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venous blood lactate is effective at the early identification of severe sepsis. Am J Emerg Med. 2014 Nov 8. pii: S0735-6757(14)00789-X.    (retrieved Nov, 2014). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.