Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.
First, check to see that nothing is left in the wound.
Check to see if the object that caused the wound is intact. If a piece is missing, it may be stuck in the wound.
Allow the wound to bleed freely, but if bleeding is heavy or squirting out, apply pressure until it stops.
If bleeding won't stop, the patient will need emergency care.
The basics of wound care
Stop the bleeding: Minor puncture wounds and cuts usually stop bleeding
without any treatment. If not, apply gentle pressure with a clean cloth or bandage. If the blood spurts or continues after several minutes of pressure, emergency care is necessary.
Clean the wound: The person that cleans the wound needs first to wash their hands; ideally, the person should wear sterile gloves. People may spread bacteria into the wound if their hands are not clean. Cleanse the wound; wash with water. People can use a mild soap such as Ivory if the wound is very dirty. If dirt or debris remains in the wound, clean a pair of tweezers with alcohol and remove the dirt. If a person cannot get the dirt or debris out, the patient's doctor should be notified or they should go to an urgent care or emergency center.
Protect the wound: An antibiotic ointment such as Neosporin or Polysporin can be used. Apply a thin layer over the wound. This will help coat and protect the wound. Large amounts of ointment are not helpful because they can attract bacteria. Apply the ointment with a clean swab or gauze. Do not apply directly from the tube in order to avoid contamination of the tube. Ointments can be applied up to 3 times a day, but
individuals should always clean the wound before applying ointment.