Deep cut is considered to be a injury, usually due to a sharp traumatic event, that extend beyond the surface of the skin and to the level of underlying muscles, bones or even the internal organs. These cuts may leave a gaping wound which sometimes lines by a ragged edge as well. The wound might contain debris which cannot be seen to the outside and may have objects lodged deeply within. At the same time, there can be muscles, fat tissues or other tissue structures protruding through the deep cut and therefore should be handled very carefully.
Thus, when managing a deep cut wound, first priority would be to stabilize the patient if the cut would seem to be serious. Following this, attention should be given to the cut injury itself and necessary first aid management should be given in order to prevent further complications and hasten its recovery.
Therefore, deep cut wounds would warrant following first aid measures.
-Stabilize the patient if there are other life threatening conditions which may impair the heart and lung function.
-If facilities available, the wound should be washed with clean water and soap at least on the surface to clean any debris from the site. But, trying to debrid deep cuts or wounds might lead to more damage and introduction of further infections. At the same time, if objects or debris are ledged deep within the wound, do not try to remove them without emergency medical assistance at hand.
-Inspect the wound and in case there is a continuous bleeding taking place, gentle pressure should be applied over the bleeding site using direct pressure or through the use of an appropriate bandage and such pressure should be maintained for about 20 – 30 minutes in order to stop the bleeding and any desire to inspect the wound within this period should be suppressed as it might make the wound bleed again.
-Elevate the site of the wound, if possible, above the level of the heart, in order to reduce the intensity of bleeding by removing the gravitational effect. This will also help in reducing the swelling that would occur in relation to this type of injury.
-Following controlling of the bleeding, the deep cut wound should be bandaged with sterile gauze or else using a clean strip of cloth till such time the patient is brought to the emergency department.
-At the same time, minimizing the movements pertaining to the injured site would also facilitate arrest of bleeding as well as the pain that might incur with such movements.
-If the wound is not so bad and do not seem to require stitches, it may not be necessary to see a doctor or visit the emergency unit but, in cases of highly contaminated wounds, when protruding tissues are visible from the wound or else a more serious damage is suspected, urgent medical attention should be sorted in order to prevent any complications.