Puncture Or Wound :

- Bleeds excessively
 - Spurts blood
 - Does not stop bleeding after 10 minutes of firm pressure
 - Is to the chest, abdomen, or neck
 - Is accompanied by an emergency symptoms: severe pain, fast breathing or trouble breathing, vomiting, dizziness, unconsciousness
 - Is to the eye or in the throat. Leave the object in place. Keep the person calm.
 
Call or see a health care provider immediately if:
- The object that caused the puncture wound cannot be easily removed
 - The puncture wound is deep, on the face, or touching bone
 - The wound is visibly dirty
 - The wound is an animal or human bite
 - The wound occurred through the bottom of a shoe — stepping on a nail
 
for example
Remove the Object if You Can:
- If the object that caused the puncture is small and you can easily remove it, do so.
 
Stop the Bleeding:
- Apply firm, direct pressure with sterile gauze or clean cloth until bleeding stops.
 
Clean and Protect the Wound:
- Rinse the wound under clean water for several minutes. Then wash the area with mild soap and water and rinse again.
 - Apply an antibiotic cream.
 - Use a sterile bandage to protect the puncture wound from dirt or further injury.
 
Treat Pain:
- For pain, give painkillers
 - Follow-up
 - See a healthcare provider for any signs of infection: redness, increasing pain, swelling, or pus at the site.
 - Ask the health care provider if a tetanus shot is needed.
 - Some wounds may need antibiotics. Ask the healthcare
 
