Developed by the VHAC Shock Workgroup
 
This comprehensive protocol outlines a standardized, evidence-based approach to the identification, triage, and management of cardiogenic shock across emergency departments, ICUs, cardiac teams, and referring hospitals throughout Virginia.
 
Key features include:
Clear activation criteria for Cardiogenic Shock Teams
Clinical and hemodynamic decision-making pathways
Tailored management for AMI-CS and HF-CS phenotypes
Guidance on mechanical circulatory support (PMCS) use
Integration of SCAI classification and escalation strategies
Team coordination and communication best practices
 
Approved: August 5, 2025
Format: PDF Download
Audience: Emergency physicians, cardiologists, intensivists, nurses, EMS, quality teams, and hospital administrators
 
This protocol is ideal for institutions seeking to adopt a unified standard of care that improves outcomes for patients experiencing time-sensitive cardiac emergencies.