A window washer has fallen 20 feet from scaffolding while washing the windows on an office building. He is alert and oriented, but states that he cannot move or feel his legs. Additionally, because his blood pressure is 82/48 mmHg, you suspect spinal shock. What other assessment finding reinforces your suspicion of spinal shock?

Question

Quizplus · Accepted Answer

Cool and clammy skin is a common sign of spinal shock, which occurs due to temporary disruption of spinal cord function. This disruption can lead to a decrease in blood pressure, heart rate, and the ability to sweat, causing cool and clammy skin. A heart rate of 144 and SpO₂ at 92% are possible indications of shock but are not typical of spinal shock specifically. Flushed and dry skin is not associated with spinal shock.

A Window Washer Has Fallen 20 Feet from Scaffolding While