First Aid: Puncture Wounds

A puncture wound is a deep wound caused by a sharp-pointed object. This break in the skin is an open door, inviting dirt and germs to enter your body and cause infection. Seek medical help right away for a puncture wound.

Step 1. Clean thoroughly

• Don't squeeze the wound.

• If the puncture wound is not severe and does not need medical attention, soak the wound in warm, soapy water to help the injury heal from the inside out.

• Then cover the wound with a gauze dressing to absorb any drainage and let air in for faster healing.

Step 2. Keep the embedded objects from moving

• If a large object lodges deep in the body, put pressure around the wound to control bleeding. Wear gloves or use other protection as a barrier between you and any blood.

• Wrap gauze or cloth around the object to hold it steady. Tape the wrapping in place.

• Don't increase the risk of internal bleeding by trying to remove an embedded object.

• Seek emergency medical services.

Call 911

Call 911 right away if the victim has any of the following:

• Uncontrollable bleeding

• Symptoms of shock:

  • Pale or clammy skin

  • Pulse that is so light or races so fast that you can’t count the beats

  • Victim is confused or unable to concentrate or stares blankly. Over time, the victim may even become unconscious.

• A large object, such as a knife, is embedded in the body

When to call your healthcare provider

Call your healthcare provider or seek medical attention right away if any of these occur:

• The wound covers a large area or is deep.

• The ear or eye is punctured.

• An object, such as a nail, remains lodged in the body.

• The injury is on the face or any area where scarring is a concern.

• The person needs protection against tetanus. This is a disease caused by bacteria that may enter any break in the skin and bring on a life-threatening illness called lockjaw. The body’s defenses may need a booster injection if it’s been more than 5 years since the last tetanus vaccine.