Cardiogenic Shock: Protocols, Teams, Centers, and Networks

The mortality of cardiogenic shock (CS) remains unacceptably high. Delays in the recognition of CS and access to disease-modifying or hemodynamically stabilizing interventions likely contribute to poor outcomes. In parallel to successful initiatives in other disease states, such as acute ST-elevatio...

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Autores principales:	Alex F Warren, Carolyn Rosner, Raghav Gattani, Alex G Truesdell, Alastair G Proudfoot
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/8d57eed4939f4817b93ffd92df9fdc44
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spelling	oai:doaj.org-article:8d57eed4939f4817b93ffd92df9fdc442021-12-04T16:05:05ZCardiogenic Shock: Protocols, Teams, Centers, and Networks10.15420/usc.2021.101758-390X1758-3896https://doaj.org/article/8d57eed4939f4817b93ffd92df9fdc442021-10-01T00:00:00Zhttps://www.uscjournal.com/articleindex/usc.2021.10https://doaj.org/toc/1758-3896https://doaj.org/toc/1758-390XThe mortality of cardiogenic shock (CS) remains unacceptably high. Delays in the recognition of CS and access to disease-modifying or hemodynamically stabilizing interventions likely contribute to poor outcomes. In parallel to successful initiatives in other disease states, such as acute ST-elevation MI and major trauma, institutions are increasingly advocating the use of a multidisciplinary ‘shock team’ approach to CS management. A volume–outcome relationship exists in CS, as with many other acute cardiovascular conditions, and the emergence of ‘shock hubs’ as experienced facilities with an interest in improving CS outcomes through a hub-and-spoke ‘shock network’ approach provides another opportunity to deliver improved CS care as widely and equitably as possible. This narrative review outlines improvements from a networked approach to care, discusses a team-based and protocolized approach to CS management, reviews the available evidence and discusses the potential benefits, challenges, and opportunities of such systems of care.Alex F WarrenCarolyn RosnerRaghav GattaniAlex G TruesdellAlastair G ProudfootRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENUS Cardiology Review , Vol 15, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Alex F Warren Carolyn Rosner Raghav Gattani Alex G Truesdell Alastair G Proudfoot Cardiogenic Shock: Protocols, Teams, Centers, and Networks
description	The mortality of cardiogenic shock (CS) remains unacceptably high. Delays in the recognition of CS and access to disease-modifying or hemodynamically stabilizing interventions likely contribute to poor outcomes. In parallel to successful initiatives in other disease states, such as acute ST-elevation MI and major trauma, institutions are increasingly advocating the use of a multidisciplinary ‘shock team’ approach to CS management. A volume–outcome relationship exists in CS, as with many other acute cardiovascular conditions, and the emergence of ‘shock hubs’ as experienced facilities with an interest in improving CS outcomes through a hub-and-spoke ‘shock network’ approach provides another opportunity to deliver improved CS care as widely and equitably as possible. This narrative review outlines improvements from a networked approach to care, discusses a team-based and protocolized approach to CS management, reviews the available evidence and discusses the potential benefits, challenges, and opportunities of such systems of care.
format	article
author	Alex F Warren Carolyn Rosner Raghav Gattani Alex G Truesdell Alastair G Proudfoot
author_facet	Alex F Warren Carolyn Rosner Raghav Gattani Alex G Truesdell Alastair G Proudfoot
author_sort	Alex F Warren
title	Cardiogenic Shock: Protocols, Teams, Centers, and Networks
title_short	Cardiogenic Shock: Protocols, Teams, Centers, and Networks
title_full	Cardiogenic Shock: Protocols, Teams, Centers, and Networks
title_fullStr	Cardiogenic Shock: Protocols, Teams, Centers, and Networks
title_full_unstemmed	Cardiogenic Shock: Protocols, Teams, Centers, and Networks
title_sort	cardiogenic shock: protocols, teams, centers, and networks
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/8d57eed4939f4817b93ffd92df9fdc44
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Cardiogenic Shock: Protocols, Teams, Centers, and Networks

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