The app that connects heart specialists to provide life-saving treatment
Thanks to our £19,000 funding, an app is helping heart specialists at St Bartholomew’s Hospital to diagnose and treat patients with cardiogenic shock.
SHOCK app
The SHOCK app

The SHOCK app is the first of its kind in the UK, which sends an alert to professionals from multiple specialties to join an urgent conference call and discuss patients’ treatment options.

What is cardiogenic shock?

Cardiogenic shock can happen to anyone. It happens when your heart fails to pump effectively, leaving your blood supply unable to meet the demands of your body. The most common cause is a heart attack but there are many other causes.

With your heart not working properly, your other organs – like your kidneys, liver and brain – also start to fail. You become very sick very quickly and can die within hours if your heart failure is not reversed. So, time is of the essence in diagnosing and treating the condition. What makes diagnosis difficult is that the symptoms of cardiogenic shock can be similar to a severe infection.

Roughly 5 patients each week have cardiogenic shock at Barts Health NHS Trust and although access to heart centres has improved, the mortality in cardiogenic shock has remained the same over the last 10 years.

“It has revolutionised the way we deliver care. It’s novel in the UK, no other heart centres are using this. Not because they don’t believe in the technology, but because there’s no funding.

Alastair Proudfoot

Critical Care Consultant

Using pumps to rest the heart

Traditionally, drugs have been used to help hearts pump when they are failing. But in the last 10-15 years, devices and pumps have increasingly been used to allow hearts to rest and recover, restoring blood flow to vital organs and resupplying oxygen to the body.

At St Bartholomew’s Hospital, pumps are usually used for between 3 and 14 days, and then the heart is assessed to see if recovery is possible. Pumps – like ECMO – will not help all patients with cardiogenic shock, so a decision needs to be made very quickly about whether a pump should be used or not. 

Dr Alastair Proudfoot
Critical Care Consultant Alastair Proudfoot

In 2016, Critical Care Consultant Alastair Proudfoot used a £19,000 grant to introduce the SHOCK app.

If a patient at St Bartholomew’s Hospital – or any other hospital in the Trust – is suspected of having cardiogenic shock, an alert is sent out on the app to a group of heart specialists to dial in to a SHOCK conference call. The app uses the same software that the Metropolitan Police use for crisis management. 

No matter what time of day, a group of specialists including cardiologists and heart surgeons, can discuss whether the patient has cardiogenic shock, whether a pump should be used, and the logistics of getting support to them in a timely manner, which may involve sending a team out to them.

“It has revolutionised the way we deliver care,” says Dr Proudfoot. “It’s novel in the UK, no other heart centres are using this. Not because they don’t believe in the technology, but because there’s no funding.

“You need to make decision rapidly, in real time. The SHOCK app allows us to bring collective expertise to the patient bedside, using the pumps in the patients who will most likely benefit.”

St Bartholomew's Hospital inside
St Bartholomew's Hospital

“We had a patient recently who had an existing heart condition and was pregnant with her first child. During preparation for delivery at The Royal London Hospital, her heart stopped and she had a caesarean section whilst she was in cardiac arrest. After the SHOCK alert was raised, we went to The Royal London Hospital and put her on an ECMO pump. She made a remarkable recovery.”

“Another 19 year-old lady contracted E.coli infection from a takeaway meal. Initially, she went to her local hospital and then onto UCLH as her condition became more complicated. She was very unwell, with disease affecting her kidneys, liver, and eyes, as well as her heart. Following the SHOCK call, she was transferred to St Bartholomew’s Hospital for ECMO and I’m confident that she would not be alive 

Charity support

Barts Charity funds were used to pump-prime the project for the first three years. Dr Proudfoot adds: “With Barts Charity funding, we could demonstrate the clinical effectiveness of the technology. The hospital now funds it because we were so convinced of its benefits. Everyone found it transformative. There is no way we could have done that without charity money.”

You might also like

2016, TAG Heuer Marking Heuer Aquaracer collection Reloaded, launched a new Aquaracer Aquaracer timepieces, to further enhance their natural overall richard mille replica performance and design. Scenario extended from the earlier 41-43 mm. Clay bezel re-designed etched sterling silver coloring stats, its date window zoomed present (re-introduced recently, to adhere to this season), preparing the actual sophisticated persona. The new situation is equipped Calibre A few Programmed activity, for your watch provides established reliability.

Royal Parks Half Marathon - Charity place registration

Thank you for registering for one of our charity places – and welcome to the Barts Charity team!

By submitting this form you are agreeing for us to contact you with race-day information, training and fundraising tips in relation to the Royal Parks Half Marathon 2022. This may include email, phone call or text message. You can of course update your preferences at any time, and we will fully respect your wishes (see below for more information).

Application information

*¹Please note we will do our best to match your wishes to the most relevant fund, but we cannot guarantee that sponsorship will be used to fund specific items

Note:
We may take photos on the day at the event, which could be used in Barts Charity communications and marketing activity, including but not limited to our website, social media, digital or printed materials, and press. If you are not happy for your image to be used in this way, please contact us on the details below. You can change how you hear from us at any time – contact hello@bartscharity.org.uk, or call 020 7618 1720. We collect and process your data to administer our Royal Parks Half Marathon 2022 places and to send you updates. For more information about how we use and protect the information you’re kindly sharing with us, see our privacy policy.

Hospital staff holding sign that says 'Thank you!'
Your're signed up!

Thanks – look in your inbox soon for updates on our work and how your support is making the difference.

Hospital staff holding sign that says 'Thank you!'
Thank you for registering your details, we will get back to you soon.

If you have any queries in the mean time please email: hello@bartscharity.org.uk 

Hospital staff holding sign that says 'Thank you!'
Thank you for subscribing!

We’ll send our latest news straight to your inbox each month, keeping you up-to-date with how your support is helping more people across our community and beyond receive extraordinary healthcare. In the meantime you may like to find out how you can get involved to help change lives, or to read our latest news.

Let us know at anytime if you have any questions or would like
more information on our work.

Thanks again for your support – it makes all the difference.

Thank you for your interest in becoming a Barts Charity Champion!

Please enter your details and a member of the team will be in touch soon.

Can we keep in touch?

Sign up here to receive our e-news for staff of the Barts Health Hospitals and Barts and The London School of Medicine and Dentistry. Our fortnightly email will keep you updated on how staff are using our funding to make a difference, as well as ways that you can get involved with fundraising.

You can unsubscribe at any time.

To find out how we look after and use the information that you give us, take a look at our privacy policy.

Hospital staff holding sign that says 'Thank you!'
Thank you for your donation!
From innovative research to day-to-day comforts, you’re helping us to do more for the patients in the hospitals we support. We will email you confirmation of your donation within two working days.
Thank you again.
  • 1
  • 2
  • 3

Your donation

You’re making a single donation of

£

Where would you like your donation to go?

Is this donation in memory of anyone?

What motivated you to give/fundraise?

We like to share feedback with our NHS colleagues when they have inspired someone.

What did you do to fundraise?

Your details

You are generously donating £5.00

Personal information

We’re currently updating our payment processes; you can make a donation via PayPal or if you wish to make a donation by card please check back in a few days.

Payment details

You are generously donating £5.00

Payment card details

Sign up to our e-news

Our monthly email is full of the latest news about the healthcare innovation that we fund, and ways you might want to get involved. You’ll be able to unsubscribe at anytime.

To find out how we look after and use the information you give us, take a look at our privacy policy.

Main form heading

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.