Minor Cuts and Bruises

These injuries are among the most common and are typically non-life-threatening. Your job is to assess, clean, protect, and provide comfort to the patient. The key is to prevent infection, reduce swelling, and manage pain.

At Scene Care

Road Rash, Scrapes, and Minor Cuts

  • Irrigate the wound thoroughly using sterile saline to remove dirt and debris.
  • If needed, gently dab dry using sterile gauze.
  • Apply antibiotic ointment (e.g., Neosporin).
  • Cover with a clean bandage or non-stick gauze pad.
  • If the patient is in visible pain or the rash is extensive, offer oral pain medication if within scope.

Bumps & Bruises (Soft Tissue Injuries)

  • Apply a cold pack to reduce swelling and discomfort.
    • Do not place ice directly on the skin—wrap it in cloth or gauze first.
  • Elevate the affected limb if possible to further reduce swelling.
  • Document any signs of abnormal pain, discoloration, or potential fracture.

Useful Prompts

/me Looks Over Patient and Assesses for Injuries

/me Activates Ice Pack, wraps it in a Gauze pad and applies to bruised area

At Hospital

Bruises (Contusions)

  • Apply a cold compress wrapped in a thin towel for 10–15 minutes.
    • The patient can walk or sit while applying—no need to remain in a bed.
  • Administer Acetaminophen (Tylenol) for pain relief.
    • Avoid NSAIDs like ibuprofen if there’s any concern of internal bleeding.
  • If significant swelling is present, apply a compression wrap, ensuring it is snug but not restrictive.
  • Observe for:
    • Excessive swelling or pain
    • Signs of hematoma or compartment syndrome
  • Discharge with aftercare instructions to continue cold therapy and monitor the area.

Minor Cuts & Abrasions

  • Clean the wound using normal saline—irrigate thoroughly.
  • Remove any foreign material gently with sterile tweezers if necessary.
  • Apply antibiotic ointment to prevent infection.
  • Dress with a bandaid for small cuts or sterile gauze for larger abrasions.
  • Offer a tetanus booster if the wound is dirty and the patient’s immunization is outdated.
  • Discharge with instructions to:
    • Keep the wound clean and dry
    • Change bandage daily or if it becomes soiled
  • Optional: Offer a lollipop or sticker for pediatric patients.

Minor Unexplained Pain (No External Signs of Trauma)

  • Encourage gentle stretching or movement to assess range of motion.
  • Check hydration levels; offer oral fluids if dehydrated.
  • Administer Tylenol or other appropriate non-narcotic pain relief.
  • If symptoms subside and no other injuries are suspected, discharge with reassurance.

Road Rash (Friction Burns)

  • Rinse thoroughly with normal saline.
  • Carefully remove gravel, dirt, or debris—may require tweezers.
  • Apply a generous layer of antibiotic ointment.
  • Dress the wound with non-adherent sterile gauze to avoid sticking to the skin.
  • Administer oral pain medication as needed.
  • Provide discharge instructions:
    • Clean and redress daily
    • Watch for signs of infection (redness, pus, warmth)
    • Avoid exposing the area to direct sunlight until healed

Additional Notes

  • Escalate if:
    • Excessive bleeding that doesn’t stop with pressure
    • Numbness, tingling, or severe pain in injured area
    • Possible bone involvement or deep puncture wounds
    • Signs of infection (especially in follow-up)
  • Documentation Tips:
    • Record size, depth, and location of wounds
    • Note any foreign objects removed
    • List pain levels before and after intervention