Cuts, Scrapes, or Bruises (Skin Injury)  
Back to Index

 
          
This Care Guide Covers:

  • Cuts and Scratches: Surface cuts or scratches that only go partially through the skin. They rarely get infected. Deep cuts, called lacerations, go through the skin.
  • Scrapes: An area of surface skin that has been scraped off. This often happens to the knees, elbows, and palms.
  • Bruises: These result from a direct blow or a crushing injury. There is bleeding into the skin from damaged blood vessels. There is no cut or scrape.

If not, see these topics
View First Aid Advice
  • for Bleeding:
  • Advice for Severe Bleeding:
  • for Penetrating Object (knife, large nail):
  • for Shock:

View images
Abrasion on Elbow
Abrasion on Elbow

First Aid - Cut - Gaping and Needing Sutures
First Aid - Cut - Gaping and Needing Sutures

Laceration - Chin
Laceration - Chin

Abrasion on Shoulder
Abrasion on Shoulder

Abrasion on Elbow (3 Days Old)
Abrasion on Elbow (3 Days Old)

Puncture Wound - BB Gun
Puncture Wound - BB Gun

Scratches from a Cat
Scratches from a Cat

Bruise on Thigh (1 Day Old)
Bruise on Thigh (1 Day Old)

Bruise on Shoulder (4 Days Old)
Bruise on Shoulder (4 Days Old)

Bruise from Coumadin
Bruise from Coumadin

Bruise on Forearm
Bruise on Forearm

Laceration - Chin (After Skin Glue)
Laceration - Chin (After Skin Glue)

First Aid - Bleeding Finger
First Aid - Bleeding Finger

Laceration - Scalp
Laceration - Scalp

Puncture Wound - With a Foreign Body
Puncture Wound - With a Foreign Body

When to Call Your Doctor

Call 911 Now (you may need an ambulance) If
  • Major bleeding (nonstop bleeding or spurting)
  • Knife wound (or other deep cut) to the chest, stomach, back, neck, or head
  • Note: For bleeding, see First Aid
  • You think you have a life-threatening emergency
Call Your Doctor Now (night or day) If
  • You think you have a serious injury
  • Severe pain
  • Bleeding that won't stop after 10 minutes of direct pressure
  • Cut causes numbness or loss of feeling
  • Cut causes weakness (can't move finger or toe)
  • Cut is very deep (can see bone or tendons)
  • Cut is split open or gaping and may need stitches
  • Dirt in the wound is not gone after 15 minutes of scrubbing
  • Skin loss from bad scrape goes very deep
  • Skin loss involves greater than 10% of body surface (the hand's surface equals 1% of body surface)
  • High pressure injection injury such as a paint gun; usually at work
  • Cut or scrape has redness, a red streak, or pus
Call Your Doctor Within 24 Hours (between 9 am and 4 pm) If
  • You think you need to be seen
  • Several bruises occur without any known injury
  • Very large bruise follows a minor injury (2 inches or wider)
  • Diabetic with any cut or scrape on foot
Call Your Doctor During Weekday Office Hours If
  • You have other questions or concerns
  • Last tetanus shot was more than 10 years ago (5 years for dirty cuts and scrapes)
Self Care at Home If
  • Minor cut, scrape, or bruise
Causes & Health Information

Some Basics...

When Are Stitches Needed?

When Can Liquid Skin Bandage Be Used?

Liquid skin bandage has many benefits when compared to a regular bandage. Liquid skin bandage can be used for small shallow cuts. It can also be used on scratches and scrapes. It only needs to be put on minor cuts and scrapes once. It helps stop minor bleeding. Liquid skin bandage seals the wound and may help it to heal faster. It also lowers infection rates. It also costs more than adhesive bandages (Band-Aids).

What is Tetanus?

When Does an Adult Need a Tetanus Shot?

CARE ADVICE FOR MINOR CUT, SCRAPE, OR BRUISE

  1. What You Should Know:
    • Cuts and scrapes are types of skin wounds. Bruises are the result of injuries that cause blood vessels to leak without breaking the skin.
    • Cuts and scrapes can become infected, so need to be taken care of.
    • You can treat minor skin injuries at home.
    • Here is some care advice that should help.
  2. Treatment of Minor Cuts, Scratches, and Scrapes:
    • Use direct pressure for 10 minutes to stop any bleeding.
    • Wash the wound with soap and water for 5 minutes.
    • Gently scrub out any dirt with a washcloth.
    • Cut off any pieces of dead loose skin using small sharp scissors. Clean the scissors with rubbing alcohol before and after use.
    • Put on an antibiotic ointment, covered by an adhesive bandage (Band-Aid) or dressing. Change daily.
    • Another option is to use a liquid skin bandage. This only needs to be put on once. Avoid using ointments with this.
  3. Treatment of Minor Bruise:
    • Cold Pack: For pain or swelling, use a cold pack or ice wrapped in a wet cloth. Put it on the sore area for 20 minutes. Repeat 4 times on the first day, then as needed.
    • Heat Pack:
      • If pain lasts over 2 days, apply heat to the sore area. Use a heat pack, heating pad or warm wet washcloth. Do this for 10 minutes, then as needed.
      • For widespread stiffness, take a hot bath or hot shower instead. Move the sore area under the warm water.
    • Rest the injured part as much as you can for 48 hours.
  4. Pain Medicines:
    • You can take one of the drugs listed below if you have pain.
    • They are over-the-counter (OTC) pain drugs. You can buy them at the drugstore.
    Acetaminophen (Tylenol):
    • Regular Strength Tylenol: Take 2 pills (650 mg) every 4-6 hours. Each pill has 325 mg of acetaminophen.
    • Extra Strength Tylenol: Take 2 pills (1,000 mg) every 8 hours. Each pill has 500 mg of acetaminophen.
    • Do not take more than (3,000 mg) of this drug per day.
    Ibuprofen (Motrin, Advil):
    • Motrin and Advil: Take 2 pills (400 mg) every 6 hours. Each pill has 200 mg of ibuprofen.
    • A second choice is to take 3 pills (600 mg) every 8 hours.
    Naproxen (Aleve):
    • Aleve: Take 1 pill (220 mg) every 8 hours. Each pill has 220 mg of naproxen.
    • A second choice is to take 2 pills (440 mg) every 12 hours.
    Extra Notes:
    • Use the lowest amount of a drug that makes your pain feel better.
    • Your doctor might tell you to take more than what is shown above. That is because your doctor knows you and your health problems.
    • Acetaminophen is safer than ibuprofen or naproxen in people over 65 years old. Acetaminophen is in many OTC and prescription drugs. It might be in more than one drug you are taking. Be careful how much you take. Too much of this drug can hurt the liver.
    • Caution- Acetaminophen: Do not take it if you have liver disease.
    • Caution- Ibuprofen and Naproxen:
      • Do not take ibuprofen or naproxen if you are pregnant.
      • Do not take these drugs if you have stomach problems or kidney disease.
      • Do not take these drugs for more than 7 days without checking with your doctor.
    • Read all package instructions.
  5. What to Expect: Pain and swelling most often get better 2-3 days after an injury. Swelling is most often gone in 7 days. Pain may take 2 weeks to go away.
  6. Call Your Doctor If:
    • The wound has pus, redness, or is tender to touch
    • The wound does not heal within 10 days
    • You get worse

Remember! Call your doctor if any of the "When to Call" symptoms occur.

Disclaimer: This information is not intended be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Author and Senior Reviewer: David A. Thompson, M.D.

Last Reviewed: 9/1/2012

Last Revised: 12/12/2012

Content Set: Adult Symptom Checker

Copyright 2000-2012. Self Care Decisions LLC; LMS, Inc.