210 likes | 312 Views
Explore essential anatomy and emergency care for eye, ear, and nose injuries. From eye parts to ear anatomy, learn how to manage eye injuries, foreign objects, burns, and more. Discover tips for ear injuries, including CSF/Blood and ruptured eardrums, and nose injuries like fractures and nosebleeds.
E N D
Sensory Emergencies Eyes, Ears, & Nose
Anatomy Review in book! Ch 25 & 26
Eye Parts • Conjunctiva • Lacrimal Glands • Sclera • Pupil • Iris • Cornea • Lens • Retina • Optic nerve • Vitreous humor • Aqueous humor
Eye Injuries • enucleation • laceration • foreign objects • abrasion • burns
Eye injuries - notes • Signs can be subtle • Example - hyphema (blood in anterior chamber of eye)
Lacerations • Cut to the globe or surrounding tissue • Never exert pressure on or manipulate the eye • If part of eyeball is exposed, apply a moist, sterile dressing and eye shield
small foreign objects - irrigate with saline Flush from the nose outward Never attempt to remove an object on the cornea Foreign Objects in the Eye
Impaled Object • Do not remove it • Immobilize the object in place • Moist sterile dressing over the injured eye only* *LA county
Chemical Burns • Irrigate - Irrigate - Irrigate • Use water or saline solution • 20 minutes • powder or liquid = irrigate • Dry dressing
Thermal Burns • Usually to the eyelid • Cover both eyes with a moist, sterile dressing and eye shield • Transport supine to burn center.
Light Burns • Infrared rays, eclipse light, direct sunlight, laser burns • Welding without protection • Burns on cornea • Very painful • Cover eyes with sterile pad and eye shield. • Transport supine
other... Not Trauma Related • blurred vision • double vision • sudden blindness Think CVA or other neurological
Eye Injuries Following a Head Injury • One pupil larger than the other • Eyes not moving together • Failure of the eyes to follow equally • Bleeding under the conjunctiva • Protrusion or bulging of one eye
Contact lenses • Leave in place unless chemical burn • Trying to remove them can damage cornea • If irrigation removes them - fine • If patient removes them - fine • If there is no function in an eye, ask if the patient has an artificial eye
Ear Anatomy • External ear • Middle ear • Inner ear
Injuries of the Ear • Doesn’t usually bleed much. • Place a dressing between ear and scalp • For avulsion, moist sterile dressing. • Do not try to remove a foreign body • CSF/blood • Ruptured tympanic membrane
Ears - notes • ringing in ears • sudden deafness - CVA? • Inner ear infections - Vertigo
Nasal Anatomy • Septum • Turbinates • Frontal sinus
Injuries of the Nose • Blunt trauma can cause fractures and soft-tissue injuries. • CSF/blood • Use dry sterile dressing for soft tissue injuries • Object inserted in nose can be removed if freely movable • Impaled objects get bulky dressing
Nose Bleeds • Lean forward • Pinch nostrils and hold • Blood is an irritant to the stomach • Hypertensive?
the end Next!