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* 1. Contact Info

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* 2. Does your organization have a shock management protocol?

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* 3. ) Does your institution have a dedicated shock team?

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* 4. Is your shock team available on a 24-7 basis?

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* 5. Does your institution have a call line for cardiogenic shock management?

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* 6. Does your institution have a 24-7 capable cardiac cath lab with primary PCI capability?

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* 7. Does your institution provide destination advanced heart failure services?

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* 8. Please choose the category which would best describe your institution’s shock classification in a regionalized shock network:

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* 9. Which of the following best describes your practice with regards to utilizing pulmonary arterial catheters to diagnose cardiogenic shock?

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* 10. Which of the following best describes your practice with utilizing pulmonary arterial catheters to manage cardiogenic shock patients with mechanical circulatory support?

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* 11. Does your institution use any risk scores or staging systems in the stratification of patients with cardiogenic shock?

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