Evidence-based Clinical Care: Cardiogenic Shock Clinical Pathway

Develop, Implement and Monitor Complete Revascularization in High-Risk Indicated Patients Program (CHIP) and Chronic Total Occlusion Program

The course is designed to facilitate care to high-risk indicated patients who have experienced an acute myocardial infarction (AMI) to ensure quality outcomes in the management of cardiogenic shock. 

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All algorithms will be available on Cerner.

Original Release Date: August 2018
Review Date: February 2022, September 2023

Target Audience

Cardiologists, Interventional Cardiologists, Interventional Radiologists, Vascular Surgeons, Cardiac Surgeons, Emergency Department Physicians, Hospitalists, Intensivists, Anesthesiologists, Nurse Practitioners, Physician Assistants, Cardiovascular Technicians and Healthcare Administrators/Leaders.

Learning Objectives

  • Recognize the necessity for Baptist Health’s standardization of treatment for the cardiogenic shock (CGS) patient based on current, evidence-based practices.
  • Implement CGS protocols and power plans consistently in the Emergency Department, Cardiac Catheterization Lab and acute care settings.
  • Utilize contemporary management practices for CGS as explained in the scientific statement by the American Heart Association, with the primary objectives being circulatory support, ventricular support and coronary perfusion.
  • Identify alternative treatment options for CGS patients given the associated high mortality.
  • Monitor quality measures associated with treatment and care of CGS patients.
Additional information
  • DetroitCSI – Flowsheet – v4.4 – April 2017
  • van Diepen, Sean et al "Contemporary Management of Cardiogenic Shock: A Scientific Statement From the American Heart Association." Circulation (2017): CIR.0000000000000525. Web. 16 April. 2018.

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.​

Course Summary
Available credit: 
  • 0.50 ABA MOCA II
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
Course opens: 
Course expires: 

Marcus St. John, M.D., FACC, FSCAI
Medical Director, Cardiac Cath Lab
Miami Cardiac & Vascular Institute
Baptist Hospital
Miami, Florida

Marcus St. John, M.D., conference director and speaker, has no relevant financial relationships with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

Ramon L. Lloret, M.D., conference director for this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.

Baptist Health South Florida designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in AnesthesiologyTM (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website, www.theABA.org, for a list of all MOCA 2.0 requirements.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Available Credit

  • 0.50 ABA MOCA II
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
Please login or register for a Baptist Health CME account to take this course.

Required Hardware/Software

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Mobile Users
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This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.