Spinal injury question

[stonez]

I have got two different references here relating to spinal injury. I am trying to work out which level of injury would be accompanied by HYPOTENSION and BRADYCARDIA.:unsure:
The one say says T1 and the other T5?
Any help or pointer to references would be appreciated.
Thanks

 

[akflightmedic]

Absolute hypotension and absolute bradycardia would be an injury to C1 or C2.






I got jokes today. Ha Ha

 

[VentMedic]

SCI below the level of T6 usually does not cause the profound hypotension. Shock associated with an SCI involving the lower thoracic cord should be considered hemorrhagic until proven otherwise.

However, the areas of the cord are divided into different segments as well as dorsal and anterior, each of which serves different parts of the nervous system. The injury itself can also vary from being complete or not with different reactions. There can also be different reactions to pain especially in the higher SCIs which will bring about hypertension. Autonomic Dysreflexia will be more common in the SCIs at C6 or above.

C1, C2 injuries do not always present with hypotension. It depends on the type of fx and the immediate damage to the cord. It many present later.

 

[akflightmedic]

Aww Vent, I was making a joke.

Talking about permanent hypotension and permanent bradycardia.

 

[VentMedic]

Aww Vent, I was making a joke.

Talking about permanent hypotension and permanent bradycardia.

I'm sorry.

I just wanted people to understand that even if symptoms are not immediately present, they can rapidly appear minutes or hours later. Even with the liberal protocols not to board everything thing, there are times when mechanism of injury should be considered and thorough assessment should still be performed. That may make the difference in areas damaged and symptoms.

Pathological fxs of C1 and C2 also occur and can be relatively stable initially but still require cautious care.