Old 04-22-2008, 08:49 AM   #1
PSYCtest040
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Default Anybody else ever do this?

Had an interesting call the other day and am wondering if any other Ghetto medic has ever done this? The call its self was kind of run of the mill but the treatment suggested by the paramedic I was working with was awesome.

Dispatched for the 67 YO male who had gasoline splash into his face. On arrival found male patient sitting on chair with complaint of burning sensation in his eyes. His eyes are very bloodshot but no complaints of SOB, denies swallowing gasoline, denies blurry vision, and PEARLA. Patient states he was filling the tank of his lawn tractor and about a cup full of gasoline splashed up into his face (how I have no clue). Patient states he ran into the house and started flushing his eyes with tap water and his wife called 911, total flush time PTA about 6 minutes.

My partner suggested we spike a liter bag of NaCl with a 60 gtt set, connect tubing to a nasal cannula and tape the prongs over the bridge of patients nose. That worked like a charm. 15 minute transport to ED and on arrival had about 200 cc flushed into eyes. The redness and burning sensation diminished greatly when he was transfered to ED bed.

Ed's treatment was Morgan lenses and more NaCl flush. Patient discharged about 2 hours later with no complications.

I never would have thought of this. My treatment would have been to tap a 500 cc bottle of NaCl and flush that way. This was more controlled and, like I said worked like a charm.
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Old 04-22-2008, 09:02 AM   #2
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Originally Posted by PSYCtest040 View Post
Had an interesting call the other day and am wondering if any other Ghetto medic has ever done this? The call its self was kind of run of the mill but the treatment suggested by the paramedic I was working with was awesome.

Dispatched for the 67 YO male who had gasoline splash into his face. On arrival found male patient sitting on chair with complaint of burning sensation in his eyes. His eyes are very bloodshot but no complaints of SOB, denies swallowing gasoline, denies blurry vision, and PEARLA. Patient states he was filling the tank of his lawn tractor and about a cup full of gasoline splashed up into his face (how I have no clue). Patient states he ran into the house and started flushing his eyes with tap water and his wife called 911, total flush time PTA about 6 minutes.

My partner suggested we spike a liter bag of NaCl with a 60 gtt set, connect tubing to a nasal cannula and tape the prongs over the bridge of patients nose. That worked like a charm. 15 minute transport to ED and on arrival had about 200 cc flushed into eyes. The redness and burning sensation diminished greatly when he was transfered to ED bed.

Ed's treatment was Morgan lenses and more NaCl flush. Patient discharged about 2 hours later with no complications.

I never would have thought of this. My treatment would have been to tap a 500 cc bottle of NaCl and flush that way. This was more controlled and, like I said worked like a charm.
We were actually taught that in medic school, but I use macro tubing. I haven't used it in the field, but since convenient care closes down at night in my ER, I've used it several times there.
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Old 04-22-2008, 09:08 AM   #3
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We were actually taught that in medic school, but I use macro tubing. I haven't used it in the field, but since convenient care closes down at night in my ER, I've used it several times there.
I wish something like that was taught at the EMT or Intermediate level. My treatment would have been effective but make a hell of a mess.
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Old 04-22-2008, 11:00 AM   #4
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I wish something like that was taught at the EMT or Intermediate level. My treatment would have been effective but make a hell of a mess.
You can do it w/ a bottle of sterilr water. just punch out that litttle hole in the center of the cap.
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Old 04-22-2008, 11:31 AM   #5
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It was in my AAOS EMT-B book, never had the chance to perform it in the field.
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Old 04-22-2008, 11:52 AM   #6
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yes, I have done that several times. It has always worked like a champ!
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Old 04-22-2008, 01:02 PM   #7
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I've never heard of doing that but will have to keep it in mind. We get a lot of people that have been maced and typically just use flushes but I like this idea.
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Old 04-22-2008, 02:34 PM   #8
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Used this method once for a Male patient with chemical splash to the eyes in a paper mill. This is the best way ever.
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Old 04-22-2008, 03:59 PM   #9
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Quote:
Originally Posted by PSYCtest040 View Post
Had an interesting call the other day and am wondering if any other Ghetto medic has ever done this? The call its self was kind of run of the mill but the treatment suggested by the paramedic I was working with was awesome.

Dispatched for the 67 YO male who had gasoline splash into his face. On arrival found male patient sitting on chair with complaint of burning sensation in his eyes. His eyes are very bloodshot but no complaints of SOB, denies swallowing gasoline, denies blurry vision, and PEARLA. Patient states he was filling the tank of his lawn tractor and about a cup full of gasoline splashed up into his face (how I have no clue). Patient states he ran into the house and started flushing his eyes with tap water and his wife called 911, total flush time PTA about 6 minutes.

My partner suggested we spike a liter bag of NaCl with a 60 gtt set, connect tubing to a nasal cannula and tape the prongs over the bridge of patients nose. That worked like a charm. 15 minute transport to ED and on arrival had about 200 cc flushed into eyes. The redness and burning sensation diminished greatly when he was transfered to ED bed.

Ed's treatment was Morgan lenses and more NaCl flush. Patient discharged about 2 hours later with no complications.

I never would have thought of this. My treatment would have been to tap a 500 cc bottle of NaCl and flush that way. This was more controlled and, like I said worked like a charm.
I was shown how to do that in my basic class. I think SMCC in Maine has a good EMT/Medic school.
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Old 04-22-2008, 04:34 PM   #10
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Yes, this was taught in my EMT-B and EMT-P classes and I've used it several times. Mainly on pepper/OC spray pts, they usually get some relief. Just a bag of normal, a NBP, and a 10/15/10 gtts and you're good to go. I did learn the hard way as a new medic that you should never apply it from the pt's front because you're forearms can touch the pt and pick up the pepper/OC.
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