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Section 6 - TRAUMA
6.09 OPHTHALMIC INJURIES
INITIAL TRAUMA CARE, (2.02).
- Quickly assess gross visual acuity.
- After obtaining a thorough history to rule out a penetrating injury, Pontocaine Ophthalmic may be utilized to anethetisize the eye.
- (Adults and Children: 1-2 gtt per affected eye)
- Thoroughly irrigate affected eye(s) using continuous NaCl irrigation through IV tubing and / or Nasal Cannula. Start irrigation as soon as possible and continue while en route to hospital.
- DO NOT remove impaled object.
- Protect injury by applying eye shield and bandage over eye(s) avoiding any pressure onto eye itself.
- Patch other eye.
- Keep patient from bending or straining.
- DO NOT USE PONTOCAINE IN PENETRATING EYE INJURIES!
- If blood noted in anterior chamber, (hyphema), transport with head elevated at least 60 degrees.
- Dim lights to patient comfort.
- Apply eye shield if needed.