Key result
Structured early cardiogenic shock care within multidisciplinary systems helps prevent irreversible organ damage.
Why the study?
Despite advances in PCI and mechanical circulatory support, mortality rates for cardiogenic shock remain high, highlighting the need for best practices in early identification and management in prehospital and emergency settings.
Developing standardized, multidisciplinary systems of care beginning in the prehospital and emergency department settings is essential for identifying and properly triaging cardiogenic shock patients to improve survival.
May support prehospital protocols in cardiogenic shock; extends observational data but leaves open need for prospective trials.
This paper explores best practices for the prehospital and emergency department evaluation and management of cardiogenic shock, a critical condition marked by high mortality rates, within a contemporary cardiogenic shock system of care. It highlights the significance of early identification and immediate intervention to prevent irreversible cardiac and non-cardiac organ damage. Emphasizing multidisciplinary team-based care and data-driven insights, the paper details optimal strategies for managing cardiogenic shock from initial contact, noting challenges in prehospital identification and treatment due to patient and disease heterogeneity and the variability in response capabilities of prehospital teams.
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Lauria et al. (2026) conducted a review in Cardiogenic shock. Prehospital and Emergency Department Systems of Care was evaluated. Early identification and structured prehospital and emergency department management of cardiogenic shock within a multidisciplinary system of care are critical to preventing irreversible organ damage.
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