Clinical Reference Systems: Pediatric Advisor 10.0
Spanish version

DESCRIPTION

Cuts are caused by sharp objects. Most cuts are superficial and extend only partially through the skin. Deep cuts that are longer than 1/2 inch (1/4 inch if on the face) and leave the skin edges separated, need stitches (sutures).

HOME CARE

1. Treatment
   • Apply direct pressure for 10 minutes to stop any bleeding.
   • Wash the wound with soap and water for 5 minutes.
   • Cut off any pieces of loose skin using small scissors (for torn skin with scrapes).
   • Apply an antibiotic ointment and cover it with a Band-Aid or gauze. Wash the wound and change the Band-Aid or gauze daily.
   • Give acetaminophen or ibuprofen as needed for pain relief.

2. Common mistakes in treating cuts and scratches
   • Don't use alcohol or Merthiolate on open wounds. They sting and damage normal tissue.
   • Don't kiss an open wound because the wound will become contaminated by the many germs in a person's mouth.
   • Let the scab fall off by itself; picking it off may cause a scar.

CALL YOUR CHILD'S PHYSICIAN IMMEDIATELY IF:

• Bleeding doesn't stop after you have applied pressure directly to the area of the cut for 10 minutes.
• The skin is split open and might need sutures.
• There is any dirt in the wound that you can't get out.
• The cut looks infected (for example, pus, redness, red streaks.)

Note: Lacerations (deep cuts) must be sutured within 12 hours of the time of injury, and they are much less likely to become infected if they are sutured within 2 hours.

CALL YOUR CHILD'S PHYSICIAN DURING OFFICE HOURS IF:

• Your child hasn't had a tetanus booster in more than 10 years (5 years if the cut is dirty).
• The wound doesn't heal within 10 days.
• You have other questions or concerns.