A 40-year-old man is brought after diving into shallow water. Triage acuity is ESI 1; BP 82/44 mm Hg, HR 48/min, SpO2 95%. He cannot move his legs

Question

A 40-year-old man is brought after diving into shallow water. Triage acuity is ESI 1; BP 82/44 mm Hg, HR 48/min, SpO2 95%. He cannot move his legs and has weak hand grip. Skin is warm and dry, and FAST is negative. Which of the following is the most likely diagnosis?

Accepted Answer

Neurogenic shock from cervical spinal cord injury

Answer

Hemorrhagic shock

Answer

Obstructive shock from tension pneumothorax

Answer

Septic shock

Answer

Anaphylactic shock

Spinal cord injury neurogenic shock — ABEM Board MCQ

A 40-year-old man is brought after diving into shallow water. Triage acuity is ESI 1; BP 82/44 mm Hg, HR 48/min, SpO2 95%. He cannot move his legs and has weak hand grip. Skin is warm and dry, and FAST is negative. Which of the following is the most likely diagnosis?