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Neurogenic shock — RCPSC EM MCQ

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ModerateTraumaNeurogenic shockRCPSC EM

CTAS 1. A 63-year-old falls from a ladder and cannot move his legs. BP is 82/48 mmHg, HR 52, skin is warm, and there is priapism. Breath sounds are equal and FAST is negative. He has sensory loss below the nipples. What is the most likely diagnosis?

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Correct answer: BNeurogenic shock

High spinal cord injury causing hypotension with bradycardia and warm skin is characteristic of neurogenic shock.

Reference: ATLS Student Course Manual