Proper management of a puncture wound caused by a nail

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Always bear in mind that puncture wounds are caused by any pointed or sharp object such as nail. In this type of wound, it involves the penetration of the skin tissues. These wounds are prone to infection since bacteria can be embedded deep into the skin and can be difficulty to thoroughly clean.

Puncture wounds can be mild or severe depending on the body part that is involved, current condition of the nail and the depth of the puncture wound. In most cases, tetanus which is an infection of the nervous system due to bacteria is an issue of concern when it comes to puncture wounds caused by a dirty or rusted nail. The treatment for puncture wounds must be carried out in a hospital to prevent the development of infection as well as possible complications that might occur. If you want to learn the steps to carry out before the individual is taken to a healthcare facility, all you have to do is to enroll in a class on first aid today in your area.

Puncture wound-nail
These wounds are prone to infection since bacteria can be embedded deep into the skin and can be difficulty to thoroughly clean.

Cleaning of the puncture wound

Irrigation or flushing the puncture wound will help in eliminating any dirt or debris that is embedded into the tissues. Remember that puncture wounds can drive in bacteria and debris into the skin tissues, thus increasing the risk for infection. The irrigation of the puncture wound involves a continuous stream of water for at least 5 minutes to flush out any contaminants that were embedded.

After the irrigation, wash with foamy water to further clean the site from any leftover debris and dirt. Debris that is present and was not removed during irrigation must be removed under sterile conditions and usually performed by a healthcare professional.


Always bear in mind that antibiotics can be administered in order to avoid infection from developing in the puncture wound, particularly if the nail was rusty or dirty. It is recommended to utilize a topical antibiotic cream on the puncture wound once it has been thoroughly cleaned to prevent infection from developing.

In most cases, puncture wounds are not sealed with sutures since there is the risk for infection and requires monitoring for any indications of infection. Puncture wounds that seem to heal in a slow rate, turns red in color, leaks pus or becomes swollen and sore must be managed medically for infection.

Proper bandaging

Once the puncture wound has been thoroughly cleaned, a light dressing can be applied in order to keep the wound clean and dry as well as absorb any seepage from the wound. The non-stick pads or sterile gauze can be used to cover up a puncture wound that can be secured using hypoallergenic tape or medical-grade tape. Remember to change daily or any time the bandages become soiled until the wound has fully healed.

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