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Cuts and Scratches: Teen Version

What are cuts and scratches?

Cuts are skin injuries caused by sharp objects. Scratches are areas of damage to the upper layers of skin. Most cuts and scratches are not very deep and do not go past the skin into muscles or fatty tissues. Deep cuts that are longer than 1/2 inch (1/4 inch if on the face) or leave the skin edges separated or gaping, need stitches, staples, or sutures.

How can I take care of myself?

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, such as Neosporin, and cover it with a Band-Aid or gauze. Wash the wound and change the Band-Aid or gauze daily.

    Another option is to use liquid skin bandages that seal over cuts and scrapes. They are a major improvement over Band-aids and antibiotic ointment. They only need to be applied once. They give faster healing and lower infection rates. After the wound is washed and dried, you spray or swab the liquid on. It dries in less than a minute and may last for a week. It is resistant to water. You can buy it at your local pharmacy.

  • Take acetaminophen or ibuprofen as needed for pain relief.

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.

When should I call my healthcare provider?

Call 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 closed by a healthcare provider within 12 hours of the time of injury. They are much less likely to become infected if they are closed within 2 hours.

Call during office hours if:

  • You haven'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.
Written by Barton D. Schmitt, MD, author of “My Child Is Sick,” American Academy of Pediatrics Books.
Pediatric Advisor 2013.2 published by RelayHealth.
Last modified: 2009-06-22
Last reviewed: 2012-05-14
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
© 2013 RelayHealth and/or its affiliates. All rights reserved.
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