A Diving Injury

This patient has signs of shock.

What are the differences in presentation between hypovolaemic and neurogenic shock? (1/2 mark)

Which type of shock does he have evidence of? (1/2 mark)

The trauma CT shows a T5 burst fracture. Associated single rib fracture (no flail segment). There is a subcutaneous swelling over the forehead but no intracranial injury. No sources of bleeding identified

He has received 2L of fluid/ blood, and blood pressure remains 80/50 with a HR of 80.

Your consultant suggests most likely cause is neurogenic shock.

Explain the anatomy and physiology of neurogenic shock. (1 mark)

How is neurogenic shock managed? (1 mark)