Lewins, I. LDH, Don't Forget the Bubbles, 2017. Available at:
Ian, I’ve done some ‘routine bloods’ and…” are the words most likely to induce an elevation in my blood pressure at work. I’m not alone in detesting the taking of ‘routine bloods’ – if the test you’re doing isn’t going to change your management then don’t do it.
Equally, if you don’t know what to do with an abnormal result then you need to think hard about why you are suggesting the test. If you do enough blood tests, eventually you’ll find one that is abnormal. What then? My pet peeve for this approach is the use of LDH both in the Paediatric ED and in primary care. I’ve had plenty of discussions with anxious healthcare professional who have undertaken a ‘routine’ LDH and are now wishing they hadn’t as it is has come back as moderately raised. Ross and Abrahamson looked at this very problem and published their findings in the Archives of Disease in Childhood. Just how useful is taking an LDH in children presenting to the Paediatric ED?
The original article is here http://adc.bmj.com/content/96/Suppl_1/A87.1.short
and I have summarised it in the infographic below: