A Member of the University of Maryland Medical System   |   In Partnership with the University of Maryland School of Medicine

Share

Email PageEmail Print PagePrint

Home > Medical Reference > Encyclopedia (English)

Toggle: English / Spanish

Cuts and puncture wounds - Treatment

Alternative Names

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

First Aid:

If the wound is bleeding severely, call 911.

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

FOR MINOR CUTS

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

FOR MINOR PUNCTURES

  1. Wash your hands with soap or antibacterial cleanser to prevent infection.
  2. Use a stream of water for at least 5 minutes to rinse the puncture wound, then wash with soap.
  3. Look (but do NOT probe) for objects inside the wound. If found, DO NOT remove -- go to the Emergency Department. If you cannot see anything inside the wound, but a piece of the object that caused the injury is missing, also seek medical attention.
  4. 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. 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 embedded object. Seek medical attention.
  • Do NOT probe or pick debris from a wound. Seek medical attention.
  • Do NOT push exposed body parts back in. Cover them with clean material until medical help arrives.

Call immediately for emergency medical assistance if:

Call 911 if:

  • The bleeding is severe, spurting, or cannot be stopped (for example, after 10 minutes of pressure).
  • There is impaired function or feeling from the cut.
  • The person is seriously injured.

Call your doctor immediately if:

  • The wound is large or deep, even if the bleeding is not severe.
  • You think the wound might benefit from stitches (the cut is more than a quarter inch deep, on the face, or reaches bone).
  • 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 embedded -- DO NOT remove it yourself.
  • The wound shows signs of infection (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 receive a serious wound, your doctor may order blood tests to check for bacteria.

  • Reviewed last on: 1/4/2011
  • Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Hollander JE, Singer AJ. Evaluation of wounds. In: Tintinalli JE, Kelen GD, Stapczynski JS, Ma OJ, Cline DM, eds. Emergency Medicine: A Comprehensive Study Guide. 6th ed. Columbus, OH:McGraw-Hill;2006:chap 40.

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. Call 911 for all medical emergencies. 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.
adam.com
 
Adam QualityA.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health on the Net Foundation (www.hon.ch).

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. Call 911 for all medical emergencies. 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.
adam.com
Connect with UMMC
Facebook Twitter YouTube Blog iPhone

Please rate the quality of this article.

Do you find this article to be helpful / informative?
              
Poor                                       Excellent

Do you have any brief comments on this page: (up to 255 characters)

© 2011 University of Maryland Medical Center (UMMC). All rights reserved.
UMMC is a member of the University of Maryland Medical System,
22 S. Greene Street, Baltimore, MD 21201. TDD: 1-800-735-2258 or 1.866.408.6885