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I suspect pressure for these to be implemented is likely to increase because of A&E waiting time targets. It will be an expensive option not only because of the increased cost per test, as compared with the same test done in the lab, but also the well-known phenomenon Jan Still has described: people use it "because it's there", not necessarily because it adds anything to clinical outcomes. I would also be interested in hearing about others' experiences. At the moment we only have the common tests available here. Joan Pearson Dr MJ Pearson Department of Clinical Biochemistry & Immunology Old Medical School Leeds General Infirmary (Leeds Teaching Hospitals NHS Trust) LEEDS LS1 3EX UK tel (44)-113-392-3945 fax (44)-113-233-5672 http://www.leedsteachinghospitals.com >>> [log in to unmask] 04/22/03 09:15am >>> I'm interested in the not so common tests! Eg Troponins, 'routine' biochem, eg u&e, amylases, drugs, etc rather than gases and glucoses Mike Gillett