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Eye chemical injury — DipIMC MCQ

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ModerateTraumaEye chemical injuryDipIMC

A 35-year-old factory worker has alkali splashed into both eyes. He has severe pain, blepharospasm and reduced vision; the safety shower is available and ambulance transport will take 18 minutes. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: AStart immediate copious irrigation at scene

Chemical eye injury needs immediate irrigation; treatment should not wait for formal assessment or pH testing. Alkali penetrates tissues rapidly, so covering the eyes without irrigation worsens outcome. Topical steroids are specialist treatment, not the pre-hospital priority.

Reference: JRCALC Guidelines; NICE chemical eye injury principles