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From our 2023 EM Update conference, Dr. Sara Gray breaks down the assessment and management of cardiogenic shock. She discusses important considerations such as narrow pulse pressure, underlying etiologies, target MAP and how to support oxygenation. BiPAP or high-flow nasal cannula? What is the vasopressor of choice: norepinephrine or epinephrine? Dobutamine or Milrinone? Don't forget the ECG to look for acute MI.