Spinal Injury

Question 1

How to treat Adults with an isolated traumatic SCI and neurogenic shock?

Answer 1

MAP 80mmHg or SBP 100mmHg
IV Saline 250mL aliquots to 20mL/kg
Adrenaline:
-Syringe: Start at 5mcg/min
-Manual: Start at 0.1mcg/kg/min with 1drop/sex equalling 6mcg/mcg
-Bolus: 50mcg

Question 2

How to treat Paediatrics with an isolated traumatic SCI and neurogenic shock?

Answer 2

Manage hypotension to low range of normal SBP
IV Saline 10mL/kg aliquots to max 250mL single and total 20mL/kg
Adrenaline:
-Syringe: start at 0.5mcg/kg/min adjust by 0.1mcg/kg/min
-Manual: start at 0.1mcg/kg/min where 1 drop/sec equals 6mcg/min