II. Signs

  1. Perianal reflex absent
  2. Neurologic function absent below the level of the spinal lesion
    1. Flaccid paralysis below the spinal lesion
    2. Reflexes absent below the spinal lesion

III. Precautions: Pitfalls

  1. Intercostal muscle paralysis (hypoventilation)
  2. Anesthesia below lesion
    1. Hidden injuries (e.g. Acute Abdomen without pain)
  3. Transiently shocked spinal cord
    1. Immobilize immediately

IV. Management

  1. Immobilize spine with Cervical Collar and Backboard with head blocks and all straps
  2. Frequent ABC evaluation
  3. Careful secondary Trauma survey
  4. Emergent spine surgery Consultation

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Ontology: Spinal shock (C0597503)

Definition (CSP) a loss of spinal reflexes after an injury of the spinal cord which affects the muscles innervated by the cord segments situated below the site of the lesion.
Concepts Injury or Poisoning (T037)
Italian Shock spinale
Japanese 脊髄ショック, セキズイショック
English spinal shock, spinal shock (diagnosis), shock spinal, Spinal shock, shock; spinal, spinal; shock
Czech Míšní šok
Hungarian Spinalis shock
Dutch shock; spinaal, spinaal; shock, spinale shock
Portuguese Choque espinhal
Spanish Parálisis espinal
French Choc spinal
German spinaler Schock