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학습 자료 둘러보기 →For a patient with a high-level spinal cord injury and hyperthermia without infection, suspect quad fever. This is a central hyperthermia caused by disrupted autonomic pathways, not a fever responsive to antipyretics.
The priority intervention is external physical cooling. Initiate a cooling blanket with continuous temperature monitoring to achieve controlled, whole-body temperature reduction and prevent secondary brain injury.
Avoid acetaminophen as it is ineffective for neurogenic fever. Do not delay cooling to investigate for infection in the absence of clinical signs. Prevent shivering during cooling, as it increases metabolic demand and intracranial pressure.
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