Eye Sight Conservation Month and Week CY 2022 (Part 2): What to do with Penetrating Eye Trauma
Channel: Pulis Management
Date: 2022-08-05

Mamang at Aleng pulis... Natamaan na ba ang mata mo ng sharpnel or ricochet ng bala? Alam mo ba ang gagawin mo pag nangyari ito? 

A message from the Office of the Director, Health Service: "Did you know that the Month of August is (Eye) Sight Conservation Month and the 1st Week of August is (Eye) Sight Conservation Week? Watch Part 2 of the short video about (Eye) Sight Conservation and learn what you can do in an event of an PENETRATING EYE INJURY" -- PCOL JEZEBEL D MEDINA DMD, Acting Director, Health Service

Reference: Proclamation No. 40, s. 1954 and Committee on Tactical Combat Casualty Care (CoTCCC)

TERMINAL LEARNING OBJECTIVE: Penetrating Eye Trauma
- Given a combat or noncombat scenario, perform assessment and initial treatment of penetrating:
1. Identify basic care of an eye injury in accordance with CoTCCC Guidelines
2. Demonstrate the application of a rigid eye shield to a trauma casualty in Tactical Field Care eye trauma during Tactical Field Care in accordance with CoTCCC Guidelines

WHEN TO SUSPECT A PENETRATING EYE INJURY: Penetrating Eye Trauma
1. Bleeding surrounding the eye, inside the eyeball; or coming from the eyeball
2. Obvious penetration of shrapnel or debris into the eyeball or eye socket
3. Protruding objects from the globe of the eyeball 
4. Swelling or lacerations of the globe of the eyeball
5. Protrusion of the globe of the eyeball from the eye socket
6. Reduced vision and swelling of the eye area 
7. Misshapen or distorted parts of the eye

IF A PENETRATING EYE INJURY IS NOTED OR SUSPECTED: Penetrating Eye Trauma
1. Perform a rapid field test of visual acuity and document findings
2. Cover the affected eye with a rigid eye shield (NOT a pressure patch)
3. Administer the casualty’s complete Combat Wound Medication Pack (CWMP), all the medications contained

PROTECTING THE EYE: Penetrating Eye Trauma
Apply a rigid eye shield: 
- When penetrating eye trauma due to shrapnel is suspected, it is critically important to prevent manipulation or additional trauma to the eye that might cause further damage to the eye
IMPORTANT! DO NOT APPLY PRESSURE: Avoid/prevent manipulation or additional trauma to the eye that might cause further damage. Pressure on the eye could force the interior contents of the eye out of the eyeball through a cut or laceration

APPLYING RIGID EYE SHIELD: Penetrating Eye Trauma
- The rigid eye shield is found in JFAK; if eye shield is not available, use casualty's tactical eyewear to protect the injured eye. Secure the rigid eye shield with tape at 45-degree angles across the forehead and cheek. Do NOT cover both eyes unless both eyes are injured
- REMEMBER: Rigid eye shields should be placed over both eyes only when you are sure or at least strongly suspect that both eyes have been injured
If the casualty is conscious, ensure administration of the complete CWMP

DOCUMENT TREATMENT: Penetrating Eye Trauma
- Document all assessments and treatment on the DD Form 1380. Be sure to include any medications administered and the time administered

SUMMARY: Penetrating Eye Trauma
- Identify eye injuries
- Eye injury treatment
- Applying an eye shield 
- Documentation

Watch the whole video to learn what to do when experiencing penetrating eye injuries... in tactical situation.

Good eyesight is an essential component of any police officer for a safe place to live, work and do business. Alagaan ang ating mga mata… magpatingin sa ating Health Service Facilities

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