Cgabryszek: Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Do not allow eye injury to distract you from the basics of trauma care. # If patient and time permit, examine the globe briefly for gross injury as the lid may be swollen tightly shut later. # '''TRAUMATIC INJURY:''' ## Penetrating: ### Do not remove any foreign body imbedded in the eye or orbit. Stabilize any large protruding foreign bodies. ### Cover both ey..."

2022-04-04T01:43:26Z

Created page with "Perform Initial Trauma Care per protocol. {| class="wikitable" |'''EMR - Emergency Medical Responder''' |} # Do not allow eye injury to distract you from the basics of trauma care. # If patient and time permit, examine the globe briefly for gross injury as the lid may be swollen tightly shut later. # '''TRAUMATIC INJURY:''' ## Penetrating: ### Do not remove any foreign body imbedded in the eye or orbit. Stabilize any large protruding foreign bodies. ### Cover both ey..."

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Perform Initial Trauma Care per protocol.

{| class="wikitable"
|'''EMR - Emergency Medical Responder'''
|}

# Do not allow eye injury to distract you from the basics of trauma care.
# If patient and time permit, examine the globe briefly for gross injury as the lid may be swollen tightly shut later.
# '''TRAUMATIC INJURY:'''
## Penetrating:
### Do not remove any foreign body imbedded in the eye or orbit. Stabilize any large protruding foreign bodies.
### Cover both eyes if patient will tolerate. Involuntary movement of the good eye will cause movement of the injured eye.
### Transport patient supine unless other injuries prohibit this from being done. (This is to minimize intraocular fluid from draining out of the eye.)
## Non-Penetrating:
### If fine foreign bodies are still present on the surface of the eye, gently irrigate with water or saline.
# '''CHEMICAL BURNS:'''
## When possible determine type of chemical involved. If uncertain if a chemical can be flushed with water, contact Medical Control.
## The eye should be irrigated with copious amounts of water or saline as soon as possible. Irreversible damage can occur in only a few minutes.
## Eye irrigation can be initiated with a garden hose if available. DO NOT use a high-pressure hose or at a high force.
## If available, IV saline can be used to irrigate the patient’s eyes.
### Attach saline bag to nasal cannula tubing, rest the nasal cannula across the bridge of the patient’s nose, and allow fluid to run into the eyes.
### Warmed saline is preferred if available.
## Attempt to obtain name and a sample of the chemical, or ask that they be brought to the hospital as soon as possible.
# '''CONTACT LENSES'''
## If possible, contact lenses should be removed from the eye; be sure to transport them to the hospital with the patient. If the lenses cannot be removed, notify the ED personnel as soon as possible.
## If the patient is conscious and alert, it is much safer and easier to have the patient remove their lenses.

{| class="wikitable"
|'''EMT - Emergency Medical Technician''' ''Perform/Confirm All Above Interventions''
|}

# Initiate early transport
# Consider ALS Intercept

{| class="wikitable"
|'''AEMT – Advanced Emergency Medicine Tech ''' ''Perform/Confirm All Above Interventions''
|}

# Consider ALS Intercept
# Establish IV en route, if possible.
## Avoid sites distal to deformities or on injured extremities.

{| class="wikitable"
|'''Intermediate -''' ''Perform/Confirm All Above Interventions''
|}

# '''Contact MEDICAL CONTROL''' for consideration of:
## Administration of pain medications, if approved, utilize pain management protocol for doses and monitoring.

{| class="wikitable"
|'''Paramedic -''' ''Perform/Confirm All Above Interventions''
|}

# If patient requires intubation, succinylcholine should be avoided as it may increase intraocular pressure.

3-9 TRAUMA-EYE INJURY - Revision history