Chapter 7 · First Aid
Minor wounds and preventing infection
After a disaster, infections in small wounds are common and dangerous, especially if there was contact with floodwater.
- Wash your hands and put on gloves.
- Stop the bleeding with pressure.
- Wash the wound with clean water (drinkable, or boiled and cooled) and wash around it with soap. Irrigate with plenty of water to flush out dirt; a syringe without a needle or a bag with a small hole works to provide pressure. Remove surface splinters with clean tweezers.
- Apply a thin layer of over-the-counter antibiotic ointment (per the label) and cover with a clean dressing.
- Change the dressing daily or when it gets wet or dirty.
Seek medical care if the wound is deep, its edges separate, it is on the face or a joint, it was a bite (human or animal), it is very dirty or contaminated, or has an object embedded in it (do not pull it out; immobilize it with gauze around it). Tetanus: according to the CDC, for dirty or large wounds a booster is recommended if the last dose was 5 or more years ago (10 years for clean, minor wounds). If you do not remember when you were vaccinated, ask a doctor.
Signs of infection: spreading redness, warmth, swelling, increasing pain, pus, red streaks climbing up the skin, fever. They require medical attention.