The current state of acute cardiogenic shock management very much resembles trauma management that existed prior to the development of Advanced Trauma Life Support. Organization of the trauma system evolved after the 1976 plane crash of James Styner, MD.1 By adopting many of the educational concepts from the Advanced Cardiac Life Support protocol, a similar, systemized approach was developed for treating trauma patients.2 In particular, the time immediately following the inciting event would have had the highest likelihood of prevention of death with appropriate intervention—a concept that became known as the “golden hour.”3
Tchantchaleishvili V, Hallinan W, Massey HT. Call for Organized Statewide Networks for Management of Acute Myocardial Infarction–Related Cardiogenic Shock. JAMA Surg. 2015;150(11):1025–1026. doi:10.1001/jamasurg.2015.2412
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