An ear injury can result from a foreign object, direct trauma, or blast/barotrauma. The priority is to prevent further damage, preserve hearing, and get medical help when needed.
1. General first steps for any ear injury
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Stay calm and reassure the person.
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Do not probe the ear canal with cotton swabs, fingers, or tools — this can push objects deeper or worsen injury.
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If there is bleeding or fluid leakage (clear fluid may suggest serious head injury), seek emergency care immediately.
2. Foreign object in the ear
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If visible and easily removable (e.g., large insect, piece of cotton at the entrance), gently tilt the head and let gravity help.
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For insects: tilt the affected ear upward and gently pour in warm (not hot) mineral oil, baby oil, or water to float the insect out.
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Do NOT attempt to remove deep objects with tweezers, cotton buds, or sharp tools.
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Seek professional medical removal if the object is lodged, sharp, or causing pain.
3. Trauma to the outer ear (pinna)
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If cut or torn: control bleeding with gentle pressure using a clean cloth or sterile gauze.
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If partially severed: preserve the tissue by wrapping in clean, moist gauze and transport with the patient.
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Clean superficial wounds gently with water; avoid strong antiseptics inside the ear canal.
4. Trauma to the inner/middle ear (eardrum or deep injury)
Warning signs: sudden hearing loss, severe pain, bleeding from the ear, dizziness, ringing (tinnitus), or clear fluid leakage.
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Do not insert anything into the ear.
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Loosely cover the ear with a sterile dressing to protect from infection.
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Keep the head elevated and seek emergency medical help immediately.
5. Blast or barotrauma (sudden pressure changes, e.g., explosion, diving, air travel)
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May cause eardrum rupture.
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Symptoms: ear pain, sudden hearing loss, popping sound, dizziness, ringing.
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Do not attempt to equalize pressure by forceful blowing.
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Keep the ear dry and seek urgent medical evaluation.
6. While waiting for help
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Keep the person sitting upright if possible to reduce pressure.
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If in pain, over-the-counter pain relief (e.g., paracetamol, ibuprofen) can be given if safe for them.
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Do not allow water or drops into the ear unless instructed by a doctor.
7. Do NOT
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Do not try to remove objects blindly.
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Do not apply ointments, antiseptics, or oils unless specifically for insect removal.
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Do not ignore clear fluid drainage (possible cerebrospinal fluid leak from skull fracture).
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