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SFBC guidelines on critical care testing Volume 74, issue 2, Mars-Avril 2016

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Authors
1 Service de biochimie, Pôle de biologie médicale et pathologie, Site Saint-Antoine, GH Hôpitaux Universitaires Est Parisien, AP-HP, France
2 Membres du Groupe de travail SFBC : Examens de biologie médicale d’urgence
* Tirés à part
a Les affiliations des membres du groupe de travail sont données à la fin de l’article.

SFBC working group on critical care testing describes in this paper guideline for the management of laboratory medicine examination process in emergency conditions. After a summary on French standards and regulations, the critical care testing perimeter and definitions of stat levels are presented in different contexts. The complete examination process is described. Guidelines are proposed for each step, to manage sub-process in a risk management approach. The following steps were studied: ordering (by specialties), sampling, transport, reception, analysis, validation and release. In summary, we proposed a list of examinations allowed to be prescribed in stat conditions with a short list and complementary tests as a function of clinical setting. These guidelines need to be adapted in clinicobiological contracts.