GRI ED
- Needle aspiration
- Pressure bandage
- Next ENT clinic
- Arrange via reception using virtual fracture clinic form
Ear Problems
Warning
- Keep dry
- Avoid ear drops
- Use antibiotics only if secondary to recurrent infection (not for traumatic perforation)
- ENT clinic follow-up
- Arrange via reception using virtual fracture clinic form
- Advise wax softener e.g. Cerumol
- Refer to GP
- Do not undertake syringing
- Kill insects with lignocaine or olive oil
- Attempt to syringe out but beware swelling of vegetable matter
- Refer ENT if any difficulty or suspicion of tympanic membrane damage
- Antibiotics often prescribed but rarely useful
- Consider if high temp and/or vomiting, or no response with 3 days treatment
- Treat with Prednisolone 40-50mg per day for 10 days
- Add aciclovir 800mg 5 x day if any facial pain as this may indicate a viral aetiology and impending vesicles
- Formal ENT review is not required initially. Refer back to GP suggesting ENT review in 3-4 weeks if required.