New York State Emergency Medical Technician (EMT) Practice Exam

In responding to a patient with a significant eye injury, what is the most essential step to take?

1. Remove the object immediately

2. Cover both eyes to prevent further movement

3. Administer pain relief before transport

4. Flush the eye with water

The correct answer is: Cover both eyes to prevent further movement

In cases of significant eye injuries, covering both eyes is crucial because it prevents further eye movement, which can exacerbate injuries or lead to additional damage to the injured eye. The eyes are closely coordinated, meaning that movement in one eye can also impact the other. When one eye is injured, if the uninjured eye moves independently, it can increase discomfort or cause injury to both eyes through sympathetic movement. Additionally, covering both eyes helps protect the injured eye from external factors like light exposure, which can cause further pain and distress. It also minimizes the risk of the patient attempting to use the injured eye, which could result in more severe complications. While flushing the eye, removing objects, or administering pain relief are actions that may be relevant in specific scenarios, they do not take precedence over the immediate need to stabilize the situation by preventing further movement. Addressing the injury's immediate risk is vital, which is why covering both eyes is the most essential step to take in this situation.