Clinical comparison of ocular irrigation fluids following chemical injury

Herr, Robert D; White, George L.; Bernhisel, Kurt; Mamalis, Nick; Swanson, E. R.

doi:10.1016/0735-6757(91)90082-u

Cited by 62 publications

(34 citation statements)

References 7 publications

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“…Remove all contaminated clothing from the victim, making sure you do not contaminate yourself in the process. In case of exposure to an acid or alkali on the skin 196 -202 or eye, [203][204][205][206][207][208] immediately irrigate the affected area with copious amounts of water (Class I, LOE B).…”

Section: Chemical Burnsmentioning

confidence: 99%

Part 17: First Aid

Markenson¹,

Ferguson²,

Chameides³

et al. 2010

Circulation

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Section: Chemical Burnsmentioning

confidence: 99%

Part 17: First Aid

Markenson¹,

Ferguson²,

Chameides³

et al. 2010

Circulation

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“…Acid or alkali exposure should be irrigated with copious amount of water. (106)(107)(108)(109)(110)(111)(112) (b) Toxic eye injury: Eyes exposed to toxic chemicals must be immediately rinsed with copious amount of tap water, (113)(114)(115)(116)(117)(118) normal saline or another commercially available eye irrigation solution. (9) This should be continued for at least 15 minutes or until the arrival of the emergency ambulance.…”

Section: Medicalmentioning

confidence: 99%

Guidelines for Bystander First Aid 2016

Pek¹

2017

smedj

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Cardiac life support is a form of fi rst aid for cardiac emergencies. However, research and evidence in this fi eld is lacking compared with other forms of fi rst aid. Having identifi ed the common emergencies that are encountered in the hospital, based on the available evidence, we have put together what could be an evidence-based approach to the fi rst aid management of some of these common emergencies, viz. breathlessness, chest pain, allergies, stroke, heat injury, poisoning, unconsciousness, seizures, and trauma situations such as bleeding, wounds, contusions, head injury, burns and fractures. Educating the public is the key to developing a fi rst responder bystander. These guidelines could become the basis for training of the public.

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“…Herr et al [19] reported that when ocular irrigation fluids following chemical injury were compared, Balanced Saline Solution Plus (Alcon, Fort Worth, Tex., USA) was superior. Pfister et al [20] reported that treatment with topical citrate and ascorbate reduced ulceration in alkali-injured corneas.…”

Section: Discussionmentioning

confidence: 99%

Alkali Burns of the Eye: Effect of Immediate Copious Irrigation with Tap Water on Their Severity

Ikeda

Hayasaka

et al. 2006

Ophthalmologica

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Purpose: To examine the effect of immediate irrigation on ocular alkali burn. Methods: Information on the injury, immediate irrigation, and ocular findings was retrospectively obtained from each patient’s record. Results: 36 patients (49 eyes) irrigated their eyes with tap water (the irrigation group) and 17 patients (29 eyes) did not (no irrigation group). The mean age of patients in the irrigation and no irrigation groups was 30 and 53 years, respectively. According to Hugher’s classification, 76% of eyes in the irrigation group had grade 1 injury, while 86% of eyes in the no irrigation group had grade 2 injuries. Mean time from the injury until healing was 8 days in the irrigation group and 29 days in the no irrigation group, respectively. Conclusion: Immediate copious irrigation with tap water reduced the severity in alkali burns of the eye and shortened the healing time.

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Clinical comparison of ocular irrigation fluids following chemical injury

Cited by 62 publications

References 7 publications

Part 17: First Aid

Part 17: First Aid

Guidelines for Bystander First Aid 2016

Alkali Burns of the Eye: Effect of Immediate Copious Irrigation with Tap Water on Their Severity

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