The case is much more serious than it might seem at first glance. The wound must be treated with an antiseptic, because it is very serious injury. But this alone is not enough. At the same time, it is necessary to examine the wound to assess how much the rusty nail managed to penetrate into it.

If the nail penetrates deeply, then you must immediately go to the hospital, as deep wound Only a doctor can examine you. If you do not do this, the wound may fester and gangrene or blood poisoning will begin.

Tendons on the leg may also be damaged, which will lead to worsening musculoskeletal function legs.

There may be tetanus spores in the soil, and even on the oldest nail. If you are not vaccinated against it, there is a high probability of contracting tetanus and can be fatal.

In serious forms, tetanus toxins will have time to reach the central bloodstream in 5-7 days. nervous system and damage nerve muscle tissue.

piercing your leg with a nail?

The first thing to do is to wash the wound with an alcohol-containing liquid or a weak solution of manganese, the second is to rinse with hydrogen peroxide, then treat the area around the wound with brilliant green or iodine, and bandage the leg. Contact a surgeon or traumatologist as soon as possible.

If you have had a tetanus vaccination, but more than 10 years have passed since it, then you need to receive anti-tetanus serum.

If you have been vaccinated before, then all you need to do at home is take warm baths with the addition of sea ​​salt 2-3 times a day for fast healing wounds.

If suppuration suddenly begins, the leg swells, the body temperature rises, then these are the first signs of tetanus, in this case the attending physician will prescribe you to take antibiotics in the form of tablets or topically in the form of Vishnevsky ointment (the composition includes tar, and it draws pus from the wound ).

Be sure to get a tetanus vaccination, because this disease is very dangerous. It is unknown what kind of nasty thing can get into your wound, and when symptoms already appear, it may be too late to treat it.

Watch the video: Treating sprained muscles and ligaments at home, recipe

It is necessary to provide first aid if your leg is punctured by a rusty nail. If possible, it is recommended to consult a doctor. Only he will be able to prescribe comprehensive treatment.

Medical indications

If a child has pierced his leg, treatment is carried out taking into account the following factors:

1. 1. Significant depth of the wound and a small wound opening. This complicates the outflow of blood, so swelling and the risk of proliferation of pathogenic organisms increases.
2. 2. A foot puncture is manifested by swelling due to poor blood flow.
3. 3. A nail injury introduces many microorganisms into the wound.
4. 4. Deep injury is accompanied by damage to large vessels.

Signs of a puncture wound to the foot:

• presence of a wound with blood;
• swelling and hyperemia in the wound area;
• numbness of one or all toes;
• difficulty moving fingers when large tendons are damaged.

What to do if your leg is injured and swollen? First first aid includes stopping bleeding. For minor bleeding, apply a bandage. A tampon is made from sterile wipes, which is tightly bandaged to the wound. This bandage should remain in place for at least 10 minutes.

A gaping wound and spurts of blood indicate damage to the artery. You need to act immediately. First aid includes applying a tourniquet and transporting the patient to the nearest medical facility.

You need to wash your foot. The foot is washed warm water with soap in the direction away from the wound. If there is a piece of a rusty nail in your leg, you cannot act on your own. The damaged area is washed with a disinfectant liquid (Chlorhexidine or potassium permanganate solution). Furacilin is also used (tablets are dissolved in warm water). The foot is kept in the solution for more than 30 minutes.

If a rusty nail pierces your leg, use Miramistin. He has expressed antiseptic properties, stimulating regeneration in various wound lesions. The drug is easy to use. If a person breaks a foot, the circumference of the cut is treated with brilliant green or iodine (the hole is not lubricated).

A sterile bandage is applied to the foot. If your leg hurts, apply ice. This will relieve swelling and reduce pain. In case of severe pain, it is recommended to take a painkiller. You cannot lean on your injured leg. It is kept elevated to reduce blood loss and minimize swelling. Adequate and timely first aid prevents significant blood loss and infectious complications.

Then the patient must be shown to a specialist. Sometimes an x-ray is prescribed (the study is carried out if there is a suspicion of the presence of a rusty nail in the wound). Then the dead or dirty areas are excised and sutures are applied.

If a person steps on a nail and the wound is heavily contaminated, the injury site is treated with antibiotics. Internal medication is prescribed based on when the tetanus shot was given. If it was made more than 10 years ago, it is entered tetanus toxoid. The patient changes the bandage daily while treating the wound.

Local antibacterial treatment

The wound is treated at least 3-4 times a day, monitoring the patient’s condition. To prevent infection, in addition to antiseptics, antibacterial medications are used:

1. 1. Argosulfan - antimicrobial ointment. Contains silver salt of the sulfonamide substance. It effectively fights wound infection, promotes regeneration, relieves pain and discomfort.
2. 2. Baneocin - combination ointment or powder. Has strong bactericidal and local antimicrobial effects. Contains 2 antibiotics, which provides a wide spectrum of action of the drug. It perfectly disinfects, quickly relieves the condition and heals wounds.
3. 3. Levomekol is a combination ointment that contains the antimicrobial chloramphenicol and the anti-inflammatory, regenerating methyluracil. The medicine quickly relieves inflammation, preventing infection and stimulating recovery.

The above agents act locally without causing negative influence for the whole body. The medicine is selected individually, depending on the age of the patient.

Fighting infection

If local therapy is ineffective, then signs may appear indicating that the wound is infected and the infection is spreading:

• further swelling of the leg;
• the appearance of pus;
• increased pain;
• fever.

In this case, antibiotics are prescribed wide range:

1. 1. Preparations containing levofloxacin (Levofloxacin-Teva, Levolet, Tavanik). Medicines are owned broad action, are used for infections of the skin and its derivatives.
2. 2. Clindamycin and its analogues (Dalacin, Klimitsin). They are highly dermatotropic, so they easily penetrate the skin and muscles, quickly destroying the causative agent of the disease.
3. 3. Macrolides and azalides (Sumamed, Fromilid, Rovamycin) are prescribed for skin infections. This strong antibiotics, which are also available in the form of a suspension.

If puncture wound the feet are swollen, but there is no fever, swelling is observed, then you should use ointments and gels with horse chestnut(Troxevasin, Venitan). The product is applied not to the wound, but to an undamaged area of ​​skin. This reduces swelling and relieves pain. Sometimes they make an iodine mesh. The duration of therapy and rehabilitation depends on the characteristics of the body, the severity and depth of the lesion, and the timeliness of assistance.

Many of us find ourselves in difficult situations, and they can come right out of nowhere: we twisted our ankle on the stairs, got a splinter on the railing, cut our foot on the glass. "Palked leg with a nail, what to do?" - this question can often be found on various forums and blogs, and it is to this question that we will devote this article.

If someone pierces their foot with a nail, the wound should be disinfected as quickly as possible. As you disinfect your wound, examine it carefully and try to see how deep the nail is in your leg. If the nail penetrates deeply, you should immediately go to the hospital or the nearest emergency room, where you can receive qualified and more professional help.

Don't put off going to the hospital! If the nail penetrates deeply, the wound may fester and thereby develop into such terrible disease like gangrene. If a nail damages a tendon, it can have a significant impact on motor functions legs. What does first aid include when someone gets stabbed in the foot by a rusty nail?

Self-help

If the nail was small (no more than 2 cm), then you should carefully examine the wound, wash it and bandage the leg. If you feel headache If your temperature starts to rise and your leg becomes noticeably swollen, consult a doctor immediately. Do not delay going to specialists, because this can lead to quite sad consequences.

Deep puncture with a rusty nail

I pierced my leg with a nail - what should I do first? First, you should treat the wound with a disinfecting solution (iodine, brilliant green, alcohol, hydrogen peroxide, etc.), then apply a bandage. Next, you should carefully monitor changes in your health: if you are vaccinated against tetanus, then you practically do not need to worry, but if not, then you should immediately consult a doctor. For what? And then, so as not to add to the statistics of the unfortunate who neglected medical care. Keep in mind that every fourth person who gets sick dies from tetanus!

Tetanus: what is the danger?

I pierced my leg with a nail - what should I do? This question is answered in the above points. Now we should consider a disease such as tetanus. First of all, it is dangerous due to its toxins, which very quickly penetrate the body along with the bloodstream. Within 5-7 days, tetanus can cause damage to neuromuscular synapses.

Symptoms include seizures, changes in bone and muscle tissue. Among other things, it violates cardiovascular activity, spasms may occur respiratory tract. Symptoms of the disease also include pain in the spine.

Now you are savvy in the question: “I pierced my leg with a nail, what should I do?” If this trouble happens to you, don’t be upset. All in your hands! Knowledge backed by practice has never hurt anyone. But it’s best not to get into such unpleasant situations.

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Accidentally puncturing a leg with a rusty nail is quite dangerous for a person, as it can cause a wide range of both local and systemic problems. What to do if you step on a rusty nail? If a person accidentally pierces his leg with a rusty nail, how to treat the wound? Is it necessary to see a doctor? You will read about this in our article.

What to do if you step on a nail with your foot

If a person pierces his leg with a rusty nail, do the following:

• Removing a nail from a leg. If the item enters lower limb shallow, you can pull it out yourself. Carefully inspect the area of ​​damage skin and try to gently, slowly pull the edge of the object. If it doesn't come out, or it starts heavy bleeding, then in mandatory the procedure is stopped, after which it is necessary to contact a surgeon, traumatologist or other medical specialist who can provide the necessary assistance;
• Handle antiseptics wounds. Produced with safe local antiseptics - hydrogen peroxide, furatsilin, potassium permanganate, chlorhexidine, miramistin;
• Treat surfaces near the wound with antiseptic agents. Carried out with iodine or brilliant green;
• Make a dressing. Performed with sterile hygiene supplies. It is advisable not to use cotton wool on open wound, since it will be difficult to remove after the skin and damaged soft tissues have dried. It is better to use bandages, but wrap them moderately rather than tightly. In this case, the number of turns should be close to 4-5 layers.

Danger of tetanus

If a person pierces his leg with a rusty nail, then his risk of developing tetanus increases significantly. This disease is an acute invasive bacterial infection that affects the nervous system.

Tetanus is transmitted by contact, and the main pathological agent is Clostridium tetani, a gram-positive, spore-forming, obligate anaerobic bacillus. IN general case The causative agent of tetanus is present everywhere in nature.

The danger is tetanus exotoxin, produced by vegetative forms of the pathogen in special conditions, suggesting complete absence oxygen, temperature from 37° to 39°, high humidity.

Most often, high concentrations of gram-positive rods are observed in agricultural areas in soils, pastures, vegetable gardens, fields and orchards.

If a person has deep wound or skin damage for the pathogen is created the necessary conditions development, and it begins to produce a toxin that penetrates the motor fibers peripheral nerves into the blood, medulla oblongata.

Further development infectious disease are severe symptoms in the form of tonic contractions of striated muscles, neuronal paralysis reflex arcs, general muscle stiffness throughout the body.

In the absence of help and adequate therapy, the preconditions for paralysis of the respiratory organs and heart muscle are formed.

A patient with tetanus requires immediate hospitalization and complex therapy with the introduction of serum, purification primary focus infection, organization of total muscle relaxation, as well as vital support important functions body.

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Treatment of a puncture of the leg with a rusty nail

What to do if you pierce your leg with a rusty nail? After initial treatment of the wound and application of an appropriate bandage, it is advisable to contact the emergency room or a surgeon to undergo diagnostics that would potentially exclude possible development complications. However, quite often people neglect qualified help, has been at home for some time.

When signs appear bacterial infection, other complications, especially those with symptoms of tetanus, you should immediately call an ambulance.

Drug therapy

The basis for further drug treatment in general, the continued use of antiseptics with regular dressings, as well as the use of antibacterial drugs in situations where a person exhibits signs of a secondary bacterial infection. Typical medications for the treatment of a nail puncture in the leg:

• Baneocin. An ointment that has an antibacterial and bactericidal effect on the skin, soft fabrics. The drug must be applied after basic antiseptic treatment up to 3 times a day;
• Levomekol. This ointment contains methyluracil and chloramphenicol. Combined action two substances stimulates the regeneration of soft tissues, partially prevents the development of infection and alleviates symptoms inflammatory process. Levomekol should be applied to dry skin and wounds 4-5 times a day;

• Dalatsin. Local antibiotic. Penetrates deeply into the skin and soft tissues, acts predominantly against gram-positive pathogenic flora;
• Levofloxacin. Broad-spectrum antibiotic. Used systemically as a supplement to topical antibacterial ointments. The dosage regimen and dosage are prescribed individually by the attending physician.

Traditional methods

Any traditional methods, given below, cannot be a full replacement for local antiseptic treatment or the use of antibiotics in the presence of a secondary bacterial infection.

It is rational to use self-prepared remedies as an addition to the main treatment if a person has pierced his leg with a nail, after mandatory agreement with the surgeon or other specialized specialists who prescribed an individual treatment regimen. Popular folk methods:

• Plantain. Plantain leaves can be used as a basic antiseptic in “field” conditions when no other means are available. Before using the plant, you should rinse it well under running water (as well as the wound site), then thoroughly knead until the juice appears, apply to the wound, and wrap with a bandage;
• Baths with soda solution. Take 1 liter hot water and add 3 teaspoons of soda to it. Mix the liquid thoroughly, cool to an acceptable temperature and steam the injured leg in it for no more than 15-20 minutes at a time. The procedure is repeated several times a day for 5 days;
• Honey. Take 20 grams of quality honey, mix with clean water in a ratio of 1 to 1, then dip a bandage in the product and apply to the puncture site. After 2 hours, remove the lotion. Repeat the procedure twice a day - morning and evening;

• Onion. Take 1/2 of a medium-sized fresh onion, bake it in the oven, cool to room temperature and apply to the wound, securing it with a bandage. Keep the remedy for one hour, repeating the procedure each time with a new half of the onion two to three times a day for five days. The compress will help quickly draw out the pus and weaken the local bacterial infection.

What to do if your leg is swollen

The formation of a local tumor on the leg in the area of ​​a puncture with a rusty nail usually indicates the development of a secondary bacterial infection. As a rule, the latter is accompanied by other symptoms, including a local rise in temperature, general weakness body, pain syndrome. What should you do if you pierced your foot with a nail and it became swollen?

The general treatment regimen for a swollen leg caused by a puncture with a rusty nail:

• Opening the wound. Performed with surgical instruments to obtain direct access to damaged soft tissues;
• Primary antiseptic treatment. Performed directly in the wound using any available antiseptics local action– hydrogen peroxide, miramistin, chlorhexidine, furatsilin solution;
• Secondary antiseptic treatment nearby skin. It is carried out with more aggressive local antiseptics against the skin located around the wound. Typical preparations are iodine, brilliant green;
• Applying antibacterial ointment. Performed in cases where there is obvious signs bacterial infection. Typical drugs are levomekol, clindamycin, baneocin.

Possible complications

The most common consequence of a leg injury from a rusty nail is high probability development of secondary bacterial infections. Insufficiently well treated wound, lack of qualified and timely surgical care creates the preconditions for local, and in some cases, systemic pathological processes in soft tissues.

The latter lead to suppuration in the area of ​​damage, as well as global infection up to gangrene and sepsis. In addition, there are risks of developing tetanus, the treatment of which requires immediate complex therapy and subsequent long period recovery.

In what cases is it necessary to visit a doctor?

A mandatory visit to a doctor is necessary in the following cases:

• Formation of a strong inflammatory process and swelling that does not go away for more than 3 days. In this case we're talking about about the development of a bacterial infection requiring both conservative therapy, and in some cases – surgical treatment;
• The appearance of signs of tetanus. If available primary signs tetanus, you must immediately contact qualified specialists for treatment. On initial stage symptoms are nagging pain in the wound area of ​​moderate intensity, the appearance of involuntary contractions masticatory muscles, spasms of facial muscles. As the pathological process Rigidity of all muscles of the body, convulsions, and unbearably painful reaction to touch, sounds, and light rapidly increase.

A surgeon or traumatologist treats foot punctures with a rusty nail. If necessary, other specialized specialists are also involved in the therapy process.

What to do if you step on a rusty nail?

The first step is to wash the wound in warm water. Then treat the edges of the wound with brilliant green to protect yourself from infection, bandage it well sterile bandage. If the wound is deep, it is better to consult a traumatologist. He will give you a tetanus shot and change your dressings daily.

If you step on a rusty nail, then you definitely need to go to the doctor, there may be a disease such as tetanus! It is necessary to disinfect the wound with the help of iodine, brilliant green, and hydrogen peroxide.

And so my great-grandmother, who lived in the village all her life, had this method - pee (sorry, but that’s exactly it) on the wound. This is the most affordable method!

If you step on a rusty nail, you should definitely pull it out and wash the wound. This can be done in warm water with laundry soap. When washing, you can put a little pressure on the wound if the pain does not bother or scare you much. Then wipe your leg dry and wipe the wound with alcohol. Next, bandage and periodically bandage the wound, lubricating the wound with calendula tincture.

It is advisable to get a tetanus vaccination.

If you step on a rusty nail, you need to treat the wound with iodine, alcohol, 3% hydrogen peroxide aqueous solution. Stop the bleeding. Find a plantain, pick the leaves and wash them. Chop one leaf with a knife and place on another. Tie to your leg. Change the plantain bandage regularly. Plantain juice has therapeutic effect, pulls out all the evil spirits from the wound. There are no surgeons in the villages. They can only save themselves by eating plantain. If you do everything at once, then everything goes away without complications, but if you don’t treat the wound and tie the plantain, then you can’t do without a traumatologist. You can use Kalanchoe and aloe.

Wash the wound, disinfect it and bandage it - this is great, but you usually step on a rusty nail not at home, and you are unlikely to carry a huge first aid kit with you. But you still have to get home, and if you have a wound on your leg, then stop the bleeding.

In such cases, therefore, I always use one very old, but proven and reliable means- BF glue. It’s already a hundred years old, but it helps without fail. It will just hurt a lot at first, you will have to be patient. But it will kill the germs and immediately close the wound, and will help stop the bleeding.

There have been several cases in my life when I stepped on a nail with my heel (sole). This is very painful injury. You'll just be limping for at least a week from pain alone. In addition, dirt from rust will definitely get into the wound, and it can penetrate very deeply - getting it out of there will be problematic.

Needs to be poured into a bowl warm water(not hot, but warm), add a few crystals of potassium permanganate. Keep your foot in the water. Try to massage the sole, try to squeeze out the dirty blood from the wound...

As a rule, little blood appears. Either it curls up inside, or it doesn’t curl up in the heel. large quantity blood vessels, Don't know...

The main thing for you is to remove the infection from the rusty nail. If this is not done, the heel will tear for a very long time (up to a month).

If you are lucky and the infection is removed, you will only limp a little (about a week) - that's all. If you are unlucky, it will break out.

1) Make sure that as much as possible flows out of the wound. more blood. Massage, squeeze. There is no need to stop the bleeding right away. We need to wash away the infection.

2) Rinse with vodka (traumatologists rinse with a 50% alcohol solution) Just from the outside, but thoroughly. The whole foot.

3) bandage with a piece of gauze (several layers) soaked in vodka. Bandage at least 3 times a day (morning, afternoon and night). If you have the opportunity more often, it won't hurt.

4) At night it is better to bandage with bandages soaked in saturated solution salt (without vodka...). Salt is a powerful adsorbent. As it dries, it draws out all the gunk from the wound. It is forbidden saline dressing cover with bags. The bandage must breathe.

5) Tetanus vaccination is required.

6) To prevent suppuration, you need to take the antibiotic Cifran*ST (ciprofloxacin hydrochloride 500 mg + tinidazole 600 mg) for 5 days, 1 tablet at an interval of 12 hours for 5 days (10 tablets in total)

7) Try not to step on your foot for three to four days. The wound will begin to heal further it will go fast healing.

8) Contacting a traumatologist has 2 purposes: a) tetanus vaccination (mandatory), b) sick leave. If you don’t need sick leave, and you can get a tetanus shot (given under the shoulder blade) more in a simple way, I don’t think a trip to a traumatologist is necessary. At least I wouldn’t go again another time. I spent 4 hours on the first visit + was forced to go to the doctors the next day. With each such trip, the leg turns red, swells and begins to bleed again. But the traumatologist does nothing other than what is described. More serious intervention will be required if your leg festers, but this will only become clear after a long time.

Two of my friends stepped on such nails and didn’t even go to the doctor; they managed on their own, but I would go to the medical center myself, there’s definitely a risk of tetanus! First aid - wash the wound with hydrogen peroxide and treat the edges with iodine.

I've come across this kind of thing many times. My actions:

1) get a nail;

2) find a similar object, heat it up and put it into the hole in the leg;

3) despite the pain, hold for 30 seconds (this kills the infection).

If the latter scares you, wash the wound with laundry soap (there is that old scoop soap). High concentration alkali also disinfects. If you get sick in the city, go to the doctor and order a tetanus shot. Privika has been working for about five years.

• • the wound should be washed with as much blood as possible. Do not rush to stop squeezing out everything that comes out;
  • do not disinfect the wound and the entire surface of the skin around it with vodka, alcohol;
  • Of course, bandage it with a piece of cotton wool or a bandage in a few words, soaking it in vodka or alcohol, bandage it a couple of times a day, no less.
  • contact a traumatologist - you need a tetanus vaccination;
  • when dressing at night, use saline solution instead of vodka or alcohol. Salt also disinfects and draws out dirt. In this case, there is no need to close the bandage - it should breathe and dry;
  • take an antibiotic;
  • Until the wound begins to apparently heal and heal, it is better not to step on the sore leg.