focus light onto the retina

protect the sclera.

allow light into the eye.

manufacture vitreous humor

disfigurement of the eye.

edema of the globe.

deformity of the sclera.

blood in the eye chamber.

Remove only soft contact lenses and not hard.

Remove if the eye has been injured by a chemical burn.

Remove only if the eye has been traumatically injured.

Remove only if the eye is traumatically injured and the patient is conscious.

Applying direct pressure very gently to both eyes may provide pain relief.”

Why don’t we flush the eyes with the sterile saline on the ambulance?”

I do not think that we will need to provide supplemental oxygen.”

We will need to flush the eyes with bicarbonate to stop the burning.”

Let’s look for other injuries on his chest.”

Before we do anything else, we need to place a cervical collar on his neck.”

Can someone start the patient on high-concentration oxygen?”

I need someone to place a gloved hand over the stab wound.”

Rolled gauze in the ear canal

A loose dressing placed over the left ear

Transport immobilized in a supine position

The severed ear wrapped in saline-soaked gauze

nose and orbits.

orbits.

lower jaw.

upper jaw.

immobilize to a long spine board.

insert an oral airway to stabilize the jaw.

start positive pressure ventilation.

suction the airway to provide airway patency.

Pinching the nose to control hemorrhage

Suctioning the airway to keep it free of blood

Packing the nares with sterile gauze

Making one attempt to realign the nose

You will be fine. You are lucky he didn’t cut an artery.”

When we get to the hospital, we can discuss this with the doctor.”

I am not worried about your looks; I am worried about preventing infection.”

You will be fine. The stitches used today do not scar like they used to.”

Retina

Sclera

Lens

Cornea

The lens of the eye has been abraded.

The sclera must be infected.

The clear structure that covers the pupil has been damaged.

Fluid is leaking from the posterior chamber.

The only movable bone making up the face is the mandible.”

Airway compromise is not a concern unless the neck is also injured.”

The face has little blood supply but will readily swell when injured.”

Injury to the eye(s) takes precedence over any and all other injuries.”

Bruising and swelling to the orbit

Unusual sensitivity to light

Vision disturbance that resolves by blinking

Edema to the upper eyelid

after determining the patient’s level of consciousness.

prior to assessing the airway.

following manual in-line spinal immobilization.

after assessing the patient’s radial pulse.