New Mexico Cardiogenic Shock Network
A statewide system of care ensuring every New Mexican in cardiogenic shock has equal access to life-saving treatment — regardless of which emergency room they enter.
Our Mission
No matter where they live or receive care in New Mexico and the surrounding region, every patient deserves the same chance to survive cardiogenic shock.
We coordinate rapid identification, stabilization, and transfer through standardized protocols, AI-enabled tools, and a hub-and-spoke network linking rural hospitals and EMS to high-capability shock centers. Build cardiac trauma systems around people, not devices.
Early recognition through standardized triage protocols and hemo-metabolic triggers at every ER in the state.
Coordinated transport pathways connecting spoke hospitals to hub shock centers with one-call activation.
Evidence-based care with mechanical circulatory support, hemodynamic monitoring, and shock team protocols.
The Problem
of cardiogenic shock patients die despite modern therapy — mortality has barely improved in decades.
higher mortality in rural areas where patients cannot access shock teams, PCI, or mechanical circulatory support in time.
transport time from rural NM communities to definitive shock care — a critical delay that costs lives.
Regional shock networks have cut mortality from ~60% to 15-25% by using shock teams, standardized protocols, and clear transfer patterns. NMCSN is building this for New Mexico.
Proven Results
Regionalized systems of care for cardiogenic shock have demonstrated dramatic improvements in survival. These are the benchmarks driving NMCSN's model.
Odds ratio for 30-day survival in patients treated within a shock network versus standard care.
Odds ratio for 1-year survival, showing that network benefits persist long after the initial event.
The farthest documented patient transfer within the network — proving geography is no longer a barrier.
No statistically significant difference in outcomes between rural and urban patients within the shock network.
Our Network
NMCSN connects hospitals across New Mexico into a coordinated system, ensuring every facility — no matter how remote — has a pathway to definitive shock care.
Full PCI capability, mechanical circulatory support (Impella, ECMO), CT surgery, and dedicated shock teams available 24/7.
Standardized recognition protocols, tele-shock consultation, hemodynamic stabilization, and direct transfer pathways to hubs.
Pre-hospital triage algorithms enabling EMS to activate the shock pathway before arrival, cutting time-to-treatment.
AI & Innovation
NMCSN is pioneering the integration of AI into systems of care — not to replace clinicians, but to extend expertise across geography.
NMCSN is our first case example of a broader vision: AI-enabled, patient-centric systems that can deliver the right expertise, pathways, and logistics to any patient, in any setting. What we build for cardiogenic shock becomes the reusable blueprint for obstetrics, trauma, stroke, and every other time-sensitive condition.
AI-generated education bundles tailored to each audience — ER physicians, ICU teams, EMS, hospital administrators, and legislators.
Real-time decision support for rural EDs using SCAI staging, hemo-metabolic triggers, and transfer algorithms.
REDCap-based multicenter registry with AI-powered quality assurance, outcome tracking, and equity analytics across all network sites.
Machine learning models to predict deterioration, benchmark performance, and optimize resource allocation across the network.
We are actively seeking partnerships with leading AI companies to build the infrastructure for AI-enabled healthcare delivery across rural America.
Explore PartnershipLeadership
Chief of Advanced Heart Failure & MCS
Heart Hospital of NM, Lovelace Health System (Ardent Health)
Nurse Practitioner & Critical Care Expert
MCS Coordinator & POCUS Educator
Emergency Medicine Physician
ACEP NM President & EMS Medical Director
Partner With Us
New Mexico is a blank canvas — a small, diverse, geographically dispersed state where innovation can be tested, measured, and scaled. We are seeking partners who share our vision of AI-enabled, patient-centric systems of care.
Pilot AI tools for clinical decision support, registry analytics, documentation, and education in a real-world statewide network.
Join the network as a hub or spoke site. Implement standardized shock protocols and improve outcomes for your community.
Fund rural health equity infrastructure with measurable outcomes. NMCSN aligns with state and federal rural health transformation priorities.
Raymond Yau, MD
Chair, NMCSN
Chief of Advanced Heart Failure & MCS
Heart Hospital of NM, Lovelace Health System
