Hub and Speak Models for Cardiogenic Stability in the Emergency Department

The first step, just to keep saying it, is to identify it. If we can identify it in the emergency department, then thinking about, okay, well then I need to get my patient to a place that's capable of caring for this patient. You have to think about not just revascularize this patient if this happens to be related to a Q-coronary syndrome. There's a lot of non-eschemic cardiomyopathy who are going to be in need of mechanical support and maybe an exit strategy such as ventricular assist device or heart transplant.