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Michelle Lin's Twitter Updates

@precordialthump I totally forgot about the EKG library! Awesome stuff. Keep up the great work (when do you sleep?!) 258 days ago
@emeducation Perfect, thanks for the suggestions! Turns out one is co-authored by Jeff Tabas. He already gave them all books. 258 days ago
Recommendations for an EKG resource to review bread & butter cases for senior residents? Pre-graduation panic setting in for our residents. 258 days ago
@danipedia Good point. I use the studies to convince the trauma consults NOT to get c-spine imaging on EVERYONE (citing distracting injury)! 263 days ago
@doctorflash Hi there. Just wanted to drop a note to thank you for all the extra traffic you're sending to blog. Much appreciated!! 273 days ago
 

Trick of the Trade: Benzoin for opening traumatic, swollen eyelids

Posted Mar 23 2011 12:00am
Patients who sustain facial trauma often have swollen eyelids. They may be so swollen that it is impossible to pull back the eyelids for an ocular exam. You use one of our "Tricks of the Trade"ideas and attempt to "roll" the upper eyelid using the Q-tip trick  (above).

Fresh blood on the face, however, makes the Q-tip a little slippery along the upper eyelid, preventing an adequate view of the eye itself.


Trick of the Trade:
Apply benzoin along the lower and upper eyelid to increase your traction.
  • Clean and dry the lower and upper eyelid so that they are not bloody.
  • Apply a thin layer of benzoin adhesive fluid along the eyelids, being careful not to contact the eye or eye lashes.  
  • The dried benzoin allows easier traction when retracting the eyelids.
  • Use your fingers or Q-tips to gently retract the eyelids.

Thanks to Dr. Duong for this great tip and the patient for consenting to have his photo taken for educational purposes.

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