#203 Lactate Explained | Lactic Acidosis, Type A vs Type B, and Prognosis in Critical Illness

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Previously titled “Lactate Explained | Lactic Acidosis, Type A vs Type B, and Prognosis in Critical Illness” — renamed by the publisher on Aug 4, 2026

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Recorded12 Jan 2026

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Lactate is one of the most commonly ordered labs in emergency medicine and critical care—yet it’s often misunderstood. In this comprehensive review, we break down everything clinicians need to know about lactate and lactic acidosis, from basic physiology to prognostic significance in critical illness. We cover: • What lactate is and how it’s produced • Aerobic vs anaerobic lactate generation • Type A vs Type B lactic acidosis • Lactate in sepsis, shock, and hypoperfusion • Non-hypoxic causes of elevated lactate • Lactate clearance and trends • Prognostic value of lactate in critical illness • Common misconceptions about lactic acidosis Link to video: https://www.youtube.com/watch?v=5JdbyQgdxUY 📚 DOWNLOAD PDF FOR THIS VIDEO AT LINK BELOW https://www.patreon.com/c/WhiteBoardMedicine We also have MINI COURSES, STUDY GUIDES, PRACTICE QUESTIONS, AD FREE VIDEOS, EDUCATIONAL DISCUSSIONS Consider joining our patreon community today! Disclaimer: This content is for educational purposes only and does not constitute medical advice. Clinical decisions should be made by licensed healthcare professionals using their clinical judgment, institutional protocols, and current evidence. Whiteboard Medicine assumes no responsibility for clinical outcomes.

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