During trauma assessment, which of the following is NOT indicative of neurogenic shock?

Neurogenic shock occurs due to the disruption of sympathetic nervous system impulses, most commonly following a spinal cord injury. The hallmark features of neurogenic shock include bradycardia, hypotension, and warm, dry skin.

Bradycardia in neurogenic shock is attributed to the loss of sympathetic tone, which usually promotes an increased heart rate. Instead, the heart rate decreases due to unopposed vagal activity.

Warm, dry skin is a characteristic symptom because the loss of sympathetic control leads to peripheral vasodilation, allowing for increased blood flow to the skin. This can make the skin feel warm and dry rather than cool and clammy, which might occur in other types of shock.

Hypotension is also a key sign of neurogenic shock resulting from the loss of vascular tone and reduced systemic vascular resistance, leading to decreased blood pressure.

In contrast, tachycardia is generally not associated with neurogenic shock; instead, it is more commonly observed in other forms of shock, such as hypovolemic or septic shock, where the body attempts to compensate for low blood volume or infection. Thus, tachycardia does not align with the typical presentation of neurogenic shock, emphasizing that this symptom is not indicative of