Chapter 25: Face and Neck Injuries

Question 1

Discuss

Principle concern with face and neck injuries?

Answer 1

Airway compromise

Question 2

Discuss

Tx: foreign object in eye

Answer 2

Flush laterally, remove with Qtip if under eyelid, never attempt to remove from cornea

Question 3

Discuss

Tx: Impaled object in eye

Answer 3

Make gauze donut, place over eye and object, stabilize with bandage around head covering both eyes

Question 4

Discuss

Tx: Chemical burn in eye

Answer 4

Irrigate for at least 5 min, 20 for alkali or acids since they penetrate deeper

Question 5

Discuss

Tx: Thermal burns of eye

Answer 5

If eyelid burned, pt requires immediate care without further examination

Question 6

Discuss

Tx; Laceration of globe

Answer 6

Never exert pressure on lacerated glove, cover exposed eye with moist dressing, apply soft dressings to both eyes

Question 7

Discuss

Tx: blunt injury to eye

Answer 7

Bone fragments may limit eye muscle movement, causing diplopia

Question 8

Discuss

When should contacts be removed in field?

Answer 8

Only for chemical burns.

Question 9

Discuss

What are turbinates/

Answer 9

Three layers of bone in each nasal chamber

Question 10

Discuss

What should you worry about with nose injury?

Answer 10

Skull fx

Question 11

Discuss

Tx: Ear bleed/trauma

Answer 11

Place padded dressing behind ear on scalp and then place dressing over ear to avoid pain

Question 12

Discuss

What to do with avulse teeth?

Answer 12

Put in saline or cold milk

Question 13

Discuss

Tx: Impaled object in cheek

Answer 13

Consider removing to apply pressure from both sides if bleeding is obstructing airway

Question 14

Discuss

Tx: Neck laceration/penetration

Answer 14

Occlusive dressing to prevent air embolism, apply pressure above and below to block carotid and jugular.

Question 15

Discuss

Consequence of blunt injuries to neck?

Answer 15

Can cause severe airway problems. Possibly see subQ emphysema.