Ear - Injury
Is this your child's symptom?
- Injuries to the outer ear, ear canal or eardrum
What to Do
Select the First Symptom that Applies
Go to ER Now
- Bleeding won't stop after 10 minutes of direct pressure
- Large deep cut that will need many stitches
Call Doctor or Seek Care Now
- Skin is split open or gaping and may need stitches
- Upper part of the ear is very swollen
- Pointed object was put into the ear canal
- Clear fluid is draining from the ear canal
- Walking is not steady
- Severe pain and not improved 2 hours after taking pain medicine
- Age under 1 year old
- You think your child has a serious injury
- You think your child needs to be seen, and the problem is urgent
Call Doctor Within 24 Hours
- Few drops of blood in the ear canal. Caused by a minor injury, cotton swab (Q-tip) or ear exam.
- Injury causes an earache or crying lasts more than 30 minutes
- Hearing is less on injured side
- You think your child needs to be seen, but the problem is not urgent
Call Doctor During Office Hours
- Dirty cut and no tetanus shot in over 5 years
- Clean cut and no tetanus shot in over 10 years
- You have other questions or concerns
Self Care at Home
- Minor ear injury
Care Advice for Minor Ear Injuries
- Bleeding - How To Stop:
- For any bleeding, put direct pressure on the wound.
- Use a gauze pad or clean cloth.
- Press for 10 minutes or until the bleeding has stopped.
- Clean the Wound:
- Wash the wound with soap and water for 5 minutes.
- Antibiotic Ointment:
- For cuts and scrapes, use an antibiotic ointment (such as Polysporin). No prescription is needed.
- Put it on the cut 3 times a day.
- Do this for 3 days.
- Cover large scrapes with a bandage (such as Band-Aid). Change daily.
- Pain Medicine:
- To help with the pain, give an acetaminophen product (such as Tylenol).
- Another choice is an ibuprofen product (such as Advil).
- Use as needed.
- What to Expect:
- Minor ear wounds heal quickly.
- Most often, cuts and scrapes heal in 2 or 3 days.
- Call Your Doctor If:
- Pain gets severe
- You think your child needs to be seen
- Your child becomes worse
Causes and Background Information
Types of Ear Injuries
- Cut or Scratch. Most cuts of the outer ear do not need sutures.
- Bruise. Most bruises of the outer ear just leave a purple mark. They heal on their own.
- Blood Clot (Serious). Most of the outer ear is made of cartilage. A large blood clot (hematoma) can cut off the blood supply to the cartilage. It needs to be drained. If not, the ear may become deformed (boxer's ear).
- Ear Canal Bleeding. Most are due to a scratch of ear canal. This can be caused by cotton swab, fingernail, or ear exam. Most stop bleeding on their own. Persistent bleeding needs to be seen.
- Punctured Eardrum. Most are due to long-pointed objects put in the ear canal. Examples are cotton swabs, pencils, sticks, straws, or wires.
- Loss of Hearing (Serious). Caused by blunt trauma, such as a slap to the ear. Also, caused by explosions.
Copyright 2000-2018. Schmitt Pediatric Guidelines LLC.
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