b'ChapterBleeding From the EarThis could result from a burst eardrum possibly caused from a foreign object pushed into the ear, trauma or an explosion.Symptoms include earache, sharp pain, deafness and possible difficulty in standing.A blow to the head could result in unconsciousness and watery blood coming from the ear and nose. This is serious as it indicates there may be a skull fracture with fluid leaking from around the brain.How to Manage Conscious Patient Have the patient sitting leaning with the head tilted toward the injured side so blood drains away.If the wound is minor, place a clean, preferably sterile pad and apply gentle pressure.If you suspect the injury is serious, the patient should be placed into the recovery positionwith a clean pad placed under the affected ear.Do not apply any pressure over the ear. Allow the wound to drain freely(it should only slowly trickle).Call Ambulance 000.Unconscious PatientApply DRSABCD.Call Ambulance 000. With the affected side downward, gently position the patient into the recovery position with a clean pad under the affected ear.Do not plug the ear because thiscould cause pressure to build up and may result in brain damage. Allow the watery fluid to drain freely (it should only slowly trickle) onto the pad.Check for other wounds and manage(Secondary Survey, refer to page 87) .Closely monitor patient for response, airway, normal breathing while waiting for Ambulance.The patient may regain consciousness. Continue with the same management and give plenty of reassurance and comfort.78 Bleeding'