Cardiogenic shock

Educational use only. Not clinically reviewed

64-year-old man for Cardiogenic-shock response. About 9 simulated minutes.

What you will practise

Recognize worsening hypoperfusion and activate experienced shock help.
Review the acute-MI cause, left-sided congested phenotype, and immediate mechanical, rhythm, right-heart, and noncardiac alternatives.
Record perfusion-linked vasopressor support without primary fluid loading while definitive care is mobilized.
Prioritize prompt culprit-vessel revascularization and expert selection of any further hemodynamic or mechanical support.
Reassess pressure, perfusion, congestion, rhythm, gas exchange, and organ trajectory after initial support.

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.
Monnet X, Messina A, Greco M, et al. ESICM guidelines on circulatory shock and hemodynamic monitoring 2025. Intensive Care Med. 2025;51:1971-2012.
Mekontso Dessap A, AlShamsi F, Belletti A, et al. ESICM clinical practice guideline on fluid therapy in adult critically ill patients: part 2—the volume of resuscitation fluids. Intensive Care Med. 2025;51:461-477.

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.