Christie Clinic - Medicine for Your Life

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Health Encyclopedia

Health Encyclopedia

An invaluable resource of health information.

Cuts and puncture wounds

A cut or laceration is an injury that results in a break or opening in the skin. It may be near the surface or deep, smooth or jagged. It may injure deep tissues, such as tendons, muscles, ligaments, nerves, blood vessels, or bone.

A puncture is a wound made by a pointed object (like a nail, knife, or sharp tooth).

  • Alternative Names

    Wound - cut or puncture; Open wound; Laceration

  • Symptoms
    • Bleeding
    • Impaired function or feeling below the wound site
    • Pain
  • 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.

    The following types of wounds are more likely to become infected: bites, punctures, crushing injuries, dirty wounds, wounds on the feet, and wounds that are not promptly treated.

    If you receive a serious wound, your doctor may order laboratory tests, such as a blood test and skin culture to check for bacteria.

  • Prevention
    • Keep knives, scissors, firearms, and breakables out of the reach of children. When children are old enough, teach them to how to use knives and scissors safely.
    • Keep up to date on vaccinations. A tetanus vaccine is generally recommended every 10 years.
  • 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.

Review Date: 1/8/2009

Reviewed By: Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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- 2014 A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Christie Clinic at the Family Medical Center in Paris
727 East Court Street Paris, IL 61944 Dermatology: 366-1248; Vein and Vascular: 366-2670
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101 West University Avenue Champaign, IL 61820 Main Phone: (217) 366-1200
Billing Services: (217) 366-1382
Toll Free: (888) 391-0412
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1801 West Windsor Road Champaign, IL 61822 (217) 366-8000
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1400 West Park Street Urbana, IL 61801 (217) 366-1200
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209 West Borman Drive Rantoul, IL 61866 (217) 892-9671
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1001 Commercial Drive Mahomet, IL 61853 Main Number: (217) 586-6600 Convenient Care: (217)366-8130
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3545 North Vermilion Street Danville, IL 61832 (217) 442-8611
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300 North Main Street Tuscola, IL 61953 (217) 253-9258
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1207 South Mattis Avenue Champaign, IL 61821 (217) 355-1684
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2901 West Kirby Avenue Champaign, IL 61821 (217) 366-8130
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800 North Logan Avenue Danville, IL 61832 (217) 431-8930
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2110 Fox Drive, Suite B Champaign, IL 61820
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Gibson Area Hospital
1120 N Melvin Gibson City, IL 60936 (217) 784-2240
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105 B Professional Plaza Mattoon, IL 61938 (217) 345-3000
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1000 Health Center Drive Mattoon, IL 61938 (217) 258-2588
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1702 S. Mattis Avenue Champaign, IL 61821 (217) 326-2030
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611 West Park Street Urbana, IL 61801 (217) 383-3311
Iroquois Memorial Hospital
200 E. Fairman Ave. Watseka, IL 60970 (815) 432-5841
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501 North Dunlap Avenue Savoy, IL 61874 Transformations: (217) 366-7460 Internal Medicine: (217) 366-5434 Ophthalmology: (217) 366-1250
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1405 West Park Street Urbana, IL 61801 217-366-1237
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107 West Main Street Monticello, IL 61856 217.762.3352
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100 South Water Street Suite 103 Decatur, IL 62523 217-362-0661- telephone