Barotrauma: The Daily PANCE Blueprint
A 30-year-old scuba diver reports ear pain, a popping sensation, and mild hearing loss after a recent dive. Otoscopic exam shows a slightly retracted tympanic membrane with minimal bleeding. What is the most appropriate initial management?
A. Immediate tympanoplasty
B. Prescribe oral antibiotics
C. Observation and NSAIDs for pain
D. Urgent referral for inner ear surgery
E. High-dose systemic corticosteroids
Answer and topic summary
The answer is C. Observation and NSAIDs for pain
Ear barotrauma is a condition that happens when the tympanic membrane (TM) is distorted, leading to potential hearing loss, discomfort, and injury. The pressure changes/differences between the middle ear and the environment are what cause the barotrauma. Clinical features include ear pain, vertigo, hearing loss, a “pop” sound, dizziness, etc. Diagnosis is usually clinical. A small amount of bleeding can be seen near the TM. Most of the time, barotrauma just heals on its own. NSAIDs can be given to help with any pain. Surgery is only necessary for middle ear or critical inner ear injuries.
View blueprint lesson
Smarty PANCE Content Blueprint Review:
Covered under ⇒ PANCE Blueprint EENT ⇒ ⇒
