There is no indication for dialysis at this time. He sustains a burst fracture of T2 with complete neurological deficit below this level. Spinal shock, low heart rate, loss of sympathetic tone. Ensure patent airway and adequate ventilation. Key Points 1.
Cardiac output depends on preload, afterload and contractility.
Cardiovascular interventions manipulate these factors. Each of these has a different haemodynamic profile and consequently a different management strategy. The prime objective of any of these strategies is to return blood pressure to baseline, and maintain tissue perfusion and oxygenation. Dobutamine is the drug of first choice in most coronary care scenarios, adrenaline is the drug of choice in ICU scenarios. The degree of illness determines the amount of invasive monitors placed.