Neurogenic shock: a trap in cardiorespiratory arrest on public roads. About a case.

Authors

  • Y Ait Tamlihat Service de réanimation-soins continus, Centre hospitalier de Saintonge, France
  • V Héléne CHU Poitiers, France
  • C Porras CHU Poitiers, France
  • B Rozé Service de réanimation-soins continus, Centre hospitalier de Saintonge, France
  • J.-F. Vincent Service de réanimation-soins continus, Centre hospitalier de Saintonge, France

DOI:

https://doi.org/10.37051/mir-00017

Keywords:

neurogenic shock, spinal cord injury, cardiorespiratory arrest

Abstract

Neurogenic shock is a serious complication of vertebromedullary trauma, responsible for a circulatory failure associated with tetraplegia in a context of high kinetic trauma. Such diagnosis is more difficult compared to an isolated
cardiorespiratory arrest. We report a case of cardiorespiratory arrest on the street with a late discovery of a severe
fracture of C2.
Whatever the severity of trauma, when neurogical examination is impossible, the association of arterial hypotension
and extreme bradycardia should evoke a neurogenic shock and prompt rapid computed tomography of the cervical
spine in order to early identify vertebromedullary injury.

Published

2020-10-12

How to Cite

Ait Tamlihat, Y., Héléne, V., Porras, . C., Rozé, . B., & Vincent, J.-F. (2020). Neurogenic shock: a trap in cardiorespiratory arrest on public roads. About a case. Médecine Intensive Réanimation, 29(3), 237-240. https://doi.org/10.37051/mir-00017

Issue

Section

Commented case report