Hey Sam. I disagree on on the subject of flushing the eyes after contamination with a chemical. Imo it is almost always better to flush the eye than not to because chemicals can do a lot of damage damage really quickly. Even with chemicals that react violently with water the msds typically states to flush the eye.
Yes, because such a substance will also react with the moist tissue of the eye and skin. So flush it away with lots of water. Substances that are sticky and not water-soluble would be more difficult to deal with, but often times flushing with lots of water might nevertheless at least partially remove some of those.
Depends on the pH of the chemical as well! If it’s a heavy alkaloid liquid, you need to use caution. But that’s why we do our assessment right? And we should all know PC’s number (U.S EMS). If they’re still coherent, we can try to identify the chemical, or read SDS sheets in a commercial setting. We have options. If it’s out in the middle of nowhere? Well that’s when we can use critical thinking skills.
Oof, this stuff makes me squirm talking about piercing eye injuries. Huge props to everyone in the medical field who are able to separate that feeling from their work and do the jobs they need to do helping people.
Going through emt basic classes right now. Stumbled upon this channel thanks to the youtube algorithm working as intended (a rarity but I shan't look a gift horse in the mouth) This is exactly the stuff I needed to see. Been feeling burnt out on all the textbook material since we are building a basis in the sciences behind the field work, gets hard to see the amazing things all that work can lead to. Your vids here and that of other emt content creators does wonders for keeping me in the fight. Hell, even get to share a bit of what I've learned during training should a tidbit of info be relevant at the time. Thanks for all you do, and my appreciation to all first responder educators out there!
A little while ago, I was in the Cafe enjoying some lunch, somehow, some dude across the room was able to squirt hot sauce ALL THE WAY ACROSS THE ROOM and into my eye...
@@jonnysandoval5575 Haha thanks! I had trouble seeing for like an hour, but the entire day, I was just thinking how he made that shot, pretty impressive!
Ophthalmic specialist here -- rinse the eye when chemicals come into contact with it. Rinse continously... save your corneas... get to an ophthalmologist ASAP if possible...call that ophthalmologist and seek guidance while you're en route...do not go to an ER if incident happens during typical business hours...
Been watching for years, always great videos, thanks man! Helped me tons through EMT Advanced EMT and preparing for Medic school! New studio update would be awesome man, it looks great!
with the cups or other covers: if you cover both eyes, the eyes still move around in the dark. If you give the patient a small peeping hole over their healthy eye, they can focus their eye on one spot to avoid movement and it helps calm them down as they can still see a bit.
If a known chemical use the MSDS (Material Safety Data Sheet) to determine appropriate treatment methods. The MSDS can be found on appropriately marked chemical containers (thanks OSHA).
*I'm surprised you have not covered the "pushing the eyes back inside the skull with your thumbs" like I've seen in a EMS TV show (911 on Fox I believe).*
More like this please. I’ve gone with the cup instead of the donut before because it reduces the chance of someone brushing their sleeve against the object when managing the airway or whathaveyou
I pulled a knife out of my eye after an accident out of reflex. It pulled my retina and lens out with it because of a bent tip on the knife. If there's an object in the eye LEAVE IT IN and let a surgeon remove it take my word for it.10 years later im still blind in one eye because of that mistake.
Heard a lot on both schools of thought in terms of occluding both eyes, from a lot of different people from a lot of different backgrounds & experience. From what I have heard, I feel both sides have valid arguments for and against. IMO it seems you can find sufficient evidence (used very loosely) to support which ever side of the fence you sit on. Personally I've landed on use common sense (I know, I know) If the casualty needs some vision for extraction, safety, transport don't cover both. If the casualty is likely to panic with zero vision, don't cover both. If calm casualty who does not require some sort of vision to safely navigate from site of injury to hospital, then cover both. If casualty is likely to be overstimulated by the environment, or catch sight of themselves in a mirror etc. the wrap both. Sounds real stupid as I write this out but, if there is any reason within the specific scenario not to occlude vision in both eyes, don't do it. If there is any reason within the specific scenario to cover both, then do it. I've found it is exceedingly rare to find a 'one size fits all rule' in this kind of environment
Hi Sam, curent emt in training here. In class they explain to try and stay away from styrofoam cups when used in an impaled eye because tiny foam particles may break off and enter the eye potentially causing more damage or infection. What are your thoughts on that?
Looking for everyday use prescription glasses and goggles. Wonder what do you use during your EMS duties, sheriff duties and during Frontline Firefighting Support (in wilderness) ?
ESS Crossbow/Crossblade ballistic shields are modular so with the right nose piece you can get a prescription insert that sits right behind the lenses. I've never tried them b/c I wear contacts, but the idea is you only pay for one insert for your Eyewear. It only works on the wraparound/ full face styles though.
Great video and excellent advice and dissemination of information, thank you for sharing, I’m learning a lot from your advices and instruction. Much appreciated. #share the knowledge! #IGY6
I don't know about you boys but I rip it out and immediately perform a needle decomp without consent or indication. Crazy dreams take crazy effort, life is what you make of it 💯 #ascending #achieving