Paediatrics@home

Laceration

Your child has been diagnosed with a laceration.

We know this can be a stressful time with lots of information from healthcare providers. It can be difficult to absorb everything.

We hope the following pages will be helpful in providing you with the education and resources you need to support your child from home.

How Are Lacerations Treated?

Your physician may have treated your child’s cut with one of the options below, depending on how deep and large your child’s cut was.

  • Regular wound dressing
  • Glue
  • Steri-Strips (tape)
  • Staples
  • Stitches

What to do at home

Click below for information on ways to help at home.

Pain management

To help alleviate pain, you can give your child acetaminophen (Tylenol) and/or ibuprofen (Advil), so long as your child does not have allergies or other reasons not to take these medications.

Unless your doctor advises you otherwise, give the dose recommended on the medication package. Safe Acetaminophen Dosing for Infants and Children Mount Sinai - Ibuprofen Dosing for Infants and Children

Cleaning

Keep the area around your child’s wound clean and dry for 24 hours after it has been closed. After 24 hours, you may clean the area using soap and water (except when glue was used)

Dressing Changes

You can choose to cover the wound with a bandage. This may protect the stitches or stop them from getting caught on clothing or objects your child touches. Change this bandage or dressing at least once a day.

Caring for Steri-strips

Your child can wash or shower with Steri-Strips on. If the edges come loose, trim the free edge with scissors

If they have not fallen off after 14 days, you can remove them yourself.

Caring for Glue

Glue will fall off after 5 to 10 days.

If you apply a dressing or bandage to protect the glued area, keep the adhesive off the glue.

Keep the area dry. If the area gets wet gently blot and dry, do not soak or scrub.

Avoid Vaseline or petroleum jelly since this weakens the glue’s hold. Avoid Polysporin as this also contains petroleum jelly and will weaken the glue’s hold.

When to Return to Remove Stiches or Staples

Stitches on the face are usually taken out in 3-5 days.

Stitches/staples over joints and areas of “pulling” are taken out in 10-14 days.

Everywhere else, they are taken out in 7-10 days.

If dissolving stitches have not dissolved after 2 weeks, they should be removed.

You can have your child’s stitches or staples taken out by your primary care provider or at a walk-in clinic. Do not remove the stitches or staples yourself. Call your primary care provider the next business day to make an appointment to get your child’s stitches taken out at the right time.

When to seek medical attention

Here are some signs that, if present, should lead you to seek immediate medical attention for your child:

  • the cut becomes very red or warm
  • increasing pain at the area of the cut
  • pus coming from the wound
  • fever/chills

Follow Up

Please follow up with your primary care provider as instructed. Of course, if you feel your child needs immediate medical attention, please do not hesitate to call 911 or bring them to your closest emergency department.

We hope this has been useful. Thank you for using Paediatrics@home!