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Eye Emergencies. Acute GlaucomaCentral Retinal Artery OcclusionRetinal Detachment. Acute Glaucoma. Increased intraocular pressure Caused by acute obstruction of aqueous humor outflowSigns/SymptomsDecreased visual acuityColored halos around lightsSevere eye pain radiating to head/faceNausea, vomitingFixed, midposition pupilSteamy" cornea.
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1. Non Traumatic EENT Emergencies Eyes--Ears--Nose--Throat
2. Eye Emergencies Acute Glaucoma
Central Retinal Artery Occlusion
Retinal Detachment
3. Acute Glaucoma Increased intraocular pressure
Caused by acute obstruction of aqueous humor outflow
Signs/Symptoms
Decreased visual acuity
Colored halos around lights
Severe eye pain radiating to head/face
Nausea, vomiting
Fixed, midposition pupil
Steamy cornea
4. Acute Glaucoma Management
Cover eyes
Transport
5. Central Retinal Artery Occlusion Blockage of blood flow to retina
Signs/Symptoms
Sudden, painless, unilateral blindness
Management
Intermittent digital massage over closed eyelid
Caution - monitor EKG
Consider having patient rebreathe in paper bag
6. Retinal Detachment Separation of retina from underlying structures
Signs/Symptoms
Dark or irregular floaters
Flashes of light
Curtain or Veil in visual field
Management
Transport gently
7. Ear Emergencies/Urgencies Otitis Externa
Otitis Media
Foreign Bodies
8. Otitis Externa Localized or diffuse infection of ear canal
Predisposing factors
Wetness
Irritants (hair dye/sprays)
Trauma from cleaning ears
9. Otitis Externa Signs/Symptoms
Itching, severe pain
Loss of hearing if ear canal swells
Foul smelling discharge
Tenderness with traction on ear
10. Otitis Media Bacterial or viral infection of middle ear
Usually secondary to upper respiratory infection
Common in children 3 months to 3 years old
11. Otitis Media Signs/Symptoms
Persistent, severe earache
Fever, nausea, vomiting, diarrhea
Red, bulging tympanic membrane
12. Foreign Bodies Common in young children
Attempts to remove may damage tympanic membrane
Transport to ER for removal
Non-hydroscopic objects may be irrigated out
Insects can be killed by placing mineral oil in ear canal
13. Nose/Throat Emergencies Nasal foreign bodies
Epistaxis
Peritonsillar Abscess (Quinsy)
14. Nasal Foreign Bodies Common in young children
Foul-smelling, bloody, unilateral discharge
Retained foreign bodies
Rhinoliths
Transport for removal
15. Epistaxis Causes
Local infection
Drying of mucous membranes
Hypertension
Trauma
Bleeding tendencies
Digital insertion
16. Epistaxis Management
Anterior Bleed
Pinch nostrils
Pressure over upper lip at base of septum
Local cold application
Posterior Bleed
May require packs or cauterization
Patients may need volume replacement
17. Peritonsillar Abscess (Quinsy) Acute infection of soft tissue spaces around tonsil
Signs/Symptoms
Severe pain on swallowing
Fever
Tonsil displaced medially
Respiratory distress