Clinical Reference Systems: Pediatric Advisor 10.0
Spanish version

DESCRIPTION

This guideline covers injuries to the outer ear (pinna) or ear canal (the channel that carries sound down to the eardrum). Most external injuries are bruises and scratches. If the ear is severely swollen, a blood clot is present which could permanently damage the shape of the ear if it is not treated by a physician. Most bleeding from within the ear canal is from a scratch on the lining caused by a fingernail, cotton swabs, or physician's otoscope. These scratches just bleed a few drops and then heal. Long, pointed objects (for example, a stick) carry the risk of puncturing the eardrum.

HOME CARE FOR SUPERFICIAL CUTS AND SCRAPES TO EAR

Wash your hands. Then wash the wound vigorously with water and liquid soap for 5 minutes. Rinse the wound well. Apply pressure for 10 minutes with a sterile gauze to stop bleeding. Leave the area exposed to the air. Don't use alcohol or Merthiolate on open wounds because they sting and damage normal tissue. Give acetaminophen or ibuprofen for pain.

CALL YOUR CHILD'S PHYSICIAN IMMEDIATELY IF:

• The skin is split open and might need sutures.
• The ear is very swollen.
• A pointed object was inserted into the ear canal.
• Your child is acting very sick.

CALL YOUR CHILD'S PHYSICIAN DURING OFFICE HOURS IF:

• The injury caused an earache.
• The hearing is decreased on that side.
• You have other concerns or questions.