Care delivered in the emergency and intensive settings determines survival and long-term recovery for many cardiac conditions. The Intensive and Emergency Cardiology session focuses on acute coronary syndromes, cardiogenic shock, mechanical circulatory support, emergency arrhythmia management and systems-of-care that optimize rapid diagnosis and treatment. This track brings together emergency physicians, intensivists, interventional cardiologists and perfusion teams to review protocols, triage algorithms and innovations in prehospital care. Presentations include state-of-the-art STEMI networks, practical shock team models, escalation pathways for MCS devices, and evidence-based protocols for acute heart failure and arrhythmic storm. Simulation workshops will train clinicians in crisis resource management, rapid decision-making and device troubleshooting. The program also highlights performance metrics—door-to-balloon times, shock-to-support intervals and early mobilization outcomes—and operational strategies for improving throughput without compromising safety. Sessions connect acute-care improvements to broader Emergency Cardiology Conference priorities and include focused modules on mechanical circulatory support selection, escalation and complication management.