Spinal Cord Injury - Trauma

Question 1

In neurogenic (or spinal) shock the first line intervention for hypotension is crystalloids followed by pressors to acheive what MAP?

Answer 1

It’s not well known, but a MAP of >80 shows improved outcomes

Question 2

Why should a foley catheter be inserted in a spinal trauma patient?

Answer 2

Urinary retention due to neurogenic loss of the ability to void is common

Question 3

Why is SPO2 not a reliable indicator of ventilation in a patient with a high cervical cord injury?

Answer 3

The pt. could be in type II respiratory failure - hypercapneic but with high SPO2 due to O2 admin.