Neurogenic Shock: A Case Report

J Emerg Nurs. 2023 Jul;49(4):495-498. doi: 10.1016/j.jen.2023.04.003.

Abstract

Background: Neurogenic shock is a life-threatening emergency associated with spinal cord injuries. Early cervical spine immobilization to reduce the risk of neurogenic shock is imperative. In addition, early recognition and treatment of neurogenic shock are essential to prevent hypoperfusion-related injuries and death.

Case presentation: This case outlines a 65-year-old male who experienced a cervical spine fracture after a motorcycle crash. The patient received stabilizing treatment by a flight crew consisting of both a registered nurse and paramedic. After assessment and stabilization, he was diagnosed as having neurogenic shock. Despite invasive treatment and resuscitation efforts, the patient succumbed to his injuries.

Conclusion: It is important for emergency nurses to quickly identify the risk factors for cervical spine injuries and maintain cervical spine immobilization to minimize the risk of neurogenic shock.

Keywords: Case report; Cervical spine injury; Emergency nursing; Neurogenic shock.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Humans
  • Male
  • Paramedics*
  • Recognition, Psychology*
  • Resuscitation
  • Risk Factors