Browse categories and answer follow-up questions to refine your symptom profile.
Immediate priorities
High risk states
Airway compromise
Ventilatory failure
Hemorrhagic shock
Neurogenic shock
Spine motion restriction
Neutral alignment
Log roll as a unit
Minimize transfers
Resuscitation triggers
SBP < 90 mmHg
MAP < 65 mmHg
Lactate elevation
Active hemorrhage concern
Neurogenic shock pattern
Hypotension with relative bradycardia
Warm extremities
Vasopressor requirement after hemorrhage excluded
Time critical consultations
Spine surgery for suspected unstable fracture
Trauma surgery for polytrauma
Neurosurgery for cord compression concern
Analgesia and sedation safety
Hemodynamic monitoring for opioid administration
Avoid oversedation masking neurologic change
Early imaging strategy
CT trauma pan scan workflow alignment
CT thoracic and lumbar spine reconstructions from chest abdomen pelvis CT when available
Dedicated CT spine for persistent high suspicion
Neurologic risk stratification
High risk neurologic scenarios
New weakness
New sensory loss
Saddle anesthesia
Bowel dysfunction
Urinary retention
Acute cord compression concern
Progressive deficit
Severe midline tenderness with neuro symptoms
Suspicion for epidural hematoma
Cauda equina concern
Bilateral radicular symptoms
Reduced perianal sensation
Reduced anal tone
PVR elevation
Monitoring and targets
Hemodynamic targets
Avoid hypotension
SBP >= 90 mmHg as minimum trauma threshold
MAP >= 65 mmHg as minimum perfusion threshold
If acute spinal cord injury
MAP 85 to 90 mmHg target
Duration 7 days when feasible
ICU level monitoring for vasopressors
Temperature
Normothermia
Fever evaluation for occult infection when non traumatic etiologies possible
Glucose
Avoid severe hyperglycemia
Avoid hypoglycemia mimicking neurologic deficit
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.