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First Aid: Puncture Wounds

I moved to a new apartment in the middle of January. It’s got new everything, including carpeting. The other night, I found a carpet nail that wasn’t quite nailed all the way down… with the bottom my foot. You know what that means: it’s time to learn about first aid for puncture wounds!

Minor puncture wounds generally don’t bleed a whole lot. The big danger with puncture wounds is the risk of infection. Whatever caused the wound may be full of bacteria — especially if the object has been in the dirt, like a nail or tack. Animal bites are another type of puncture wound that can come with a LOT of bacteria. (Read more about dog bites here.)

If the bite or wound is deep enough that you can’t stop the bleeding, you probably need medical attention. Seek emergency help if the blood is coming in spurts.

Many minor puncture wounds can be treated at home.

  1. First things first: stop the bleeding. Most minor injuries usually stop bleeding on their own. You can apply gentle pressure with a bandage or clean cloth to help speed things along.
  2. Clean the wound. Rinse it with clean water. Use tweezers (sterilized with alcohol) to remove debris from the wound, if need be. Use soap and a clean cloth to clean the area around the wound.
  3. Apply a thin layer of antibiotic ointment. This will help keep the injured area moist and discourage infection.
  4. Keep the wound covered. A bandage can help keep the wound clean — and keep bacteria out. Change the dressing daily, or if it becomes wet or dirty.

While you heal, keep an eye out for signs of infection, including redness, warmth, swelling, and drainage. Call your doctor if the wound doesn’t heal.

There are some cases where it’s best to see your doctor.

  • If the puncture is deep.
  • If the puncture is infected or otherwise contaminated.
  • If the puncture comes from an animal or human bite.
  • If the puncture is in your foot — these are more likely to get infected.
  • If you haven’t had a tetanus booster within the last five years.