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Neurogenic/spinal
shock (Clinical
presentation (Syncope/loss of…
Neurogenic/spinal
shock
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Pathophysiology
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Reduced autonomic function in the cord,
resulting in tachy/bradycardia, hypotension
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Clinical
presentation
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Focal signs
(UMN below lesion, LMN at level of lesion)
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Diagnosis
Examination
Cardio: tachy/bradycardia, hypotension
Neuro: GCS, UMN/LMN signs, bowel/bladder
Investigations
Bedside
Obs (HR, BP, RR, sats)
ECG (arrhythmia)
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History
PC/HPC: trauma/anasthesia, level
PMH: medical conditions
DH: anti-arrhythmics etc, allergies
Management
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Definitive
Conservative
Referral - ITU, anaesthatist, spinal surgeons
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