PROCEDURAL COLUMNPreventing Cauliflower EarGooch, Michael D. DNP, APRN, ACNP-BC, FNP-BC, ENP-CEditor(s): Wilbeck, Jennifer DNP, RN, FNP-BC, ACNP-BC, ENP-C, FAANP, FAAN, Column Editor Author Information School of Nursing, Vanderbilt University, Nashville, Tennessee and Vanderbilt University Medical Center, Nashville, Tennessee. Corresponding Author: Michael D. Gooch, DNP, APRN, ACNP-BC, FNP-BC, ENP-C, School of Nursing, Vanderbilt University Nashville, TN 37240 (email@example.com). Disclosures: The author reports no conflict of interest. Advanced Emergency Nursing Journal: July/September 2020 - Volume 42 - Issue 3 - p 204-209 doi: 10.1097/TME.0000000000000309 Buy Metrics Abstract Traumatic auricular hematomas may be encountered in emergency care settings due to blunt trauma such as assaults or contact sports. Emergency nurse practitioners should be able to recognize and treat this injury to prevent complications. Treatment usually consists of evacuation of the hematoma by aspiration or incision and drainage using local or regional anesthesia, followed by the application of a pressure dressing or suturing. Without proper evacuation and steps to prevent reaccumulation, tissue necrosis and deformity (i.e., cauliflower ear) may occur. © 2020 Wolters Kluwer Health, Inc. All rights reserved.