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Evaluation

Scientific Assembly

Track Session

Session: Session 313

How to Care for and “Sell” your Crashing STEMI patient

Tuesday, April 14, 2026
1:05 PM - 1:25 PM PT
Location: Cascade Ballroom I - 2nd Floor
CE: 0.25 CME Credit
Cardiovascular

    Speaker(s)

  • Luke J. Duncan, MD FAAEM (he/him/his)

    Associate Professor
    Albany Medical Center
    Albany, New York

    Disclosure(s): No financial relationships to disclose

    • Co-Speaker(s)

  • Elias E. Wan, MD, FAAEM (he/him/his)

    Assistance Clinical Professor and Attending Intensivist
    SUNY Downstate Medical Center and Maimonides Medical Center
    Jericho, New York

    Disclosure(s): No financial relationships to disclose

Disclosure(s):
Luke J. Duncan, MD FAAEM: No financial relationships to disclose
Elias E. Wan, MD, FAAEM: No financial relationships to disclose
It's the middle of the night and your STEMI patient is crashing before your eyes. The sleepy interventionalist is hemming and hawing about taking them to the lab because "they're too unstable". Your inotrope doses are escalating as your patient continues circling down the drain…there's got to be something else to do. What are the magic words and guidelines you can invoke to tilt the tables in your patient's favor and jolt the cardiologist into action? Join 3-4 emergency intensivists to discuss the current STEMI and cardiogenic shock literature. After this case-based session you will be equipped to sell your shocked patient to the interventional cardiologists, using SCAI staging and the latest AHA guideline-supported mechanical support indications.

Learning Objectives:

  • Explain SCAI staging for cardiogenic shock and employ this simple tool to advocate for your patients.
  • Review updated 2025 AHA guidelines for STEMI, with an emphasis on those in cardiogenic shock
  • Discuss the initial management of cardiogenic shock in the emergency department, including role in regional shock teams.