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학습 자료 둘러보기 →The priority for any penetrating injury with a retained object is to stabilize the object to prevent movement. Bulky dressings can be built up around the object and secured with tape. The object may be providing tamponade against damaged vessels.
In the ear, be aware of proximity to the facial nerve, internal carotid artery, and tympanic membrane. Manipulation can convert a partial vessel injury into a complete transection or displace temporal bone fractures.
Never remove, irrigate, or apply direct inward pressure to an impaled ear object. Removal should be performed in a controlled setting, often the operating room, with surgical backup available for hemorrhage control.
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