Consult ophtho immediately for emergent surgical repair
Keep NPO
Prevent further injury
Do not manipulate the eye
Eye covering with metal shield (Fox shield) or paper cup (do not place a patch that touches<unk> 
Minimize elevations in intraocular pressure
Elevate head of bed
Bed rest; no bending/lifting/Valsalva
Consider antiemetic (e.g. ondansteron 4mg IV)
IV pain medications PRN
Tetanus prophylaxis (if indicated)
If intubation necessary, use succinylcholine and ketamine <3mg/kg (do not increase intraocular pressure or cause adverse outcomes)
Keep NPO
Do not manipulate the eye
Eye covering with metal shield (Fox shield) or paper cup (do not place a patch that touches<unk> 
Elevate head of bed
Bed rest; no bending/lifting/Valsalva
Consider antiemetic (e.g. ondansteron 4mg IV)
First choice: Fluoroquinolone IV, such as Levofloxacin OR
Second choice: Vancomycin IV and ceftazidime
Ceftazidime 1gm + vancomycin 1 gm
Penicillin allergy: Ciprofloxacin + vancomycin
For children < 12 years, cefazolin 25-50 mg/kg/day in three divided doses, and gentamicin 2 mg/kg iv q8h. Gentamicin peak and trough levels are obtained one-half hour before and after the fifth dose, and BUN/Cr levels are evaluated every other day.
Globe rupture
Ears
Flail chest
Auricular hematoma
Pulmonary contusion
Nose
Rib fracture
Nasal fracture