Treatment of an incised wound on the hand. Effective methods for treating wounds and cuts. When to go to the doctor

is a wound caused by a sharp object (razor, blade, knife). Has sharp corners smooth edges and linear shape, bleeds heavily, gapes. The length of the wound channel prevails over its width. May be superficial or accompanied by damage to muscles, nerves, blood vessels and internal organs. With timely and adequate treatment, it is most favorable in terms of healing. Damage is caused by accidents at home or at work, as well as criminal incidents. The diagnosis is made based on history and clinical symptoms. Treatment is surgical.

ICD-10

S41 S51 S71 S81

General information

An incised wound is a wound inflicted by a cutting instrument with a light weight and a sharp blade (razor, knife, scalpel, or, less commonly, a shard of glass or a sharpened piece of metal). Treatment of superficial incised wounds, as well as wounds with damage to small and medium-sized vessels and nerves, is carried out by traumatologists. Vascular surgeons treat wounds with damage to large vessels; nerve trunks– neurosurgeons, with damage to internal organs – thoracic surgeons, abdominal surgeons or urologists.

Causes

The cause of cut wounds is accidents at home or at work, as well as criminal incidents. It is mainly detected in people of working age, men suffer more often than women, which is due to both higher physical activity during professional or household activities, and a higher likelihood of participation in criminal incidents. Wounds resulting from an accident are usually single. In criminal incidents, both single and multiple injuries occur.

Pathogenesis

The wound is formed by the sliding and pressure of a sharp blade. Characteristic Features are a rectilinear direction, a spindle-shaped wound, a predominance of length over depth and width, a wedge-shaped section (at the edges the depth of the wound channel is less than in the center), smooth and even edges and profuse bleeding. The degree of straightness of the wound depends on the shape of the blade and the direction of its movement in relation to the tissue.

Linear-arc-shaped wounds can form on the rounded part of the body. When cutting folded or wrinkled skin, zigzag or jagged incised wounds sometimes occur. If there is contact with bone or the victim moves defensively, the direction of the cut may change. Due to the elasticity of the tissue on the sides of the wound, they contract, so a spindle-shaped cut (an oval with pointed corners) appears in place of a straight cut.

The degree of divergence of the edges depends on the direction of the incision in relation to the direction of the muscles and elastic fibers. If the incised wound, the muscles and elastic fibers are located parallel to each other, the gaping is insignificant; if perpendicular, the edges of the cut gape widely. At the same time, even with a significant gap, the corners of the wound remain sharp. Evenness and smoothness of the edges of the cut, as well as minimal amount damaged tissue in the walls of the wound canal are caused by the sharpness of the blade.

Symptoms of a cut wound

Upon examination, a violation of the integrity of the skin and underlying tissues is revealed. Incised wounds in most cases bleed heavily, which is explained by unfavorable conditions for the formation of blood clots compared to chopped and, especially, bruised or crushed wounds. The severity and outcome of blood loss are determined by many factors, including the type of damaged vessels (arteries, veins, capillaries), the rate and volume of blood loss, the general condition of the patient’s body, his gender and age, as well as environmental conditions.

In accidents at work or at home, cut wounds of the hands predominate. In suicide attempts, the cuts in the vast majority of cases are located on the inside of the forearm, rarely in the elbow area or along the anterior inner surface of the thigh. Wounds inflicted during criminal incidents are more often localized in the anterior abdominal wall, chest, as well as the anterior and lateral surfaces of the neck. Defensive wounds are typically located on the dorsal and ulnar (little finger side) side of the forearm.

Most wounds do not penetrate deeper than the skin and subcutaneous tissue. However, when using a very sharp tool and applying great force, damage to deeply located anatomical formations is possible. Particularly dangerous are wounds with damage to blood vessels (intense external bleeding, high probability of blood loss and the development of hypovolemic shock), damage to nerves (sensitivity disturbances, paresis and paralysis) and internal organs (massive internal bleeding, high probability of developing traumatic shock and severe complications, for example, peritonitis in case of organ damage abdominal cavity). Cartilage and periosteum are damaged quite rarely, the integrity of the bones is almost never compromised.

Diagnostics

The scope of the examination upon admission to the emergency room or the department of traumatology and orthopedics depends on the characteristics and location of the incised wound. For superficial injuries with a visible bottom of the wound, a visual inspection is sufficient. If damage to a large vessel is suspected, the pulse in the peripheral arteries is examined and a consultation with a vascular surgeon is scheduled. If nerve damage is suspected, sensitivity and movement are assessed, a consultation with a neurosurgeon or neurologist is scheduled, and electromyography and other studies are performed if necessary. If damaged hazardous areas(chest, abdominal wall, lumbar region etc.) may require chest x-ray, MRI, ultrasound, arthroscopy, laparoscopy and other studies.

Treatment of an incised wound

The wound is washed with running water. The skin around the cut is cleaned using a gauze swab, the edges of the wound are treated with an antiseptic, and then the cut is closed with an aseptic bandage. In case of heavy capillary or venous bleeding, use a pressure bandage. In case of arterial bleeding, apply a tourniquet to the shoulder or thigh (application of a tourniquet to the forearm and lower leg is irrational even with a low wound location). In all cases, including relatively small cuts without heavy bleeding, the patient should be taken to a medical facility as soon as possible, since early treatment can reduce the number of infectious complications.

Incised wounds less than a day old and in the absence of signs of inflammation are subject to primary surgical treatment. Depending on the location and size of the damage, PSO can be performed under local anesthesia or general anesthesia. The wound is washed generously with a solution of peroxide and furatsilin, and examined for damage to muscles, tendons, nerves and blood vessels. If there are injuries, the muscles are sutured with catgut, and a primary sutures(only if the injury is no more than 6 hours old), small vessels bandage, nerves are stitched.

The walls and edges are excised, the wound is washed again with peroxide and furatsilin, sutured in layers and drained using a rubber outlet, a half-tube or a tube with a bulb. If necessary (in case of damage to large muscles, tendons, etc.), the limb is immobilized with a plastic or plaster splint. After the operation, painkillers and antibiotics are prescribed, and dressings are performed. The drainage is removed after 2-3 days. If the course is favorable, the wound heals within 7-10 days, after which the doctor removes the stitches. Further tactics treatment and rehabilitation depends on the presence or absence of damage to tendons, muscles and other anatomical formations.

The tactics of conservative measures are determined by the patient’s condition and the amount of blood loss. If the loss is less than 1 liter, the systolic pressure is more than 90 mmHg. Art. and pulse less than 100 beats/min, intravenous infusions are not required. With blood loss of less than 1 liter in combination with lower blood pressure and rapid pulse, as well as with blood loss of up to 1.5 liters, blood transfusions and plasma substitutes are performed. In severe and massive blood loss transfusions of large doses of plasma substitutes, blood and various solutions. During treatment, diuresis is monitored and, if necessary, stimulation is carried out with furosemide and aminophylline.

No stitches are applied to incised wounds older than 24 hours; such injuries heal by repeated tension. The wound is regularly washed, drained if necessary, purulent leaks are opened, etc. The patient is prescribed analgesics and antibiotics. Recovery time depends on the characteristics of the injury and the severity of the purulent process. All operations to restore tendons, nerves and blood vessels are carried out as planned, after complete healing of the wound.

In case of damage to internal organs, appropriate surgical interventions are performed: lung damage– thoracotomy, in case of damage to the abdominal organs – laparotomy, etc. The volume of the operation is determined taking into account the degree of destruction of a particular organ; usually, with incised wounds, organ-preserving interventions can be performed (suturing the organ or resection of its part). The surgical incision is sutured layer by layer and drained. IN postoperative period antibiotics and analgesics are prescribed, and dressings are performed.

Prognosis and prevention

The prognosis for incised wounds depends on their location, how long ago the injury was, the amount of blood loss, the presence or absence of damage to internal organs, blood vessels, nerves and tendons, as well as general condition the patient's body, associated injuries and somatic diseases. In most cases, fresh incised wounds heal by primary intention.

Please note that some diseases (for example, diabetes) negatively affect the course of the wound process and can cause extensive suppuration even due to scratches or small cuts, therefore in similar cases requires particularly careful observation, careful adherence to the rules of asepsis and antisepsis and special therapeutic measures. Prevention consists of taking measures to reduce the level of injuries.

Cuts: what are cuts and how to treat cuts effectively with KEEPER balm

Cuts- these are incised wounds, varying in depth and size. Cuts occur as a result of careless handling of sharp objects or as a result of deliberate harm to oneself or others.

Types of cuts

Depending on the depth of penetration, the following types of cuts are distinguished:

• scratches– minor injuries when only the superficial layer of skin is damaged;
• shallow cuts– affecting the papillary layer of skin or subcutaneous tissue, but not spreading to muscles and other more deep tissue and organs. The injury is accompanied by moderate bleeding, but in case of damage to large superficial vessels, for example, carotid artery, may threaten the life of the victim;
• deep cuts– injuries that penetrate further than the subcutaneous layer are accompanied by heavy bleeding and may pose a danger to the patient's life. However, no matter how deep the wound is, when cut, its length always prevails over its depth.

Also, cuts can be uncomplicated, clean and complicated.

Complicated cuts are divided into inflamed, infected and purulent. Inflammatory process in a wound can be caused by various agents, including chemical, allergenic or biological in nature. At the same time, the entry of pathogenic microflora into the wound does not always lead to the development of infection.

In case of particularly severe injuries, usually due to accidents, there may be complex combined cuts in combination with burns, bruises, bone fractures and other types of damage. Such injuries require qualified medical care and inpatient treatment in the trauma department.

Reasons for the formation of cuts

The main cause of cuts is domestic injuries from sharp piercing objects, glass fragments, thick plastic, etc. Cuts can be the result of accidents, accidents, road traffic and other incidents, and sports injuries.

Symptoms of cuts

Cuts typically differ from all other types of injuries in several ways:

• the length of the wound always prevails over the depth, otherwise we are talking about a stabbing wound;
• the edges of the wound are never torn, they can be smooth or with jagged edges and defects;
• cuts are always accompanied by bleeding; with scratches and minor cuts, the bleeding can be very slight; if larger vessels are damaged, it can be very significant and dangerous;
• any tissue damage is accompanied by swelling and redness, however, excessive swelling, hyperemia and extensive redness, increased pain or the appearance of throbbing pain, itching, unusual or purulent discharge– all this indicates infection and/or inflammation of the wound;
• pain syndrome may be different intensity and does not always correlate with the depth of the wound, since the skin is abundantly supplied nerve endings, and there may be fewer of them deep in the tissues, shallow but excessively long cuts can cause more pain than deeper but shorter cuts.

When to see a doctor if you have a cut

• With heavy bleeding. It is necessary to apply a tight bandage above the wound and immediately transport the victim to the nearest medical aid point.
• When too deep wounds Oh. In this case, as a rule, a suture is applied.
• For cuts on the face - for treating the wound and applying a cosmetic suture.
• If there is suspected damage to internal organs, tendons or other tissues, as well as in the case of combined injuries.

Diagnosis of cuts and incised wounds

Diagnostic procedures for cuts usually not required except:

• deep cuts when there is suspicion of damage to large vessels, arteries and internal organs;
• complex combined wounds;
• cases where there is suspicion of:
• infection or inflammation of the wound,
• self-harm,
• violent injuries,
• the presence of foreign objects in the wound.

If an infection is suspected in a cut, a bacteriological culture can be taken from the wound to determine the pathogen and its sensitivity to antibiotics. However, in most cases this is not done, but local application is immediately prescribed or intramuscular injection broad spectrum antibiotics.

If damage to internal organs, large vessels is suspected, or in the case of complex combined wounds, depending on the specific circumstances, the following may be prescribed: ultrasound, CT or X-ray examinations.

Treatment of cuts

First aid for a cut

Any wound must initially be washed with running water and all dirt removed, and then treated with an antiseptic.

At large cuts and severe bleeding, it is imperative to inspect the wound to remove possible foreign bodies (glass fragments, for example) and check the condition of large vessels. Then

If there is bleeding, it must be stopped. To do this, you need to either press on the wound itself, if it is shallow and short, or apply a tight bandage over the wound. Hydrogen peroxide, iodine and brilliant green, in addition to antiseptic properties, also help stop bleeding.

Before applying a bandage, make sure that the wound is clean and free of foreign bodies. The bandage is applied only across the cut to bring the ends of the wound together and speed up healing. It is highly advisable to apply a sterile bandage, adhesive tape, cotton swab or other material to the wound itself. Gauze can be sterilized at home, for example, by ironing it with a hot iron on both sides. However, since cuts are accompanied by bleeding and, as a rule, it is not possible to stop it before applying a bandage, when using conventional dressings, they very often stick to the wound, which subsequently complicates dressings and healing. Therefore, it is advisable to use modern first aid for cuts. dressings having a wet antiseptic layer.

If the victim has not previously received immunization against tetanus, it is recommended to get the vaccine no later than two days after the cut.

How to treat cuts

Shallow wounds and scratches do not need special treatment. It is enough to disinfect and treat them, as well as stop bleeding if there is any. Then you can apply a bandage with the healing balm Guardian, or, for a minor cut, simply attach a gauze swab with balm with a bandage. The balm will speed up the healing of the wound and prevent the formation of a scar.

To deep a cut A sterile bandage must be applied. After treating a cut and applying a sterile bandage, it is advisable not to remove it unless necessary. The dressing needs to be changed when it becomes dirty, wet, or 2-3 days (sometimes daily) after application. If the bandage is stuck to the wound, then you cannot rip it off or soak it, with the exception of infected, inflamed and purulent wounds. When changing the dressing, the wound should be re-treated with an antiseptic or an external agent that contains broad-spectrum antibiotics. If the bleeding has stopped, then the Guardian balm should be applied to the wound under a bandage to speed up healing.

Dry wounds take longer to heal than wet wounds and leave a more noticeable scar. This is due to the fact that the resulting crust, which is always present with dry cuts, makes it difficult for the formation of new epidermal cells. The use of dressings with Guardian balm will prevent the appearance of scars and cicatrices.

Remember that an infected or inflamed cut, especially a deep one, cannot be treated on your own - the treatment process must be carried out under medical supervision. In most cases, the infection is caused by streptococcus or staphylococcus. The most dangerous infections are caused by anaerobic bacteria, which include the causative agent of tetanus and gangrene. Therefore, unskilled self-medication of infected cuts is fraught with life-threatening complications.

Balm KEEPER - effective treatment of cuts and scratches

Natural balm KEEPER - reliable assistant in the treatment of abrasions, scratches, cuts skin. Thanks to a unique complex of natural components, healing natural oils, vitamins A and E, KEEPER balm is a highly effective and safe product.

The balm promotes regeneration and restoration of the skin, increases its elasticity, improves protective functions skin.

KEEPER balm is applied directly to the wound, previously cleaned and treated with a disinfectant solution. To prevent accidental injury and infection of the wound, after applying the balm, it must be covered with a sterile bandage, which should be changed each time the ointment is applied or if it becomes dirty or wet.

KEEPER balm has no contraindications and does not cause allergies or irritation. Can be used to treat children. Safe for long-term use.

Very often, adults, having received a cut or wound, neglect precautions and are in no hurry to treat the damaged area. But such an irresponsible attitude can lead to serious complications and even cause death. If an open wound is not treated in a timely manner, the following complications are possible:

• large blood loss;
• blood poisoning;
• inflammation and suppuration;
• tetanus infection.

If you accidentally cut your finger with a knife and neglect what comes from the wound there's blood coming out, the consequences can be very dire. With a shallow cut, blood slowly oozes out, and significant loss of blood is possible only if the person poor clotting blood. With a deep wound, blood flow is fast, a short time You can lose a lot of it.

As a result of large blood loss, the functioning of the heart is disrupted, nausea and vomiting, dizziness and fainting begin. If, in addition, blood clotting is reduced, further deterioration of the condition is possible.

If dirt gets into an untreated wound, blood poisoning or sepsis may occur. Over the course of a day, your health deteriorates sharply: you feel chills, you feel weak in your muscles, your bones ache, and rashes appear on your skin. Subsequently, the condition worsens more and more: it rises heat, consciousness becomes confused. Blood poisoning is difficult to treat and requires blood transfusion.

Dirt in a wound can also be the cause of another scourge - tetanus. The area where the skin is damaged begins to irritate and then hurt. Manifestations of the disease continue even after the wound has healed. A person may not associate the malaise with damage to the epidermis.

With the proliferation of tetanus bacillus in the head and spinal cord harmful toxins enter. As a result, muscle spasms and cramps begin. This condition does not go away even in sleep. Due to constant stress, the functioning of the cardiovascular and respiratory systems gradually deteriorates.

In other cases, the wound may become inflamed. Its surface turns red and is gradually covered with a purulent film. If the wound is not treated, you can become seriously ill. Body temperature rises to 39°C, chills occur, and temporary loss of consciousness is possible.

2 Correct approach to the procedure

You need to know how to properly treat a wound. Treatment of a wound at home begins with the following steps. Specks need to be removed from its surface. To do this correctly, you need to take clean tweezers, hold a piece of bandage with it and dip it in alcohol or vodka, then wipe the wound with it.

After this, lubricate the damage with an antiseptic, which eliminates germs. You can treat it with iodine, brilliant green, potassium permanganate solution, and hydrogen peroxide. By the way, hydrogen peroxide is good for treating a bleeding wound. The blood stops quickly. If you don’t have antiseptics on hand, a thick water-soda solution, alcohol tincture of calendula or chamomile will do. The wound can be generously sprinkled with salt or moistened with cologne. If the wound is on a child, it is better to resort to more gentle methods of disinfecting it. Treatment at home consists of washing the damaged area with a slightly pink solution of potassium permanganate. You can also use laundry soap. Then the wound is lubricated with hydrogen peroxide.

You can also use pharmaceutical products, for example, sulfargin. It contains particles of silver, and this metal is known to have antimicrobial and antibacterial properties. When treating a wound painful sensations are missing. After manipulation of the wound, it is necessary to stick a pharmaceutical plaster on it or tie it with a bandage. You should wear a bandage or patch until complete healing.

If the wound is lacerated or in case of a deep cut, you should go to the emergency room. It is quite possible that the health worker will not limit itself to simply processing it. In some cases, stitches are placed on the wound.

Doctors always know how to treat serious damage. Usually they first apply a damp bandage soaked in an antiseptic; the site of skin damage is bandaged.

The next day you need to visit the first aid station again. There, the gauze with antiseptic will be replaced with a bandage soaked wound healing ointment, and bandage it again. The procedure is repeated daily until the injury site heals.

In case of improper handling or use of non-sterile bandages during the procedure with dirty hands the wound may fester. It must be treated with alcohol again. Apply a bandage with an antiseptic. In some cases, when seeking help from a medical facility, the doctor prescribes a course of antibiotics.

After such a wound heals, a scar or scar forms at the site of injury.

3 Home treatments

If the wound is small, simply treating it with antiseptics is sufficient.

In a short time it will heal and heal without a trace. But serious damage to the epidermis often requires subsequent treatment.

The following home remedies help wound healing:

1. Lubricating the damaged area fir oil. It not only disinfects, but also has powerful wound healing properties.
2. Applying a paste of well-mashed plantain, lilac or beet leaves to the damaged area. In addition to the fact that they help heal the wound, they also prevent its suppuration.
3. Applying compresses from calendula infusion. For this, 1 tbsp. l. fresh or dried plant flowers are steamed in a glass of boiling water. Leave for about 20 minutes. Use after the decoction has cooled.
4. Fresh acacia honey has a wound-healing effect. Moreover, this effective antiseptic. After washing, the wound should be lubricated with a thick layer of honey. Repeat the procedure several times a day. After such treatment there are no scars or scars left. Even festering wounds are treated with honey.

4 Review of drugs

They have proven themselves to be effective in the treatment of difficult-to-heal wounds. various ointments. Both pharmaceutical products and their homemade analogues can easily cope with old wounds, even those that ache and hurt.

The use of Eplan ensures rapid regeneration of damaged tissues and restoration of the integrity of the epidermis. But processing is not recommended. It contains a component that reduces blood clotting properties.

Thanks to Levomekol, skin lesions with an inflamed surface heal: difficult-to-heal wounds heal quickly, pain goes away. The ointment is applied to gauze, applied to the wound, and then bandaged. The course of treatment is 10 days. In this case, every day you need to apply new gauze soaked in Levomekol.

Baneocin contains antibiotics. The ointment copes with the most complex and chronic wounds. It is applied to the damaged area in a thin layer and bandaged. Apply daily for 10 days.

For a long time non-healing wounds Pain syndrome is cured with a special homemade ointment. For her take 1 tbsp. l. with a top of chopped burdock roots and 1 tbsp. l. crushed celandine roots. Pour everything into an enamel bowl, pour 1/4 cup of any vegetable oil. Boil the mixture over low heat for 15 - 20 minutes. The cooled potion should be applied to the affected area 2 times a day. Treatment is carried out until the wound heals.

Homemade ointment with propolis heals old wounds that hurt and do not heal. Cellular lard cut into pieces, add propolis. Melt the ingredients in a water bath. A homogeneous liquid mixture emerges. It is cooled and the damaged surface is lubricated.

Cuts are a violation of the integrity of the skin by sharp objects. If the cuts only affect the skin and fatty tissue, they will go away on their own. In case of damage to muscles, tendons, ligaments, nerves and blood vessels you need to see a doctor. Such injuries are considered common occurrences in everyday life. They are received by adults and children. To avoid negative consequences from cuts from a knife, blade or glass, you need to know the basic rules of first aid.

What dangers do cuts cause?

• Injuries with sharp objects: a knife, blade or glass are dangerous due to damage to arteries, nerves, and large vessels. If cuts on the hands are not treated immediately with a blade or other sharp object, dangerous microorganisms. Gangrene may begin or form trophic ulcer which cannot be healed. The infection can be life-threatening.

• If the cut becomes inflamed, complications in the form of purulent leaks and phlegmon are possible. This is a condition when pus does not flow out, but remains inside and spreads into the surrounding tissues. If the temperature rises and general weakness, you should urgently call a doctor.

First aid for cuts

Anyone can be injured by a sharp object. You can also deal with a small cut yourself if you know how. What to do if you get a cut on your hand in the first minutes after getting injured? First of all, don't panic. If a person himself is afraid of the sight of blood, first aid should be provided by someone who is not afraid of it. It is as follows:

• The cut is carefully examined to determine how serious the injury is.
• After examination, the wound is washed well with running water. If this is not possible, you can use bottled water, which is sold at every kiosk.
• To prevent the spread of infection in the wound, you should not touch it with your hands. If necessary, you can wash the cut with soap foam, which should be washed off immediately after treating the wound. Do not use laundry soap. Children's products are better suited for this purpose.

• Everything described above is done very quickly, in a matter of seconds. The most important thing is to stop the bleeding, for which the arm, finger or leg is raised so that the cut is above the level of the body. The cut area should be compressed with your fingers wrapped in a bandage or a clean cloth. After a few minutes the bleeding should stop if the cut is shallow.
• If an artery is damaged, which can be determined by a stream of bright scarlet blood, you need to apply a tourniquet above the wound. And if the bleeding is venous - lower. flows calmly, no stream, and has a dark color. When the blood circulation in the arm stops. Therefore, in order to prevent limb necrosis, you should immediately consult a doctor.
• After all measures have been taken to stop the bleeding, the cut should be disinfected. To do this, treat it with an aqueous solution of hydrogen peroxide. But if the wound is deep, the solution should not get inside, since small vessels can become clogged with air. The area around the wound is treated alcohol solutions. Iodine or brilliant green is suitable for this.
• The last thing you need to do when providing first aid, if you get a cut on your hand with a knife or other sharp object, is to apply a sterile bandage or just a clean handkerchief to the wound, constantly wetting the bandage with disinfecting aqueous solutions. This is necessary so that the bandage always remains wet and does not stick to the wound.

If more than ten minutes have passed since first aid was provided and no positive results no, that is, the bleeding does not stop, you need to call an ambulance.

Glass injuries

Most often a person can get cuts from glass living conditions or at enterprises associated with its production. Glass is a very fragile and brittle material that breaks frequently. The slightest carelessness leads to injury.

Cuts on the hands and other parts of the body caused by glass have their own characteristics. They are incised bleeding wounds. Their edges are smooth and even, so they do not soften or crush the fabric. This is more conducive to healing than lacerations.

Cuts occur most often on the arms and hands. As a rule, their back surface is damaged. The most dangerous injuries are caused by hot glass. It has the property of quickly cooling and disintegrating in the skin and muscle tissue into many small fragments that are not visible even on an x-ray. Such fragments are difficult to remove, and migrating in tissues, they cause pain, new damage and bleeding. Sometimes fragments remain in tissues for years. A hot glass injury can be aggravated by a thermal burn.

What should you do if you get cuts from glass?

1. Clean the wound, that is, wash it with a 70% alcohol solution or chlorhexidine.
2. Apply local anesthesia by applying primary sutures.
3. For shallow injuries, Michel brackets are used. The victim does not need surgical care. It is enough to apply an aseptic bandage to the wound after washing the wound.
4. If cuts on the hands are accompanied by burns, the wound does not need to be sutured. You should treat it and apply a bandage lubricated with ointment.
5. If glass shards are found in the fabric, visible to the eye, you need to take them out and further treatment consult a doctor.

When cut, the man lost consciousness. What to do?

Sometimes even small cuts can cause a person to die. fainting. To prevent this, you need to:

• Ensure influx fresh air if the victim is indoors. To do this, you need to open the windows and doors, but exclude drafts.
• Take deep breaths several times.
• Massage your earlobes and upper lip.
• Rub your cheeks vigorously.
• If this does not help, you should wet the cotton wool ammonia and let the victim smell it.

Knife and blade cuts

Most often, a person gets a cut on his hand with a knife, since he uses this cutting object constantly: at work or at home. Carelessness leads to injury. There are cases where knife wounds are intentionally inflicted. This happens during a fight or robbery against a person. No less rare are cuts on the hands with a blade during shaving or creative work associated with its use. There are different cuts. It depends on what they were applied with.

• Injuries inflicted by a sharp object - a knife, blade, glass - are characterized by cut wounds.
• If the injury is caused by a blunt object, the cut will have jagged edges. Such wounds most often occur on the hands and fingers.
• If you simultaneously apply a traumatic object to an arm, leg, or any other part of the body with blunt and sharp objects, the wound will be of a combined nature.
• A sharp and thin object: an awl leaves a puncture wound.

for cuts

During an injury, a vein in the arm may be cut. This is easily determined even visually. The blood from the wound flows calmly, without pulsating, and is dark in color. In this case, the person loses a lot of blood. A particular danger is that air is sucked into the vessels and can enter the heart. If this happens, death occurs.

In order to stop bleeding from the vein, a pressure bandage is applied. The wound is covered with clean gauze and pressed on top with an unrolled bandage. If you don’t have it at hand, you can fold a handkerchief or a clean cloth several times. Then the applied products should be pressed onto the wound. The bleeding must stop. If there is nothing at hand, then the cut vein on the arm or leg is immediately pressed with the fingers, and the limbs are raised up.

In what cases should you see a doctor for cuts?

• If the cut is deep and its length is more than two centimeters.
• When it is impossible to quickly stop the bleeding.
• If, when providing first aid, it was not possible to remove fragments of foreign objects from the wound.
• When cuts on the hands or other parts of the body are caused by a contaminated object. This could be a shovel or a rake.
• If the victim is a child or an elderly person.
• When, on the second day after the injury, the skin around the cut acquires an atypical color, pus oozes from the wound and the injury site becomes numb.
• If there is an increase in body temperature and general weakness.
• When a week after the injury

The victim must tell the doctor what steps were taken to provide first aid and how the wound was treated. Then the specialist will decide how to treat the cut.

Consequences

• Cuts on the hands (photo above) can result in irreversible consequences if they are inflicted on the wrist area. In this case, the nerves and tendons are damaged.
• Often during an injury, the victim's hands are injured. What to do? Contact your doctor immediately. The fact is that treatment of deep wounds is carried out by applying sutures immediately after the injury. If this is not done eight hours after the cut, the wound cannot be sutured at all in the future, as bacteria will have time to get into it. When the wound is closed, they can cause suppuration.
• If cuts on the hands are accompanied by heavy bleeding with bright scarlet blood, then the artery is damaged.
• Remember, even minor cut, especially on the face, leaves a scar.

• If the fragments are not removed from the wound foreign body, it becomes inflamed and pus may ooze from it.
• To prevent a serious cut injury from causing complications, you should be vaccinated against tetanus.