John McIntosh
Journal of Paramedic Practice, Vol. 9, Iss. 8, 04 Aug 2017, pp 340 - 346

Problem: The use of CS gas has increased dramatically in recent years yet how to
implement optimal management is still a matter of debate. A lack of a sandardised
approach to care has left a vacuum in which various treatments have been
proposed, some with no evidence base. Whilst some of these treatments may
simply not work, others will increase the pain and time taken to recover. Approach:
This paper looks, specifically at the ocular management of exposure to CS gas as
the eyes are often the most severely affected of organs and therefore the focus
of the first aider's efforts. Suggested ocular treatments proposed by the general
public were explored alongside existing professional guidelines and available
academic literature. Conclusions: Recommending best practice remains difficult
and treatment will often have to be adapted to the local environment. Adherence
to commonly agreed principles is essential and includes preventing secondary
effects by use of personal protective equipment, removing those affected into a
well ventilated area, removing contaminated clothing and offering reassurance.

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