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MEDICAL NEWS YOU CAN USE

Wound Care Part 3: Puncture Wounds

Writer's picture: Jason TJason T

First Aid Course Puncture wound reference.

Puncture wounds are a common type of injury that can range from minor to severe, depending on the cause and depth of penetration. This post, brought to you by Saving Grace Medical Academy Ltd. in partnership with the Heart & Stroke Foundation, focuses on how to identify, manage, and prevent puncture wounds effectively.


What Are Puncture Wounds?

A puncture wound occurs when a pointed object creates a hole in the skin or when an embedded object has been removed. These injuries can cause significant pain, blood loss, internal damage, and infection. If an embedded or impaled object is present, never attempt to remove it. Instead, leave the object in place to prevent further injury and seek professional medical help immediately.


Common Causes of Puncture Wounds:

  • Injuries from sharp objects like nails, glass, pens, or needles.

  • Animal bites, especially from creatures with pointed teeth.

  • Unsafe play with long or pointed objects.


Prevention Tips:

  1. Wear Personal Protective Equipment (PPE): Gloves, boots, and other protective gear can help reduce the risk of injury.

  2. Avoid Contact with Wild Animals: Stay cautious around unfamiliar or wild animals to prevent bites.

  3. Promote Safe Play Habits: Encourage children and adults to avoid risky behaviors like running with scissors.

  4. Wear Proper Footwear Outdoors: Shoes can provide a barrier against sharp objects hidden in grass or debris.

  5. Eliminate Hazards: Remove nails sticking out of boards, clean up broken glass, and inspect outdoor areas for potential dangers.


Recognizing a Puncture Wound:

  • A visible hole in the skin where the object entered.

  • Bruising or discoloration around the wound, often with a depressed center.

  • Bleeding, which varies based on the size and depth of the puncture.


How to Help:

  1. Ensure Safety: Check the area for hazards before approaching. Wear gloves if available to protect yourself from bodily fluids.

  2. Check the Victim: Ensure the person's ABCs (Airway, Breathing, Circulation) are intact.

  3. Call 911: Seek emergency help if the injury is severe or involves an animal attack.

  4. Provide Care: "Minor - Object Removed" Slivers and Splinters.

    • Apply direct pressure with a sterile dressing to stop the bleeding.

    • Once bleeding has stopped, rinse the wound with cool, clean water for at least 5 minutes. Use mild soap if tolerated, avoiding soaps with fragrances or grit.

    • Apply an antibiotic ointment, following the "5 Rights of Medication" and confirming no allergies to antibiotics.

    • Cover the wound with a clean dressing and secure with a bandage.

    • Monitor for signs of infection and change dressings regularly.


  1. Provide Care: "Major- Object Still In" see video below.

    • If an embedded or impaled object is present, never attempt to remove it. Instead, leave the object in place to prevent further injury and seek professional medical help immediately.



Why First Aid Knowledge Matters

Preparedness can make a critical difference in an emergency. By learning how to manage puncture wounds effectively, you can help reduce complications and support recovery. Saving Grace Medical Academy Ltd. offers certified First Aid and CPR courses through the Heart & Stroke Foundation to equip you with the skills you need to save lives.


Disclaimer

This material is for informational purposes only and is based on guidance from the Canadian Red Cross, Alberta Heart & Stroke Foundation, and Alberta Health Services. It should not replace medical advice or professional training. For specific concerns, consult a physician or safety training facility.


Remember:

  • Protect Yourself!

  • Call 911!

  • Don’t Waste Time!


Take the First Step: Enroll in a First Aid course with Saving Grace Medical Academy Ltd. today and be prepared to save a life tomorrow!




 

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Author Jason T

Author - Saving Grace Medical Academy Ltd

Jason T

Retired EMT - Heart & Stroke Foundation Senior Instructor

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