شاب عمره ٢٦ سنة بعد حادث سير على الطريق السريع، ضغطه ٨٦/٦٠، ونبضه ٥٤، وجلده دافئ وجاف، ولا يحرك رجليه ولا يحس بهما، وتنفسه بطني. لا يوجد نزيف ظاهر. أي نوع صدمة أرجح؟

A 26-year-old after a highway road traffic crash has BP 86/60, HR 54, warm dry skin, cannot move or feel his legs and breathes abdominally. There is no visible bleeding. Which type of shock is most likely?

1. Cardiogenic shock from cardiac contusion
2. Early septic shock
3. Neurogenic shock from spinal cord injury
4. Hypovolaemic shock from internal bleeding

Answer: C) Neurogenic shock from spinal cord injury. Hypotension with bradycardia and warm, dry skin after spinal injury suggests neurogenic shock from lost sympathetic tone. Hypovolaemia gives tachycardia and cold skin, though bleeding is still excluded because injuries can coexist.