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Objective <p>Blood gas analyses form part of routine testing in emergency medicine and intensive care in hospitals in the western world; however, this method has not yet become established in prehospital management, despite the fact that patients are comparable in terms of severity of the illnesses. This study aimed to assess whether the use of prehospital blood gas analysis has medical and/or organizational consequences for patient care.</p> Methods <p>In two regions in Germany, seven emergency physician–staffed response units were equipped with portable blood gas analysis devices. After each use, providers were required to complete a&#xa0;6-item questionnaire evaluating potential medical and organizational consequences for the patient.</p> Results <p>A&#xa0;total of 184 patients underwent prehospital blood gas analysis. In 85% of cases, providers reported consequences for patient management, including medical and/or organizational effects.</p> Conclusion <p>In the majority of cases, prehospital blood gas analysis influenced the care of critically ill patients. Further research is needed to determine whether its use translates into improved clinical outcomes, such as reduced mortality.</p> Graphic abstract <p></p>

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Relevance of blood gas analysis in emergency medical services: an emergency physician’s assessment

  • 期刊论文

  • 发表日期：

    2026年4月16日

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  • Steffen Grautoff,
  • Niclas Knappen,
  • Luca Hennig,
  • Christian Engelen,
  • Tobias Hübner

摘要

Objective

Blood gas analyses form part of routine testing in emergency medicine and intensive care in hospitals in the western world; however, this method has not yet become established in prehospital management, despite the fact that patients are comparable in terms of severity of the illnesses. This study aimed to assess whether the use of prehospital blood gas analysis has medical and/or organizational consequences for patient care.

Methods

In two regions in Germany, seven emergency physician–staffed response units were equipped with portable blood gas analysis devices. After each use, providers were required to complete a 6-item questionnaire evaluating potential medical and organizational consequences for the patient.

Results

A total of 184 patients underwent prehospital blood gas analysis. In 85% of cases, providers reported consequences for patient management, including medical and/or organizational effects.

Conclusion

In the majority of cases, prehospital blood gas analysis influenced the care of critically ill patients. Further research is needed to determine whether its use translates into improved clinical outcomes, such as reduced mortality.

Graphic abstract