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Assessment and Care Guidelines for Eye Injury
- Orbits: bruising, swelling, lacerations
- Eyelids: bruising, swelling, laceration
- Conjuctivae: Redness, abnormal coloring, laceration
- Globes: redness, abnormal coloring, laceration
- Pupils: Size, shape, reactivity to light
- -Ask patient to follow finger movement, check for eye movement in all directions
- -If eye is swollen shut, do not attempt to open it
- -Consult med control before irrigating, do not flush unless it's a chemical burn
- -Never apply direct pressure to the eye
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Cornea
The clear front portion of the eye that covers the pupil and the iris.
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Injury to the Orbits
- Diplopia
- Decrease in vision
- loss of sensation above the eyebrow, cheek, or upper lip
- tenderness among palpation
- step-off
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Lid Injury
Bruising, burns, laceration
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Injury to the Globe
Bruising, lacerations, foreign objects, abrasions
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Chemical burn to the Eye
- Begin treatment immediately
- Water or saline only
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Impaled Object in the Eye or Extruded Eyeball
- Do not replace eye back in socket
- Place a donut dressing over eyes
- stabilize impaled object
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Contact Lenses
- Call med control before removal
- -Chemical burn to eye
- -Pt unresponsive and wearing hard contact lenses and transport time is delayed
- -Eyeball injury
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Injury to the Face
- 1. In-line manual stabilization
- 2. ABCs
- -inspect broken fragments in the mouth
- -if broken part still is intact, leave it, transport any separated parts
- -if the tongue is broken, place an OPA
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Injury to Midface, Upper jaw or Lower jaw
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Objects impaled in the Cheek
- If obstructs airway, pull it out
- Occlusive dressing
- Suction frequently
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Neck Injury
- Manual in line stabilization
- Control major bleeding
- ALS
- Maintain airway
- Suction as needed
- Occlusive dressing on four sides
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