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84 Highland Ave
Salem, MA 01970

 
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Ayres D'Souza Medical Building
30 Tozer Rd
Beverly, MA 01915

(978) 745-3050
(978) 745-7014 (fax)
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Is Your Child Sick? TM


Ear - Injury

Is this your child's symptom?

  • Injuries to the outer ear, ear canal or eardrum

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.

When to Call for Ear - Injury

Call Doctor Now or Go to ER

  • 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

Call Doctor Now or Go to ER

  • 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

  1. 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.
  2. Clean the Wound:
    • Wash the wound with soap and water for 5 minutes.
  3. 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.
  4. 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.
  5. What to Expect:
    • Minor ear wounds heal quickly.
    • Most often, cuts and scrapes heal in 2 or 3 days.
  6. Call Your Doctor If:
    • Pain gets severe
    • You think your child needs to be seen
    • Your child becomes worse

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

Disclaimer: This information is not intended to 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.


Copyright 1994-2017 Schmitt Pediatric Guidelines LLC. All rights reserved.

PAGS News

PAGS offers flu clinics at both our Beverly and Salem offices. Please call our office to schedule your flu shot.

Beverly Office Flu Clinics:
Oct. 20th (Friday): 8 - 11:45 am

Salem Office Flu Clinics:
Oct. 22nd (Sunday): 8 - 11:40 am
Oct. 29th (Sunday): 8 - 11:40 am
Pediatric Associates (PAGS) is pleased to announce that Mark Mandell, M.D. has joined the leadership team of Steward Health Care Network as their Chief Pediatric Medical Officer. Dr. Mandell has been a pediatrician at Pediatric Associates for over 25 years and will continue to see patients in both the Beverly and Salem offices.
Congratulations to Dr. Campbell, Dr. D'Souza, Dr. Jalali and Dr. Mandell for being voted top pediatricans in Northshore Magazine (March 2017).  We have a great team at PAGS!

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