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Neurogenic shock — ABEM Board MCQ

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ModerateTraumaNeurogenic shockABEM Board

A 22-year-old man arrives as ESI 2 after diving into shallow water. BP 82/44, HR 48, skin is warm and dry, and he has paralysis below the nipple line. FAST is negative and chest x-ray is normal. Which of the following is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: DNeurogenic shock

Hypotension with bradycardia, warm skin, and high spinal cord injury suggests neurogenic shock.

Reference: ATLS 10th edition; ACS TQIP spine injury guidance