In adult neurogenic shock, what is the recommended on-scene time?

• A. Rapid Transport (< 10 min on scene time)
• B. Standard transport with reassessment, no time pressure
• C. Transport should wait for stabilization before leaving
• D. Immediate transport only after airway is secured

Answer: (A)

In adult neurogenic shock, the priority is rapid transport to definitive care, keeping on-scene time as short as possible. Neurogenic shock from spinal injury causes loss of sympathetic vasomotor tone, leading to sudden hypotension and potential rapid deterioration. Getting the patient to a setting where imaging, spinal stabilization, and advanced support can be provided sooner improves outcomes, so the on-scene window should be minimized—aim for a quick, focused assessment and immediate transport. You should manage airway and breathing as needed, but don’t delay transport waiting for perfect stabilization; monitor and address vitals en route. Prolonged on-scene time or waiting for stabilization before leaving can worsen the patient’s condition and delay definitive care.