Bulbocavernosus Reflex, Spinal shock - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes the Bulbocavernosus Reflex for spinal cord injuries, and telling you all you need to know about it an a simple and easy way.
The bulbocavernosus reflex indicates the absence or presence of spinal shock. Spinal shock usually occurs between 24 and 72 hours after spinal injury. Spinal shock is manifested by the absence of bulbocavernosus reflex, hypotension, bradycardia, and complete loss of motor, sensation and reflexes. When the reflex is absent, this means that the patient is in spinal shock. The anal sphincter will not contract when the reflex is absent. When the reflex is present, this signals the end of spinal shock. The anal sphincter will contract when the reflex is present. The reflex is checked by monitoring anal sphincter contraction in response to squeezing of the penis or clitoris, or by pulling on an indwelling Foley catheter. It is a polysynaptic response mediated by S2-S4.
What is spinal shock? Spinal shock is the loss of sensation and motor power following a spinal cord injury. After an injury to the spine, if the patient has no motor or sensory below the level of the lesion, the physician must determine if the patient is in spinal shock by checking the bulbocavernosus reflex. The anal sphincter will contract when reflex is present. If there is no anal contraction (Absent bulbocavernosus reflex), indicates that the patient is still in shock and prognosis cannot be determined. If anal contraction is present (positive bulbocavernosus reflex), this indicates the end of spinal shock.
The patient’s condition and prognosis at this point can be determined by examining sacral sparing (positive sacral sparing indicates incomplete lesion). Loss of sensation and motor power below the level of injury indicates complete spinal cord injury. Once the diagnosis of neurogenic shock is established, the blood pressure should be managed with vasopressors to prevent fluid overload.
Spinal shock usually occurs between 24 and 72 hours after spinal injury. With the end of spinal shock, the prognosis can be determined. Examine the patient thoroughly, including sacral sparing. The patient may be normal, partial or complete. Sacral sparing testing:
1-Testing of the anal sphincter muscle.
2-Testing of flexion of the great toe
3-Testing of the perianal sensation.
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Background music provided as a free download from KZbin Audio Library.
Song Title: Every Step

[@r.schmidt5100]

Ever since I started doing this routinely I get no more freeloaders who just want a quick checkup. Thank you Dr Ebraheim

[@miseudo7674]

oh LOL

[@1yatharth]

😂😂😂

[@wasssup10960]

They should have animated gloved hands

[@NicholsKT]

Lol

[@trevorpiper4352]

Nope, bare hands only...

[@SarumanTheStupid]

Seriously, I was like, "Nooo!"

[@M.Sajid98]

@@trevorpiper4352 is there a medial reason for that?

[@renMt]

Hahahahhahaha

[@yyooi8083]

Thank you Dr Ebraheim for the awesome video!!!!

[@Hijazi44]

One should distinguish between spinal shock and neurogenic shock

[@valdezserra]

Spinal shock is not the same as neurogenic shock

[@Travelwithmoi]

Thanks. Helped with dealing trauma patients

[@jeevanjyoti3999]

Thanks.. awesome..,and music was fantastic.. videos explains simply clearly..

[@beerpong7867]

Can you run this test yourself to check the nerve? I did try the squeeze but don't feel the contraction.

[@CreativeChillyz]

Thank you Sir it's very informative video, i would like to know whether the BCR is absent at any level spinal shock/injury or only at perticular level?

[@videotrash]

Love the tasteful music :)

[@md_coelho1499]

people asking where are the gloves... obviously this is the patient doing it himself

[@jamiejohnson5054]

In England two pediatricians Dr.Higgs & Dr.Wyatt. Were obssessed with the reflex anal dialation test also known as the RAD test. They were diagnosing children as sexually abused right and left . The number of children falsely diagnosed as having been sexually abuse is continuing to rising. One child was subjected to the RAD test over 17 times

[@CreativeChillyz]

Sir are you monitoring BCR in spine surgeries?

[@Dr-789]

Awesome illustration....

[@hero-gl4zy]

Many young men suffer from erectile dysfunction due to stretching there penile tessue and suffer from numbness and lost of this reflexing. So is That mean Injury? How they can cure it?

[@VivekSingh-kc5kw]

Nice explanation

[@Rad12315]

Please add live videos

[@anshulsingh7006]

If I try this on myself, I'd end up doing something which I'll regret after 10 minutes

[@adityatamboli951]

Thank You

[@jawaher2012]

Awesome, thank so much

[@francois8316]

Hamdulillah akhi ibrahim

[@tonykass]

good video

[@omarshihadeh6211]

الله يجزيك الخير

[@etomidateem222]

gloves.......where are they?

[@treasuretea3549]

How do you check it on female patients?

[@freebornfloor1600]

clitoris, it says in the video

[@myrnasc6012]

or you can pull the urinary catheter

[@justinmartinez2964]

We call that foreplay where I come from.

[@geojor]

thank you...

[@djneedles000]

So I guess we're not wearing gloves any more???

[@DrGurjyotNanda]

Awsm Sir ... :))) !

[@عبدالعزيز-ذ4ب1ق]

Do you have e mail for contact ?

[@goth_dude6874]

Nurse! Please check Me

[@hamzamohamedabdullahi8519]

Very crutial.

[@carolinagomes4600]

thank you

[@mohamadghanem9769]

thank you