EM in 5: Ocular Trauma
- May 1st, 2018
- Anna Pickens
Welcome to another edition of EMin5 with Dr. Anna Pickens. This week looks at 5th metatarsal fractures. Enjoy the video!
Ocular Trauma Evaluation: Examination
Open Globe = Ophthalmologic Emergency
Not reactive to light: Retrobulbar hematoma (treat with lateral canthotomy and cantholysis), uncal herniation (treat elevated ICP, surgical drainage)
Teardrop pupil: Open globe injury (treat with antibiotics, eye protection, ophthalmology consultation, tetanus vaccine, treat pain and nausea)
Issues: Abrasion, Foreign Body, Conjunctival Hemorrhage, Chemosis, Hyphema
Seidel’s Test = If positive, think open globe!