Ophthalmic Injuries: Difference between revisions
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====CHEMICAL:==== | ====CHEMICAL:==== | ||
* Quickly assess gross visual acuity. | * Quickly assess gross visual acuity. | ||
* After obtaining a thorough history to rule out a penetrating injury, [[ | * After obtaining a thorough history to rule out a penetrating injury, [[Pontocaine|Pontocaine Ophthalmic]] may be utilized to anethetisize the eye. | ||
** (Adults and Children: 1-2 gtt per affected 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. | * 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. | ||
| Line 24: | Line 24: | ||
* Apply eye shield if needed. | * Apply eye shield if needed. | ||
[[Category:Trauma]] | [[Category:Trauma|0609]] | ||
Latest revision as of 20:27, 22 April 2020
Section 6 - TRAUMA
6.09 OPHTHALMIC INJURIES
INITIAL TRAUMA CARE, (2.02).
CHEMICAL:
- 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.
PENETRATING:
- 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!
BLUNT TRAUMA:
- 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.