Major trauma with suspected significant hemorrhage
Administration within 3 hours of injury
Vision-threatening emergencies
Immediate eye threats
Orbital compartment syndrome features
Rapid vision decline
Proptosis
Firm orbit
Relative afferent pupillary defect
Retrobulbar hematoma actions
Emergent ophthalmology activation
Lateral canthotomy and cantholysis if vision threatened and delay expected
Globe rupture concern
Rigid eye shield
Avoid ocular pressure
Urgent ophthalmology activation
Consult and team activation
Early specialty activation
Maxillofacial surgery or ENT or plastic surgery for unstable patterns
Le Fort fractures
Open mandibular fractures
Naso-orbito-ethmoid injuries
Frontal sinus posterior table injuries
Ophthalmology for orbital injury or vision symptoms
Diplopia with entrapment concern
Visual acuity change
Relative afferent pupillary defect
Neurosurgery for skull base fracture or intracranial injury
CSF leak concern
Depressed frontal bone or posterior table fracture
Anesthesia for predicted difficult airway
Active bleeding
Severe midface disruption
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.