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Neurogenic shock is characterized by severe autonomic dysfunction, resulting in hypotension, relative bradycardia, peripheral vasodilation, and hypothermia. It does not usually occur with spinal cord injury below the level of T6. Shock associated with a spinal cord injury involving the lower thoracic cord must be considered hemorrhagic until proven otherwise. Spinal shock is defined as the complete loss of all neurologic function, including reflexes and rectal tone, below a specific level that is associated with autonomic dysfunction. Neurogenic shock refers to the hemodynamic triad of hypotension, bradycardia, and peripheral vasodilation resulting from autonomic dysfunction and the interruption of sympathetic nervous system control in acute spinal cord injury.

Derick Burns BNg, Adv. Cert. Ng, Dip CH, Dip Para Sc (Amb), Dip Bus, Dip OHS, EMT-P MACAP MAITD MACEN RN (Ret.)

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