Which of the following is NOT a feature of neurogenic shock?

Neurogenic shock is characterized by a sudden loss of sympathetic nervous system activity, usually following a spinal cord injury, which can lead to a unique set of symptoms. The primary features of neurogenic shock include hypotension (low blood pressure), bradycardia (slow heart rate), and warm, flushed skin due to the dilation of blood vessels below the level of the injury.

In this context, the presence of tachycardia is not consistent with neurogenic shock. Typically, patients experience bradycardia instead, as the sympathetic response that usually increases heart rate cannot function properly. This is crucial for recognition and management in tactical medical situations, as understanding the hemodynamic stability and physiological responses in neurogenic shock is essential for effective treatment.

Other aspects of neurogenic shock, such as hypothermia, warm red skin below the injury site, and potential loss of bladder control, align with the physiological disruptions caused by spinal cord injuries. The altered autonomic regulation can lead to these symptoms, including body temperature dysregulation and loss of motor and sensory function in the affected areas, which can explain the bladder control loss and vasodilation effects seen in patients.