My child has servere ear pain and can't sleep. do i take him to the hospital?

Start with this: Eventually he should be seen, but there are some things you can do now to buy some time & help him a lot sooner. Ibuprofen dosed for size (if over 6 mo) helps some & can be repeated as needed every 6 hrs. A heating pad to the affected side of the head (low heat) often distracts the brain from pain input to sensing comfort from heat.

Ear Pain in child: You are a Caring Mother. I understand your distress. Due to "Severe ear pain and Can't sleep", please take your child to his Pediatrician. If pediatrician is not available, take your child to Urgent Care