Evaluation and treatment of patients with spinal injury and neurogenic shock starts with the "ABCDEs" of trauma assessment: the "A" is not only for airway but also includes cervical spine protection, and the "D" represents disability, or neurologic evaluation 13 (T§.ble,.3.1:l). Cervical spine protection and neurologic evaluation are not discussed further here except to say that they form the cornerstone of all further management of patients with neurogenic shock.

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