1. Chapter 33 Eye, Face, and Neck Trauma Copyright ©2010 by Pearson Education, Inc. All rights reserved. Prehospital Emergency Care, Ninth Edition Joseph J. Mistovich Keith J. Karren

2. Back to Topics Anatomy of the Eye, Face, And Neck

6. Arteries Veins Airway Trachea Larynx Spine

8. Eye, Face, and Neck Injuries Back to Topics

9. Scene Size-Up Dispatch information Mechanism of injury Scene safety

10. Primary Assessment Use manual in- line stabilization Control bleeding Assess ABCs Consider ALS Administer O 2

11. Secondary Assessment Palpate –Eye socket –Bones of cheek –Nose –Jaw Vital signs Treat for shock History Signs and symptoms Reassessment

12. Specific Injuries Involving the Eye, Face, and Neck Back to Topics

13. Assessment and Care Guidelines Areas to evaluate Eye movements Basic rules for emergency medical care

16. Foreign Objects in the Eye Presentation Treatment

17. Injury to the Orbits Cause Signs and symptoms Emergency medical care

18. Lid Injury Types Signs and symptoms Emergency medical care

19. Injury to the Globe Types Emergency medical care (Charles Stewart, M.D. & Associates)

20. Chemical Burn to the Eye Immediate treatment Signs and symptoms Emergency medical care Contact lenses (© Chris Barry/PhototakeUSA)

22. Impaled Object in the Eye or Extruded Eyeball Do not remove Emergency medical care Transport

23. Removing Contact Lenses Guidelines for removal Removing soft contact lenses Removing hard contact lenses

24. Assessment and Care Guidelines Establish manual in- line stabilization Assess ABCs Emergency medical care

25. Avulsed Tooth If a tooth has been lost, try to locate it; reimplantation is often possible Treatment for patient and tooth –Rinse with saline and gently remove debris –Transport in a cup of saline or wrapped in gauze soaked in sterile saline –Guard against the tooth drying out –Never handle tooth by the root end –Control bleeding from the tooth socket

26. Injury to the Mid-Face, Upper Jaw, or Lower Jaw Types Signs and symptoms Emergency medical care

27. Object Impaled in the Cheek If object is obstructing airway and must be removed Remove opposite way the object entered Pack dressing between teeth and wound Dress and bandage outside of wound Consider ALS for airway control Suction frequently

28. Injury to the Nose ABCs Types of trauma Emergency medical care

29. Injury to the Ear Types Emergency medical care

30. Types Signs and symptoms Emergency medical care

31. If spinal injury is not suspected, position the patient on his left side, head tilted downward. (If spinal injury is suspected and the patient is immobilized to a spine board, board and patient can be turned and tilted as a unit.) Continue administration of oxygen. Care for shock, and transport.