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Any patient with neurogenic shock has suffered a severe traumatic injury and obviously will be admitted to the hospital. In general, the patient with a spinal cord injury is best cared for at a trauma or spine center. Most areas have a regional spine care center, centralizing the extensive resources needed for the care of these patients and standardizing patient care.

While in the ED, the patient with a spinal cord injury and neurogenic shock can benefit from early consultation and involvement of the appropriate specialty services, namely neurosurgery, trauma surgery, and orthopedics. Early consultation and the consideration of transfer is most important for the patient with continuing or worsening hypotension, an evolving deficit, or a progressing level of injury.

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