Cocktails anyone?

[firetender]

Anybody here who was part of the study?

http://www.ems1.com/cardiac-care/ar...-cocktail-delivered-by-medics-may-save-lives/

 

[EpiEMS]

Wow! Hope this comes out with favorable results!
ECC 2015?

(Sorry for intruding on the ALS section...)

 

[medicsb]

Results aren't as good as they sound. See the news section of emtlife.

These were the sites, though (from clinicaltrials.gov):

United States, Alaska
Anchorage Site
Anchorage, Alaska, United States, 99501
United States, Connecticut
New Haven Site
New Haven, Connecticut, United States, 06511
United States, Georgia
Macon Site
Macon, Georgia, United States, 31208
United States, Massachusetts
Brockton Site
Brockton, Massachusetts, United States, 02301
Concord Site
Concord, Massachusetts, United States, 01742
United States, Minnesota
St. Paul Site
St. Paul, Minnesota, United States, 55128
United States, New Mexico
Albuquerque Site
Albuquerque, New Mexico, United States, 87131
United States, Pennsylvania
Hershey Site
Hershey, Pennsylvania, United States, 17033
United States, South Dakota
Sioux Falls Site
Sioux Falls, South Dakota, United States, 57104
United States, Texas
Dallas Site
Dallas, Texas, United States, 75201
El Paso Site
El Paso, Texas, United States, 79905
United States, Washington
Bellingham Site
Bellingham, Washington, United States, 98225
United States, Wisconsin
Milwaukee Site
Milwaukee, Wisconsin, United States, 53226

 

[Arovetli]

I wasn't in on it but I know some medics that were. Most of them described it as a bit of a pain as they not only had to work a stemi in an urban environment with a short transport time but also get a very sick patient enrolled in the study and if they consent start them on the placebo/cocktail.

Like its been said, the results aren't as great as the stories say, but props to those involved and the PI's for focusing on a prehospital intervention.

 

[Smash]

GIK has been around for ages. Huge studies have been done in the past with no benefit, and as far as I can see from this paper, there is still no real benefit.

 

[EpiEMS]

Free full text: http://jama.ama-assn.org/content/early/2012/03/21/jama.2012.426.full

Having now looked at the data and their stats, looks pretty clear that there's no significant difference between GIK and placebo, good or bad, except regarding "the composite of prehospital or in-hospital cardiac arrest or acute mortality and the composite of prehospital or in-hospital cardiac arrest, mortality, or hospitalization for HF within 1 year."

Smash, I think you're right on this.

 

[kindofafireguy]

Agreed. They made it sound a lot more promising and revolutionary than it seems to actually be.

Medical miracles tend to disappoint though, don't they?

 

[TheLocalMedic]

GIK has been around for ages. Huge studies have been done in the past with no benefit, and as far as I can see from this paper, there is still no real benefit.

Yeah, I've heard about this thing being tried before with no real discernible results. And what about the adverse effects? I looked up a little more info on it and this site had some interesting things to say about it:

http://millhillavecommand.blogspot.com/2012/03/immediate-trial-shoukd-ems-give-glucose.html