Pediatric emergency medicine trisk 3260 3260

ED Clinical Pathway for Evaluation/Treatment of Acute Head Trauma URL: https://www.chop.edu/clinical-pathway/head-trauma-acuteclinical-pathway Authors: M Zonfrillo, MD; F Nadel, MD; D Corwin, MD; M Mittal, MD; C Jacobstein, MD; J Lavelle, MD; P Scribano, DO, MSCE Posted: December 2010, last revised February 2020 TRAUMA TO THE EAR Ear Foreign Body Goals of Treatment The goal of treatment is to remove the foreign body as early after it is recognized as possible Early removal allows for the easiest possible extraction which reduces risk of trauma to the external canal and tympanic membrane (TM) Removal of the foreign body prevents infection, damage to the TM, and can prevent hearing compromise CLINICAL PEARLS AND PITFALLS Examine the ear with caution to avoid advancing the object further into the canal Be sure to check other orifices for additional foreign bodies Disk batteries should be removed as soon as they are identified to avoid rapid tissue destruction Kill insects in the external auditory canal (EAC) using mineral oil or alcohol before attempting removal Note, if the animal has caused abrasions of the ear canal skin, alcohol can be significantly painful if used Irrigation of biologic foreign bodies can result in swelling of the object and cause them to become more firmly lodged in the auditory canal Current Evidence Foreign objects in the EAC are a common occurrence in children with nearly 10,000 visits annually Children with ADHD or kinetic movement disorders are at