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    Cuts and puncture wounds

    Wound - cut or puncture; Open wound; Laceration; Puncture wound

    A cut is a break or opening in the skin. It is also called a laceration. A cut may be deep, smooth, or jagged. It may be near the surface of the skin, or deeper. A deep cut can affect tendons, muscles, ligaments, nerves, blood vessels, or bone.

    A puncture is a wound made by a pointed object such as a nail, knife, or sharp tooth.

    Symptoms

    • Bleeding
    • Problems with function or feeling below the wound site
    • Pain

    Infection may occur with some cuts and puncture wounds. The following are more likely to become infected:

    • Bites
    • Punctures
    • Crushing injuries
    • Dirty wounds
    • Wounds on the feet
    • Wounds that are not promptly treated

    First Aid

    If the wound is bleeding severely, call your local emergency number such as911.

    Minor cuts and puncture wounds can be treated at home. Take the following steps.

    FOR MINOR CUTS

    • Wash your hands with soap or antibacterial cleanser to prevent infection.
    • Then, wash the cut thoroughly with mild soap and water.
    • Use direct pressure to stop the bleeding.
    • Apply antibacterial ointment and a clean bandage that will not stick to the wound.

    FOR MINOR PUNCTURES

    • Wash your hands with soap or antibacterial cleanser to prevent infection.
    • Rinse the puncture for 5 minutes under running water.Then wash with soap.
    • Look (but donot poke around) for objects inside the wound. If found, do not remove it. Go to your emergency or urgent care center.
    • If you cannot see anything inside the wound, but a piece of the object that caused the injury is missing, also seek medical attention.
    • Apply antibacterial ointment and a clean bandage that will not stick to the wound.

    DO NOT

    • Do NOT assume that a minor wound is clean because you can't see dirt or debris inside. Always wash it.
    • Do NOT breathe on an open wound.
    • Do NOT try to clean a major wound, especially after the bleeding is under control.
    • Do NOT remove a long or deeply stuck object. Seek medical attention.
    • Do NOT push or pick debris from a wound. Seek medical attention.
    • Do NOT pushbody parts back in. Cover them with clean material until medical help arrives.

    When to Contact a Medical Professional

    Call 911or your local emergency numberif:

    • The bleeding is severe or cannot be stopped (for example, after 10 minutes of pressure).
    • Theperson can not feel the injured area, or it doesn't work right.
    • The person is seriously injured.

    Call your doctor immediately if:

    • The wound is large or deep, even if the bleeding is not severe.
    • The wound is more than a quarter inch deep, on the face, or reaching the bone. Stitches may be needed.
    • The person has been bitten by a human or animal.
    • A cut or puncture is caused by a fishhook or rusty object.
    • You step on a nail or other similar object.
    • An object or debris is stuck. Do not remove it yourself.
    • The wound shows signs of infection such as warmth and redness in the area, a painful or throbbing sensation, fever, swelling, or pus-like drainage.
    • You have not had a tetanus shot within the last 10 years.

    If you have a serious wound, your doctor may order blood tests to check for bacteria.

    Prevention

    Keep knives, scissors, firearms, and fragile items out of the reach of children. When children are old enough, teach them to how to use knives and scissors safely.

    Make sure you and your child are up to date on vaccinations. A tetanus vaccine is generally recommended every 10 years.

    References

    Lammers RL. Principles of Wound Management. In: Roberts IR, Hedges JR eds. Roberts: Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa. Saunders Elsevier; 2009: chap 39.

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    • First aid kit

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    • Laceration versus punctu...

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    • Stitches

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    • Snake bite

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    • Minor cut - first aid

      Presentation

      • First aid kit

        illustration

      • Laceration versus punctu...

        illustration

      • Stitches

        illustration

      • Snake bite

        illustration

      • Minor cut - first aid

        Presentation

      A Closer Look

      Self Care

        Tests for Cuts and puncture wounds

          Review Date: 1/1/2013

          Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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