JBL Trauma Practice Test

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1 / 400

A 22-year-old man suffers from a chemical burn in both eyes after a strong acid splash. What is the first step in treatment?

Leaving the contact lenses in and beginning irrigation

Removing the contact lenses and beginning irrigation

The first step in treating a chemical burn to the eyes, especially with a strong acid, is to remove any contact lenses and begin irrigation immediately. This is critical because contact lenses can trap the chemical against the cornea, potentially causing further damage. By removing them, you allow for better flushing of the eyes.

Initiating irrigation as soon as possible is essential as it helps to dilute and wash away the chemical agent, reducing the severity of the injury. Using copious amounts of sterile saline or clean water for at least 15-30 minutes is typically recommended to ensure thorough irrigation.

Other options would not effectively address the immediate needs of the injury. For instance, leaving contact lenses in compromises the treatment by preventing proper irrigation. Covering the eyes with sterile gauze may protect them but doesn't help with the immediate need to flush out the chemical. Applying antibiotic ointment should only happen after thorough irrigation and doctor evaluation, as it can cause further irritation if the chemical is not adequately removed first.

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Covering the eyes with sterile gauze

Applying antibiotic ointment to both eyes

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