Cardiogenic shock escalation
Educational use only. Not clinically reviewed67-year-old woman for Post-infarction shock reassessment and escalation. About 9 simulated minutes.
What you will practise
- Recognize persistent post-PCI shock from the serial brain, skin, kidney, lactate, congestion, and pressure trajectory rather than pressure alone.
- Reconcile reported care with fixed post-PCI findings and reopen ischemic, mechanical, right-heart, rhythm, bleeding, vasodilated, and obstructive contributors.
- Activate the local shock team and contact the regional advanced shock center early for consultation and transfer evaluation.
- Record an individualized transport bridge linked to perfusion, congestion, trajectory, candidacy, and available expertise.
- After elapsed reassessment time, hand off unresolved perfusion, cause, support, organ-risk, and transfer work.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- Sinha SS, Morrow DA, Kapur NK, Kataria R, Roswell RO. 2025 Concise Clinical Guidance: An ACC Expert Consensus Statement on the Evaluation and Management of Cardiogenic Shock. J Am Coll Cardiol. 2025;85:1618-1641.
- Rao SV, O’Donoghue ML, Ruel M, et al. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes. Circulation. 2025;151:e771-e862.
- Sinha SS, Geller BJ, Katz JN, et al. Evolution of Critical Care Cardiology: An Update on Structure, Care Delivery, Training, and Research Paradigms. Circulation. 2025;151:e687-e707.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.