Multidisciplinary approaches to managing cardiogenic shock

Abstract

Background: Cardiogenic shock (CS) is a life-threatening condition that arises from the heart's inability to pump sufficient blood, leading to inadequate perfusion of vital organs. It frequently results from acute coronary syndrome (ACS) and is associated with a high mortality rate despite advances in treatment. Managing CS requires a multidisciplinary approach involving emergency medical services (EMS), paramedics, pharmacists, and health information systems. Aim: This article explores the pathophysiology, etiology, and treatment of CS, emphasizing the role of multidisciplinary care teams in improving patient outcomes. Methods: The review synthesizes current literature on CS management, focusing on the contributions of EMS, paramedics, pharmacists, and health information systems in stabilizing hemodynamics, administering pharmacotherapy, and optimizing long-term care. The analysis also examines clinical trial data, risk scoring models, and the effectiveness of early revascularization therapies. Results: Effective CS management hinges on early diagnosis, immediate revascularization, and hemodynamic stabilization through pharmacological agents and mechanical circulatory support (MCS). EMS and paramedics are pivotal in the early detection and transport of CS patients, while pharmacists play a key role in optimizing pharmacotherapy. Health information systems contribute by streamlining communication, data sharing, and decision-making processes.