Masui. The Japanese journal of anesthesiology
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There is no useful predictor of treatment preventing progress from hemorrhagic shock to systemic inflammatory response syndrome or disseminated intravascular coagulation. Recent reports have shown that blood lactate levels could be related to outcome of critically ill patients including those with septic shock. ⋯ Blood lactate concentrations and especially their time courses have a strong relation with survival from hemorrhagic shock and can be reliable clinical predictors of therapy.
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It is important "to obtain cooperation of a patient" and "to practice efficiently" in paramedic intubation practice. In our hospital, we distribute a pamphlet at the time of informed consent acquisition and we present a letter of thanks after the practice. ⋯ By the time 5 paramedics have completed the practice period, the average time is 36.4 days, the rate of patient consent is 94% and the successful rate of intubation is 99%. The paramedic intubation practice is implemented relatively smoothly.