What belongs here

• Phenotypes: LV-predominant, RV-predominant, mixed
• SCAI stages A through E
• Perfusion assessment and serial re-staging
• Escalation triggers and multidisciplinary reassessment

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

What belongs here

• Swan-Ganz placement, position and waveform quality
• RAP, RV, PA and true wedge morphology
• End-expiratory measurement and the effect of positive pressure
• Derived indices: CI, SVR, PVR, CPO, PAPi
• Thermodilution against Fick, and the sources of error in each

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

What belongs here

• ACS and STEMI recognition, and reperfusion priorities
• Post-MI VSD, acute MR and papillary muscle rupture
• Free-wall rupture and tamponade
• RV infarction physiology
• Shock after MI, and urgent cath, surgery or structural escalation

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

What belongs here

• The RV preload, afterload and contractility framework
• RV infarct
• Massive and submassive PE
• Pulmonary hypertension crisis
• Ventilator effects on RV afterload
• PAPi and the RAP / PCWP pattern

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

What belongs here

• IABP: timing, augmentation, contraindications, common alarms
• Impella: preload dependence, suction events, hemolysis
• VA-ECMO: flow, LV distension, afterload, limb ischemia, differential hypoxemia
• Choosing support by phenotype, as a multidisciplinary decision

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

What belongs here

• Unstable AF, SVT, VT and VF
• Bradycardia and high-grade AV block
• Temporary pacing: indications and setup
• Antiarrhythmic selection
• When EP should be called immediately

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

What belongs here

• Acute MR and acute AR physiology
• Critical AS with shock
• Prosthetic valve emergencies
• Aortic dissection recognition
• When surgical or structural involvement is emergent

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

What belongs here

• Indications for oxygen, NIV and intubation
• Cardiovascular effects of positive pressure and PEEP
• Ventilation in RV failure
• ABG and acid-base interpretation
• AKI in low-output and congestive states; when to involve nephrology
• RRT indications, and electrolytes in arrhythmia-prone patients

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.

What belongs here

• The post-resuscitation bundle
• Temperature control, using the current institutional protocol
• Hemodynamic and coronary evaluation after arrest
• Timing of neurologic prognostication
• Palliative care, futility, and device discussions at the end of life

The list is the program’s. The content is not written yet, and an algorithm invented here is one a fellow would follow at a bedside.