NMCSN assistant · Shock Team Activation Algorithm v2.0

Should this be a shock call?

For EMS · ER · referring providers

Built for the first clinician at the bedside — EMS, the ER, or a referring hospital. Tap what applies, in any order, and the algorithm answers instantly — what it concludes, why, and who to call. The full figure stays on screen the whole time.

Decision support only. Every step below is the published NMCSN algorithm — nothing is generated or improvised. It does not replace clinical judgment. When in doubt at any point: call 1-888-727-7646. You do not need a confirmed diagnosis. Currently routes to Heart Hospital of New Mexico; UNM coming soon.

When one device isn’t enough

Shock that persists on IABP or percutaneous LV support needs escalation — RV or biventricular support, VA-ECMO, or evaluation for durable VAD or transplant. These decisions are time-critical, and outcomes are better when the call comes early.

One call reaches the shock team. 1-888-727-7646

The algorithm you are running — Shock Team Activation, Figure 1 · tap the figure to enlarge

NMCSN Shock Team Activation Algorithm — hemo-metabolic triggers, exclusions, classic and POCUS-supported cardiogenic shock, the standardized shock call, considerations and goals.

Version 2.0, February 2026 · open full resolution →

1 · Triggers

Tap any that apply

One is enough. A venous lactate counts — don't wait for arterial.

2 · Is this cardiogenic?

Either one qualifies

Classic picture or POCUS findings. You do not need both, and you do not need a confirmed diagnosis.

3 · Exclusions

Any of these?

Goals-of-care questions. If code status is unclear, tap None of these and call.