Eddie, age 4, presents to the ED with a live insect trapped in his ear canal causing a lot of distress.What should be your first step?

Question

Quizplus · Accepted Answer

Immobilizing the insect with 2% lidocaine will decrease the likelihood of the insect moving or burrowing further into the ear canal. This should be done before attempting to remove the insect with proper instruments. Option A is not recommended as it may cause harm to the ear canal or push the insect further inside. Option C may be considered if Eddie is extremely distressed or uncooperative, but sedation also poses risks and is not necessary in all cases. Option D is not recommended as it may cause the insect to burrow further into the ear canal.

Eddie, Age 4, Presents to the ED with a Live