Category: Resources & Protocols

National Cardiogenic Shock Initiative (CSI) Protocol

Sites participating in the National Cardiogenic Shock Initiative (CSI) have adopted the National CSI algorithm as the foundation for their treatment of AMI (STEMI & NSTEMI) patients who present in cardiogenic shock. Learn more at IMP-104-17 v2

WellStar Hub and Spoke Cardiogenic Shock Treatment Network

Successful Implementation of Cardiogenic Shock Algorithm Dr. Salvatore Mannino discusses the cardiogenic shock algorithm used in his successful spoke and hub network. Dr. Mannino is director of the short-term mechanical circulatory support program at WellStar Health System, the largest healthcare system in Georgia. Starting in 2016, each hospital in the WellStar spoke and hub network … Continue reading “WellStar Hub and Spoke Cardiogenic Shock Treatment Network”

Cardiogenic Shock Protocol Pocket Guide

Using a defined cardiogenic shock best practices protocol derived from real-world data for cardiogenic shock treatment has been associated with improved outcomes. Download this cardiogenic shock guidelines pocket guide, offering best practices derived from the Abiomed Impella® Quality (IQ) Assurance Program and IRB-approved cVAD Study including, minimizing exposure to toxic inotropic medicines, unloading the left … Continue reading “Cardiogenic Shock Protocol Pocket Guide”

Adopting a Protocol for Cardiogenic Shock – Pitfalls and Pathways to Success

By Dr. Cathy Jeon, Abiomed Medical Director

 Successfully treating cardiogenic shock requires getting a multi-disciplinary team to quickly agree on the patient’s condition and treatment protocol.That’s why more cardiogenic shock units are adapting treatment algorithms to help quickly guide decision-making and ensure the best possible outcomes for patients. In a video roundtable hosted by Abiomed focused on “Adopting a Protocol for Cardiogenic Shock,” we spoke with two physicians who have developed algorithms at their own institutions about the benefits they provide and how to maximize their effectiveness.The treatment of cardiogenic shock has changed dramatically in recent years. Tools like vasopressors and inotropes, PCI, mechanical circulatory support, and durable support devices have begun to reduce the mortality of what was once a highly fatal condition. With prompt delivery of appropriate interventions, many more patients who reach the hospital in cardiogenic shock can be treated successfully.In addition, successfully treating cardiogenic shock requires the coordination of emergency medical personnel, emergency department physicians, interventionalists, and intensive care cardiologists, according to a 2016 paper by Dr. Jacob Doll of Duke University Medical Center and colleagues.So the challenge today is how to work together as a team to identify cardiogenic shock in the setting of an evolving myocardial infarction and to choose treatment in addition to the routine PCI to revascularize the patient."Developing an algorithm to optimize treatment can help us meet that challenge," said Dr. Jon George, director of the cardiac catheterization laboratory at Einstein Medical Center in Philadelphia.“In shock decisions need to be made rapidly and quickly under a lot of stress with a lot of people around you, and these decisions can vary between providers based on anecdotal evidence or experience. So a protocol will standardize the approach for optimal outcomes based on a validated treatment pathway,” Dr. George said.Continue readingAdopting a Protocol for Cardiogenic Shock – Pitfalls and Pathways to Success