Should Your Child See a Doctor?
Is this your child's symptom?
- Injuries to the skin anywhere on the body surface
- Includes cuts, scratches, scrapes, bruises and swelling
Types of Skin Injury
- Cuts, lacerations, gashes and tears. These are wounds that go through the skin to the fat tissue. Caused by a sharp object.
- Scrapes, abrasions, scratches and floor burns. These are surface wounds that don't go all the way through the skin. Scrapes are common on the knees, elbows and palms.
- Bruises. These are bleeding into the skin from damaged blood vessels. Caused by a blunt object. They can occur without a cut or scrape.
When Sutures Stitches are Needed for Cuts
- Any cut that is split open or gaping needs sutures.
- Cuts longer than ½ inch (12 mm) usually need sutures.
- On the face, cuts longer than ¼ inch (6 mm) usually need to be seen. They usually need closure with sutures or skin glue.
- Any open wound that may need sutures should be seen as soon as possible. Ideally, they should be checked and closed within 6 hours. Reason: To prevent wound infections. There is no cutoff, however, for treating open wounds.
Cuts Versus Scratches: Helping You Decide
- The skin is 2 mm (about 1/8 inch) thick.
- A cut laceration goes through it.
- A scratch or scrape wide scratch doesn't go through the skin.
- Cuts that gape open at rest or with movement need stitches to prevent scarring.
- Scrapes and scratches never need stitches, no matter how long they are.
- So this distinction is important.
When to Call for Bruise
Call 911 Now
- Major bleeding that can't be stopped
- Deep cut to chest, stomach, head or neck such as with a knife
Call Doctor Now or Go to ER
- Skin is split open or gaping and may need stitches
- Severe pain and not improved 2 hours after taking pain medicine
- Age under 1 year old
- Dirt in the wound is not gone after 15 minutes of scrubbing
- Skin loss from bad scrape goes very deep
- Bad scrape covers large area
- Cut or scrape looks infected spreading redness, red streak
- You think your child has a serious injury
- You think your child needs to be seen, and the problem is urgent
Call Doctor Within 24 Hours
- Very large bruise after a minor injury
- Some bruises appear without any known injury
- You think your child needs to be seen, but the problem is not urgent
Call Doctor During Office Hours
- Dirty cut and no tetanus shot in over 5 years
- Clean cut and no tetanus shot in over 10 years
- Doesn't heal by 10 days
- You have other questions or concerns
Self Care at Home
- Minor cut, scrape or bruise
Estimated Urgent Care Wait Times
These are estimated wait times for each Urgent Care clinic. Wait times are typically longest during the first hour we are open and may not be reflected immediately in the online wait time. Traffic and wait times may be affected by local events or bridge closures. Please check current traffic conditions and advisory alerts on the Seattle Department of Transportation website.
Wait times may also vary depending on the severity of the illnesses we are treating. If your child’s illness or injury is life-threating, call 911.
Care Advice for Minor Cuts, Scrapes or Bruises
- Cuts, Scratches and Scrapes - Treatment:
- Use direct pressure to stop any bleeding. Do this for 10 minutes or until the bleeding stops.
- Wash the wound with soap and water for 5 minutes. Try to rinse the cut under running water.
- Caution: Never soak a wound that might need sutures. Reason: It may become more swollen and harder to close.
- Gently scrub out any dirt with a washcloth.
- Cut off any pieces of loose skin using a fine scissors. Clean the scissors first with rubbing alcohol.
- Use an antibiotic ointment such as Polysporin. No prescription is needed. Then, cover it with a bandage such as Band-Aid. Change daily.
- Liquid Skin Bandage for Minor Cuts and Scrapes:
- Liquid skin bandage seals wounds with a plastic coating. It lasts up to 1 week.
- Liquid skin bandage has several benefits compared to other bandages such as Band-Aid. Liquid bandage only needs to be put on once. It seals the wound and may promote faster healing and lower infection rates. Also, it's water-proof.
- Wash and dry the wound first. Then, put on the liquid. It comes with a brush or swab. It dries in less than a minute.
- You can get this product at a drugstore near you. There are many brands of liquid bandage. No prescription is needed.
- Bruises - Treatment:
- Use a cold pack or ice bag wrapped in a wet cloth. Put it on the bruise once for 20 minutes. This will help to stop the bleeding.
- After 48 hours, use a warm wet wash cloth. Do this for 10 minutes 3 times per day. This helps to reabsorb the blood.
- Pain Medicine:
- To help with the pain, give an acetaminophen product such as Tylenol.
- Another choice is an ibuprofen product such as Advil.
- Use as needed.
- Tetanus Shot:
- A tetanus shot update may be needed for cuts and other open wounds.
- Check your vaccine records to see when your child got the last one.
- For Dirty Cuts and Scrapes. If last tetanus shot was given over 5 years ago, need a booster.
- For Clean Cuts. If last tetanus shot was given over 10 years ago, need a booster.
- See your child's doctor for a booster during regular office hours. It's safe to give it within 3 days or less.
- What to Expect:
- Small cuts and scrapes heal up in less than a week.
- Call Your Doctor If:
- Bleeding does not stop after using direct pressure to the cut
- Starts to look infected pus, redness
- Doesn't heal by 10 days
- You think your child needs to be seen
- Your child becomes worse
And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.
Disclaimer: This information is not intended to 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.
Last Reviewed: 10/20/2014
Last Revised: 10/20/2014
Copyright 1994-2015 Barton D. Schmitt, MD. All rights reserved.