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 is one tap away.

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.
1Triggers 2Cardiogenic? 3Exclusions 4Shock call Show full algorithm
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.

Tap the three boxesCall

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