SHOCK / TRAUMA 410 Neurogenic Shock Assessment Associated with spinal cord injuries, closed head injuries and overdoses Signs of hypovolemic shock without pale diaphoretic skin (warm shock) Oxygen and airway maintenance appropriate for patient’s condition Establish and maintain C-Spine protection Hemorrhage control Supportive care EMR STOP Pulse oximetry EMT STOP INT or IV NS, if hypotensive 20 mL/kg (peds 20 mL/kg) AEMT STOP 12 Lead EKG, transmit Treatment Protocol – Contact Medical Control to consider: Adult and pediatric Dopamine at 2-20 µ/kg/min – SPECIAL NOTE: Consider occult bleeding and treat as Hypovolemic Shock Protocol
SHOCK / TRAUMA 410 Neurogenic Shock Assessment Associated with spinal cord injuries, closed head injuries and overdoses Signs of hypovolemic shock without pale diaphoretic skin (warm shock) Oxygen and airway maintenance appropriate for patient’s condition Establish and maintain C-Spine protection Hemorrhage control Supportive care EMR STOP Pulse oximetry EMT STOP INT or IV NS, if hypotensive 20 mL/kg (peds 20 mL/kg) AEMT STOP 12 Lead EKG, transmit Treatment – Protocol Contact Medical Control to consider: Adult and pediatric – Dopamine at 2-20 µ/kg/min SPECIAL NOTE: Consider occult bleeding and treat as Hypovolemic Shock Protocol