Chapter 33 Eye Face Neck Injuries Prehospital Emergency Care

Front 1

this is the tough outercoat that covers the eyeball

Back 1

sclera

Front 2

this is the clear front portion of the eye,

Back 2

cornea

Front 3

this is the dark center of the eye that light enters through

Back 3

pupil

Front 4

this is the colored portion of the eye

Back 4

iris

Front 5

the lens focus's light on this part of the eye

Back 5

retina

Front 6

the inner surface of the eye lids and the exposed portion of the sclera are lined with a paper thin covering called

Back 6

conjunctiva

Front 7

this is in the interior of the eye which is anterior to the iris and filled with watery fluid

Back 7

anterior chamber (front chamber)

Front 8

watery fluid that is in the anterior chamber

Back 8

aqueous humor

Front 9

this is behind the lens and filled with a clear jelly

Back 9

vitreous body

Front 10

the clear jelly that fills the vitreous body

Back 10

vitreous humor

Front 11

the bony structure of the skull that surround the eyes

Back 11

orbits

Front 12

the skull is made up of _____ bones

Back 12

22

Front 13

this number of bones form the cranium

Back 13

8

Front 14

this number of bones compris the facial bones

Back 14

14

Front 15

body systems tht are found in the neck include

Back 15

cardiovascular, muscoskeletal, central nervous, respiratory,digestive, endocrine, carotid arteries, jugular veins, trachea, larynx, cervical spine

Front 16

when you conductthe focused history and physical exam on patient with an eye injury evaluate

Back 16

the orbits for bruising, swelling, laceration, tenderness
the lids for bruising, swellling, laceration
the conjunctivae for redness, pus, and foreign bodies
the globe for redness, abnormal coloring, laceration
the pupils for size, shape, equality, and reactivity to light
eye movement in all directions

Front 17

basic rules for care of the eye with an injury

Back 17

if swollen shut avoid manipulating it
do not force the eyelid open unless you have to wash out chemicals
consult medical direction or local protocal before irrigating
do not put salve or medicine in the eye
do not remove blood or blood clots from the eye
have patient lie down and keep quiet. Never let them walk without help
limit use of uninjured eyes
give patient nothing by mouth
never apply direct pressure to injured eye

Front 18

this is double vision

Back 18

diplopia

Front 19

signs and symptoms of orbital fracture include

Back 19

diplopia, decrease in vision, loss of sensation above eyebrow, over cheek, or in upper lip, nasal discharge, tenderness to palpation, a bony step off, paralysis of upward gaze in the involved eye

Front 20

emergeny care steps for orbit injury

Back 20

if eyeball has not been injured apply ice packs over injured eye transport patient in sitting position
if eyeball injured avoid using ice packs, transport patient supine

Front 21

how do you treat an eye lid injury

Back 21

control bleeding with light pressure from a dressing, if eyeball injured use no pressure at all. cover lid with sterile gauze soaked in saline to keep wound from drying. if eyeball not injured cover lid with cold compress to reduce swelling. cover uninjured eye with bandage to decrese movement and transport

Front 22

how do you treat a globe injury

Back 22

apply patches lightly to both eyes, do not use patch of any pressure if you suspect a ruptured eyeball. avoid use of ice packs

Front 23

the first _______ minutes are dire in treating chemical burns of the eye

Back 23

10

Front 24

flush eye for __________ minutes after chemical burn, if the chemical is alkili based flush for_________________

Back 24

20
1 hour

Front 25

with face injury provide emergency care by:

Back 25

establish inline stabilization
maintain airway
inspect mouth for small fragaments or teeth or broken dentures
if dentures are secure in mouth leave them in place if they are broken or displaced remove them
if tongue block air way open with jaw thrust and insert oral air way if possible
suction
request als to provide advanced airway if needed

Front 26

signs and symptoms of fractures or severe trauma to mid face include

Back 26

numbness or pain, distortion of facial features, crepitation, irregularities in facial bones, severe bruising, distance between eyes too wide, bleeding from nose and mouth, diplopia, limited jaw motion, palapable movment to maxilla, teeth not meeting normally, hematoma, limited jaw motion, mouth open or unable to open mouth, saliva mixed with blood, drooling, painful difficult speech, missing teeth, pain around ears

Front 27

signs and symptoms of neck injury

Back 27

swelling or bruising, difficulty speaking, loss of voice, airway abstruction, crepitation, displacemetn of trachea

Front 28

with neck injury you apply this type of dressing

Back 28

occlusive