Ear - Injury

Symptoms

DEFINITION

  • Injuries to the outer ear, ear canal or eardrum

Types of Ear Injuries

  • Bruises and scratches of outer ear
  • Blood clot of outer ear
  • Ear canal bleeding due to scratch of ear canal (caused by cotton swab, fingernail, or medical ear exam)
  • Punctured eardrum due to long-pointed objects (caused by cotton swabs, pencils, sticks, straws, wires)

Should I Call?

WHEN TO CALL YOUR DOCTOR

Call Your Doctor Now (night or day) If

  • You think your child has a serious injury
  • Bleeding won't stop after 10 minutes of direct pressure
  • Skin is split open or gaping and may need stitches
  • Outer upper ear is very swollen
  • Pointed object was inserted into the ear canal
  • Clear fluid is draining from the ear canal
  • Walking is unsteady
  • Severe pain
  • Age under 1 year old
  • You think your child needs to be seen urgently

Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If

  • You think your child needs to be seen, but not urgently
  • Few drops of blood from ear canal due to minor injury, cotton swab (Q-tip) or ear exam
  • Injury causes an earache or crying that persists
  • Hearing is decreased on injured side

Call Your Doctor During Weekday Office Hours If

  • No tetanus shot in over 5 years for DIRTY cuts (over 10 years for CLEAN cuts)
  • You have other questions or concerns

Parent Care at Home If

  • Minor ear injury and you don't think your child needs to be seen

Care at Home

HOME CARE ADVICE FOR MINOR EAR INJURIES

  1. Bleeding: Apply direct pressure for 10 minutes with a sterile gauze to stop any bleeding.
  2. Cleansing: Wash the wound with soap and water for 5 minutes.
  3. Antibiotic Ointment: Apply an antibiotic ointment such as Polysporin (no prescription needed) to any cuts or scrapes. Cover large scrapes with a Band-Aid. Change daily.
  4. Pain Medicine: Give acetaminophen (e.g., Tylenol) or ibuprofen as necessary for pain relief.
  5. Expected Course: Minor ear injuries heal quickly, usually in 2 or 3 days.
  6. Call Your Doctor If:
    • Pain becomes severe
    • Your child becomes worse

And remember, contact your doctor if your child develops any of the "Call Your Doctor" symptoms.

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Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.

Author and Senior Reviewer: Barton D. Schmitt, M.D. Clinical content review provided by Senior Reviewer and Healthpoint Medical Network.

Last Review Date: 6/1/2011

Last Revised: 8/1/2011

Content Set: Pediatric HouseCalls Symptom Checker

Version Year: 2012

Copyright 1994-2012 Barton D. Schmitt, M.D.

Is Your Child Sick?

Pediatric HouseCalls Symptom Checker is a parent guide for treating your child at home, calling your child's doctor or seeking immediate medical attention. Developed by Dr. Barton Schmitt, MD, FAAP, a board-certified pediatrician on staff at Children's Hospital Colorado. Dr. Schmitt has developed other health tools for parents, including the 3rd edition of Your Child’s Health (available in bookstores) and KidsDoc, a new iPhone and Android app for parents (available online).

Are You Sick?

David A Thompson, MD is the author of Adult HouseCalls Symptom Checker. He is a board-certified emergency medicine physician at Northwestern Memorial Hospital in Chicago. He has a national reputation in telephone triage, decision support tools, medical information technology and quality improvement. Adult HouseCalls Symptom Checker is a decision support tool for adults that has been reviewed and approved by adult physicians.

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