title: [SFBC guidelines on critical care testing].
abstract: 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.
authors.affiliation: Service de biochimie, Pôle de biologie médicale et pathologie, Site Saint-Antoine, GH Hôpitaux Universitaires Est Parisien, AP-HP, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Vaubourdolle
authors.affiliation: Membres du Groupe de travail SFBC : Examens de biologie médicale d'urgence.
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Alvarez
authors.affiliation: Membres du Groupe de travail SFBC : Examens de biologie médicale d'urgence.
authors.forename: Françoise
authors.initials: F
authors.lastname: Barbé
authors.affiliation: Membres du Groupe de travail SFBC : Examens de biologie médicale d'urgence.
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Beaudeux
authors.affiliation: Membres du Groupe de travail SFBC : Examens de biologie médicale d'urgence.
authors.forename: Élodie
authors.initials: É
authors.lastname: Boissier
authors.affiliation: Membres du Groupe de travail SFBC : Examens de biologie médicale d'urgence.
authors.forename: Hélène
authors.initials: H
authors.lastname: Caillon
authors.affiliation: Membres du Groupe de travail SFBC : Examens de biologie médicale d'urgence.
authors.forename: Philippe
authors.initials: P
authors.lastname: Chatron
authors.affiliation: Membres du Groupe de travail SFBC : Examens de biologie médicale d'urgence.
authors.forename: Marie-Laure
authors.initials: ML
authors.lastname: Joly-Guillou
authors.affiliation: Membres du Groupe de travail SFBC : Examens de biologie médicale d'urgence.
authors.forename: Agnès
authors.initials: A
authors.lastname: Mailloux
mesh_terms: D000068:Accreditation; D019411:Clinical Laboratory Techniques / Q000379:methods / Q000592:standards*; D003422:Critical Care / Q000331:legislation & jurisprudence / Q000379:methods / Q000592:standards; D004630:Emergencies; D004632:Emergency Medical Services / Q000331:legislation & jurisprudence / Q000592:standards; D005602:France; D006801:Humans; D012308:Risk Management / Q000331:legislation & jurisprudence / Q000592:standards; D013048:Specimen Handling / Q000592:standards*
keywords: ISO 15189; accreditation; critical care testing; guidelines