NREMT Paramedic Practice

What does Raccoon's Eyes suggest about a potential injury?

1. Fracture of the nasal bones

2. Contusion to the jaw

3. Fracture to the base of the sphenoid sinus

4. Head trauma without fracture

The correct answer is: Fracture to the base of the sphenoid sinus

Raccoon's Eyes, characterized by periorbital ecchymosis, is often the result of bleeding that occurs in the area around the eyes, typically following trauma. This phenomenon is indicative of a potential fracture to the base of the skull, specifically involving the sphenoid sinus. When trauma occurs to this region, blood can pool and manifest as dark circles around the eyes, which is a key sign for clinicians to recognize the possibility of serious intracranial injury. Understanding the significance of this symptom is crucial for emergency responders. It highlights the need for thorough assessment and consideration of additional imaging studies to evaluate for any underlying fractures or brain injuries. Recognizing Raccoon's Eyes prompts further investigation for potential issues such as cerebrospinal fluid leaks or other complications arising from significant head trauma.