Lacerations With Stitches and Adhesive Strips
What is a laceration?
A laceration is a tear, cut, or opening in the skin caused by an injury. Lacerations
may be small, and need only minor treatment at home. Or they may be large enough to
need emergency medical care.
What are stitches?
Stitches (sutures) are special types of thread that hold wound edges together while
they heal. Stitches help speed healing, stop bleeding, reduce scarring, and decrease
the chance of infection in the wound.
What are sterile adhesive strips or "butterfly" strips?
Sterile adhesive strips can sometimes be used on small, shallow wounds instead of
stitches. They work the same as stitches.
How do I know if my child's cut needs stitches?
Lacerations may need stitches if they involve the face, are longer than 1/2 inch,
are deep, are spread open at rest, or are bleeding heavily.
First aid for lacerations that need stitches
Calm your child and let them know you can help.
Apply pressure with a clean cloth or bandage for several minutes to stop bleeding.
If the bleeding is heavy, hold pressure for 5 to 10 minutes without stopping to look
at the cut. If the cloth becomes soaked with blood, put a new cloth on top of the
old one. Don't lift the original cloth.
Once bleeding has stopped, wash your hands and then wash the area well with soap and
water. But don't scrub the wound. Remove any dirt particles from the area and let
the water from the faucet run over it for several minutes.
Cover the area with an adhesive bandage or gauze. Change the bandage twice a day or
whenever it becomes wet or dirty.
Call your child's healthcare provider. Or if bleeding is severe, call 911 or take your child to the emergency room for further care, as soon as possible.
When should I call my child's doctor?
Your child's healthcare provider will determine the treatment for lacerations that
require more than minor treatment at home. In general, call your child's provider
for lacerations that are:
Bleeding heavily and haven't stopped after 5 to 10 minutes of direct pressure
Deep or longer than 1/2 inch
Located close to the eye
Large cuts on the face
Caused by a puncture wound or dirty or rusty object
Embedded with debris such as dirt, stones, or gravel
Ragged or have separated edges
Caused by an animal or human bite
Showing signs of infection such as increased warmth, redness, swelling, or drainage
Involved with an additional injury, especially a head injury or a broken bone
Are linked to numbness or weakness of a finger, toe, or joint. This may mean damage
to a nerve or tendon has occurred.
Also call your child's healthcare provider if:
Your child hasn't had a tetanus vaccination in the past 5 years, or if you are unsure
when your child's last tetanus shot was given
You are concerned about the wound or have any questions
Treatment for lacerations with stitches and sterile adhesive strips
If your child's healthcare provider or an emergency room (ER) provider needs to place
stitches or use sterile adhesive strips to close a laceration, you will be given specific
instructions for how to care for them. Treatment at home will be based on the location
and size of the laceration, type of stitches used, and any special needs noted by
your child's provider. Antibiotics may be given to help prevent infection in the wound.
A tetanus booster may be needed depending on your child's wound.
Some stitches dissolve and don't need to be removed. Other stitches require a healthcare
provider to remove. Your child's provider or the ER provider will let you know when
to return to have stitches removed. Don't try to remove your child's stitches yourself.
Some general guidelines for caring for lacerations with stitches or sterile adhesive
strips include the following:
Keep the area clean and dry.
Carefully follow the provider's instructions for care of the wound.
Make sure your child doesn't do any activity that may lead to reinjuring or opening
Watch the wound for signs of infection, such as increased warmth, swelling, redness,
drainage, or pain.
Watch the stitches to make sure they are intact and keeping the wound edges together.
Return for follow-up care, as advised by your child's provider .
Once the wound is completely healed, use extra sunscreen on sunny days to help protect
the area of new skin.
Keep butterfly strips in place until they start to loosen. They will fall off after
a few days.