You are assessing a patient who sustained blunt trauma to the center of his back. He is conscious, but is unable to feel or move his lower extremities. His blood pressure is 80/50 mm Hg, pulse is 40 beats/min and weak, and respirations are 24 breaths/min and shallow. If IV fluids do not adequately improve perfusion, you should:
A) give 0.5 mg of atropine and consider a dopamine infusion.
B) administer 1 mg of epinephrine 1:10,000 via rapid IV push.
C) apply the pneumatic antishock garment and inflate all sections.
D) administer a corticosteroid to reduce spinal cord inflammation.
Answer: A) give 0.5 mg of atropine and consider a dopamine infusion.
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