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Wound Care

WHAT YOU SHOULD KNOW

Any tear, scrape, or cut in the skin is considered a wound. There are many types. Abrasions are wounds in which the outer layer of the skin has been rubbed or scraped off. Lacerations are cuts through the skin. Puncture wounds are cuts made by round, sharp objects such as needles or nails. Most wounds take 2 to 6 weeks to heal.

Signs/Symptoms

Pain, bleeding, bruising, and swelling are all to be expected.

Care

If the wound is large, deep, or won't stop bleeding, you may need to have it closed with stitches (sutures) to speed healing and to keep it from getting infected. Using stitches also reduces the amount of scarring. You may need a tetanus shot if you have not had one in the past 5 to 10 years.

WHAT YOU SHOULD DO

  • Keep the wound and bandage clean and dry. If the bandage gets wet and you need to change it, unwrap it slowly and carefully. If it sticks and starts to hurt, use water to loosen it gently. Pat the area dry with a clean towel before putting on another bandage.
  • If possible, keep the wound lifted above the level of your heart for 24 to 48 hours. This will help ease pain and swelling and help healing.
  • Leave the dressing on for several days.
  • Clean the wound gently 3 to 4 times a day:
    • Flush the wound thoroughly with clean water. Wash the area around the wound with soap and water or a cotton tipped swab dipped in a mixture of half water and half hydrogen peroxide.
    • If you have a mouth or lip wound, rinse your mouth after meals and at bedtime. Ask your doctor what mixture to use. Do NOT swallow the mixture.
    • If you have a puncture wound, soak it briefly 3 to 4 times a day.
  • If you have a scalp wound, you may wash your hair gently after you get home. Then keep your hair dry until the day you are to have your stitches removed, when you may wash it gently again.
  • Do not go swimming or soak the wound for long periods.
  • If the wound has stitches, your doctor will tell you when to return to have them taken out.
  • If you have been given a tetanus shot, your arm may get swollen, red, and warm to the touch at the shot site. This is a normal reaction to the medicine in the shot.

Call Your Doctor If...

  • Bleeding in the wound area is getting worse.
  • You develop a high temperature.
  • You have any signs of infection (increasing pain or soreness, swelling, redness, pus, a bad smell, or red streaks coming from the injured site).
  • You have numbness or swelling below the wound.
  • You cannot move the joint below the wound.

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