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Neurogenic shock is a distributive type of shock resulting in hypotension (low blood pressure), often with bradycardia (slowed heart rate), caused by disruption of autonomic nervous system pathways. [1] It can occur after damage to the central nervous system, such as spinal cord injury and traumatic brain injury.
Reflex syncope can occur in otherwise healthy individuals, and has many possible causes, often trivial ones such as prolonged standing with the legs locked. [ citation needed ] The main danger of vasovagal syncope (or dizzy spells from vertigo) is the risk of injury by falling while unconscious.
[3] [12] [13] Besides, nearly all kinds of distributive shock such as septic shock, neurogenic shock, anaphylactic shock, drug and toxin-induced shock, endocrine shock can turn out into refractory vasodilatory shock when the original shock becomes more severe. [14] [2] [15] [16] [17] [4] The most common cause of vasodilatory shock is sepsis. [5]
Shock is a medical emergency and requires urgent medical care. If shock is suspected, emergency help should be called immediately. While waiting for medical care, the individual should be, if safe, laid down (except in cases of suspected head or back injuries). The legs should be raised if possible, and the person should be kept warm.
Sympathetic nerve fibers travel around the tunica media of the artery, secrete neurotransmitters such as norepinephrine into the extracellular fluid surrounding the smooth muscle (tunica media) from the terminal knob of the axon.
Many are also associated with environmental or neurogenic triggers such as response to loud sounds that can initiate lethal arrhythmias. [ 29 ] LQTS, a condition often mentioned in young people's deaths, occurs in one of every 5000 to 7000 newborns and is estimated to be responsible for 3000 deaths annually compared to the approximately 300,000 ...
Obstructive shock can occur in the setting of tension pneumothorax and cardiac tamponade. These etiologies should be uncovered in the primary survey. [3] In the setting of head or neck trauma, an inadequate sympathetic response, or neurogenic shock, is a type of distributive shock that is caused by a decrease in peripheral vascular resistance. [3]
Obstructive shock is one of the four types of shock, caused by a physical obstruction in the flow of blood. [1] Obstruction can occur at the level of the great vessels or the heart itself. [ 2 ] Causes include pulmonary embolism , cardiac tamponade , and tension pneumothorax . [ 3 ]