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!
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!
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!
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).
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.
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.
*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
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?
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
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.
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
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.
Great observation
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.
Yes, they taught us for first aid at our college chemical laboratory that whatever chemical got into eye, flush it immediately.
@@filiphabek271 As a chemist I second this
Love your vids! Been around for a few years now since you were way smaller! Great education for young EMTs like myself!
Thanks for talking about some of the hardest part of EMT ! I wish to see more of theses coming !
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.
The timing of this coming out the day after I went to the ER for an eye injury is impeccable.
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!
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...
We can’t go right to an ophthalmologist in an ambulance.
Depends heavily on SOPs
Thanks for all the video. Not only enjoyed it but had lead me to some opportunities that I never thought exist in my country. Thanks again.
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!
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...
That SUCKS man, sorry! 😥
@@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!
That guy performed a talent show with physics! I hope you're doing well though
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).
Or if you know what a chemichal is, you can look it up on any internet capable device
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.
You have an absolute fantastic channel and really superior quality content -- thank you!
Definitely thought the cup was going to be for if the eye popped out
Thank you for the video. You gave me a great teaching point I can add about making the gauze donut for stabilizing an object in the eye
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.
You’re like a refresher for skills I don’t do that much!
I lost it at "...unless you DO want to make it so they can't talk to you. "
I appreciate the teaching content. Thank you for taking my feedback last week.
Grate demonstration. Thanks
*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
Very helpful and a good refresher. Keep the how-to's coming.
Very informative. Thanks for the vid.👍
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
Very educational, thank you for making these.
I’d love to hear what u have to say about My Medics kits! Hope you can review one of them
Always valuable! Much respect!!!
i want to be a paratrooper and want to learn early your videos are helping me out
Very Nice informative video. thnks
Another awesome video. Thanks man!
Another great video thank you!
7:12 "IT'S OVER 9,000!!!!!"
Hehehe 🙃
Gracias por la información, me gustan estos vídeos
Do more of this!!!
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?
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
Very good, thanks.
Top!!!!!!!!!!
Good stuff. Good info. 👍🏻😎👍🏻
Nice video!
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.
this was great!
Eye safety is serious business. Just do it !
If someone is stabbed in the eye and the object comes out, can you die from it, after the clotting
Necessary to have ballistic proof glasses or goggles for your work?
Hello there Im interested in becoming a Paramedic but not sure where to start at any types or suggestions on where to start?
new viewer. thank you.
I had lacquer thinner shot into both of my eyes.
@prepmedic
What EMS company do you work for??
Yea your not going to get an answer to that
This would have served 1 year ago in Chile
Yo u good?
nice subject
If you get metallic sodium in your eye, its already gonna make caustic soda from your tears.....
I´d always say flush away.
Sup sam
10:28
He then quickly realized.
quite early now.
hello
Wait, so when do we kiss the pt's boo boo, before or after we wrap it?
Wearing safety glasses for the rest of my life
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
Ouch i can feel the thumbnail
Next topic..2-3 guys skewered by a pipe, bamboo, or a rebar. 😬
An "Aunt Jemima" wrap? Oof... That term didn't age well.