中心实验室合作进行组织。
