Jennifer Paciletti, MSN, AGNP, CCRN, from Florida Heart and Vascular Care at JFK Medical Center in Atlantis, FL, discusses several aspects of heart failure management. After discussing how heart failure patients present, she describes treatment options, factors precipitating acute heart failure hospitalization, principles of acute heart failure management, and use, escalation and weaning of mechanical circulatory support. She also presents a case study and the “I NEED HELP” mnemonic for markers of advanced heart failure.