title: [Traumatic neurogenic shock].
abstract: Traumatic neurogenic shock is a rare but serious complication of spinal cord injury. It associates bradycardia and hypotension caused by a medullary trauma. It is life-threatening for the patient and it aggravates the neurological deficit. Strict immobilization and a quick assessment of the gravity of cord injury are necessary as soon as prehospital care has begun. Initial treatment requires vasopressors associated with fluid resuscitation. Steroids are not recommended. Early decompression is recommended for incomplete deficit seen in the first 6 hours. We relate the case of secondary spinal shock to a luxation C6/C7 treated in prehospital care.
authors.affiliation: Brigade des sapeurs pompiers de Paris, 1 place Jules-Renard, Paris, France. olgamaurin@free.fr
authors.forename: O
authors.initials: O
authors.lastname: Maurin
authors.forename: S
authors.initials: S
authors.lastname: de Régloix
authors.forename: D
authors.initials: D
authors.lastname: Caballé
authors.forename: A-M
authors.initials: AM
authors.lastname: Arvis
authors.forename: J-C
authors.initials: JC
authors.lastname: Perrochon
authors.forename: J-P
authors.initials: JP
authors.lastname: Tourtier
mesh_terms: D000058:Accidental Falls; D000305:Adrenal Cortex Hormones; D000368:Aged; D000435:Alcoholic Intoxication / Q000150:complications; D001915:Braces; D001919:Bradycardia / Q000209:etiology*; D002574:Cervical Vertebrae / Q000293:injuries*; D003131:Combined Modality Therapy; D000075202:Contraindications; D004632:Emergency Medical Services / Q000379:methods*; D005440:Fluid Therapy; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D007103:Immobilization; D004204:Joint Dislocations / Q000150:complications* / Q000628:therapy; D008297:Male; D009638:Norepinephrine / Q000627:therapeutic use; D011782:Quadriplegia / Q000209:etiology; D012774:Shock, Traumatic / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D013119:Spinal Cord Injuries / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D014662:Vasoconstrictor Agents / Q000627:therapeutic use
chemical_list: D000305:Adrenal Cortex Hormones; D014662:Vasoconstrictor Agents; D009638:Norepinephrine