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Cardiac (non-arrest)
Cardiogenic shock: prehospital recognition and routing
Cardiogenic Shock Systems of Care Best Practices. Part 1: Prehospital and Emergency Department Evaluation and Management
US Cardiology · 2026-09-22 · Added 15 October 2026
Best-practice review of cardiogenic shock systems of care covering prehospital and ED evaluation argues early identification and direct routing to shock centres prevents irreversible organ damage, while conceding prehospital identification remains difficult.
- Study type
- Guideline / statement
- Design
- Narrative best-practice review (Part 1 of a series)
- Participants
- Not applicable — expert review
- Main finding
- Emphasises early prehospital/ED identification and immediate transfer to a cardiogenic shock centre; no new outcome data
- Caveat
- Expert opinion without systematic evidence appraisal or comparative data
- Bottom line
- Context only
Why it matters in Australia (Medium relevance). Cardiogenic shock centres and mechanical support capacity are concentrated in a handful of Australian hospitals, and paramedic pathways to them vary by service.
Learning goal
Recognise early signs of cardiogenic shock and refine my judgement on when direct routing to a specialised cardiac centre is appropriate.
More
- Topic: Cardiac (non-arrest)
- Daily scan: 15 October 2026
- Podcast: Paramedic Papers Daily, 15 October 2026
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