External Ear Procedures Nestor J. Martinez Marla J. Friedman Introduction The external ear is vulnerable to injury because of its exposed position. Injuries to the external ear occur in all…

Foreign Body Removal from the External Auditory Canal Dale Steele Introduction Foreign bodies in the external auditory canal (EAC) are a frequent problem in children. The objects found in children’s…

Removal of Cerumen Impaction Ronnie S. Fuerst Introduction Removing cerumen from the external auditory canal of pediatric patients is a procedure that is performed daily in the emergency department (ED)…

Otoscopic Examination Holly W. Davis Kala Parker Introduction Symptoms referable to the ears account for over one third of all pediatric visits to a medical facility (1,2). Patients can present…

Acute Upper Airway Foreign Body Removal: The Choking Child Michael P. Poirier Introduction Annually in the United States more than 300 deaths of children are due to choking secondary to…

Contact Lens Removal Timothy G. Givens Introduction As the number of persons wearing contact lenses steadily increases, so does the chance that a physician in the emergency department (ED) will…

Eye Patching and Eye Guards Michael Shannon Introduction Because of its prominence and delicateness, the eye is frequently injured. Eye injuries occur despite a large number of physiologic protective mechanisms…

Ocular Irrigation and Decontamination of Conjunctiva Mananda S. Bhende Eric Tham Introduction Eye irrigation is the crucial first step in the treatment of chemical injuries to the eye. Chemical burns…

Ocular Foreign Body Removal Winnie T. Whitaker Wendy J. Pomerantz Introduction Foreign bodies commonly become lodged on the eye surface, whether blown in by wind or propelled at high velocity….

Slit Lamp Examination Alex V. Levin Introduction Slit lamp biomicroscopy is a diagnostic procedure that requires experience and specific skills. It is unlikely that the majority of pediatricians and emergency…