Pilot · In development

Ophthalmic triage at the bedside, before the eye team arrives.

A fast, point-of-service reference for emergency, inpatient, and trauma teams: what to check, what cannot wait, and how to frame the question for ophthalmology.

The gap

When the eye is injured, the first responders are rarely ophthalmologists.

Inpatient and after-hours ophthalmic coverage is thin. Emergency, hospitalist, and trauma teams routinely stabilize eye emergencies before a consult is possible. A short, reliable bedside resource buys time and protects vision.

MinutesOpen globe, chemical injury, and orbital compartment syndrome are time-critical. Early recognition changes outcomes.
BedsideVision, pressure, and a focused history can be gathered by any team, on any unit, with what is already at hand.
A bridgeNot a replacement for consultation. A structured handoff to the eye team, and support until they arrive.
Module one

The ophthalmic vital signs

Three things any team can document in minutes. They frame every ophthalmic call and often determine urgency.

01

Vision

Check each eye separately. Work down the ladder: reading, counting fingers, hand motion, light perception. Document the best response for each eye.

A drop in vision is the single most useful triage signal.
02

Pressure

Estimate or measure intraocular pressure when it is safe to do so. A hard, proptotic orbit after trauma may signal orbital compartment syndrome.

Never press on a potentially open globe. When in doubt, shield and defer.
03

Focus the question

Mechanism, timing, and chemical exposure. Then state the one thing you need the eye team to answer, so the consult starts where it matters.

A sharp question gets a faster, better answer.
The library

What cannot wait

Short, practical chapters on the sight-threatening emergencies, authored by ophthalmologists and residents. Rolling out through the pilot.

Open globeRecognize, shield, do not manipulate, urgent repair.
In development
Chemical injuryImmediate, copious irrigation before anything else.
In development
Orbital compartment syndromeThe vision-threatening one that needs a bedside canthotomy.
In development
Intraocular foreign bodySuspect it, image for it, cover for infection.
In development
How it works

Built to reach the teams who need it

web

Web first

No app to install. One link, on any phone or workstation, at the bedside. Fast to open when seconds matter.

link

Where teams already look

Designed to link from the emergency-medicine resources front-line teams already use, so it meets them where they are.

Authored by the field

Ophthalmologists, residents, and students write and review chapters. A growing, credited library rather than a static page.

Want to write a chapter?

We are building the pilot library now and delegating chapters to interested residents and students. Every contribution is credited.

Get involved