crash
10-01-2004, 06:38 AM
Had a pt the other night...was a quadriplegic secondary to a spinal cord injury 5 years prior w/sudden onset of tachycardia, profuse sweating from the collarbones up, increased spasticity(especially in his hands), and fever. BP was 160/130, HR 160, no chest pain or palpitations, no shortness of breath--but feeling very ill and in acute distress--hx of uti diagnosis one week prior---turns out all he needed was his foley changed and all symptoms resolved. Seems like I read about this in JEMS not too long ago and it is a syndrome in spinal cord injury patients only and is usually but not always caused by an over-distended bladder and can be life threatening due to extraordingary BP leaps. Has anyone else ran into this in the field?