Emergency Management of Pediatric Orbital Pencil Trauma Outside the Operating Room: A Case Report.

Penetrating orbital injuries in pediatric patients are rare but potentially vision- and life-threatening emergencies. We present the case of a three-year-old girl who arrived at the emergency department with a penetrating orbital pencil injury. The foreign body was successfully removed under general anesthesia in a minor procedure room, following established non-operating room anesthesia (NORA) safety protocols. This case highlights the critical importance of rapid interdisciplinary coordination, meticulous preoperative assessment, and safe anesthetic conduct in non-traditional environments. Implementation of NORA principles in emergency trauma care can ensure timely intervention while maintaining perioperative safety standards in resource-limited or high-demand settings.