Your patient has a suspected cervical spine injury from falling from a rope swing.His vital signs are pulse 62,respirations 20,and blood pressure 90/56.He has no feeling below his mid-chest area but is able to breathe on his own.You should suspect:

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The patient's symptoms suggest neurogenic shock, which occurs when there is a loss of sympathetic tone resulting in arterial and venous dilation leading to hypotension and bradycardia. The spinal cord injury is likely the cause of the loss of sympathetic tone leading to these symptoms. Cardiogenic shock is caused by inadequate cardiac output, hypovolemic shock is caused by blood loss, and psychogenic shock is caused by a sudden emotional or psychological event.

Your Patient Has a Suspected Cervical Spine Injury from Falling