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What People Get Wrong About Wound Care

Wound Care: what people commonly get wrong, set against what published UK guidance says.

Ben Halvorsen, MSc, CSCS Strength and conditioning coach 3 min read 1 views
What People Get Wrong About Wound Care

Most minor wounds heal regardless, and the ones that do not are usually the ones that were cleaned badly or missed a tetanus risk.

Key takeaways

  • Cleaning: running tap water is adequate for minor wounds
  • Moist healing: covered wounds heal faster than those left to scab in air
  • Most useful single change: Wash your hands, then clean the wound under running water.
  • Commonest mistake: Using antiseptic solutions repeatedly on healing tissue.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

What the guidance actually says

Here is what guidance actually publishes. The rest of the page is measured against it.

Published figures for Wound Care
MeasureFigure
Cleaningrunning tap water is adequate for minor wounds
Moist healingcovered wounds heal faster than those left to scab in air
Tetanuscheck vaccination status for dirty or deep wounds
Antiseptic creamsrarely necessary for clean minor wounds

Where people go wrong

Each of these is common, and each is a mistake in the sense that the guidance says otherwise.

  • Using antiseptic solutions repeatedly on healing tissue
  • Leaving a wound uncovered to "let the air get to it"
  • Ignoring a wound that is becoming more painful after day two

What to do instead

  • Wash your hands, then clean the wound under running water
  • Cover with a clean dressing and change it when wet or dirty
  • Check tetanus cover for anything dirty, deep or from an animal
  • Keep it moist rather than letting it dry out

The part that is genuinely uncertain

Guidance changes, and it changes because evidence does. The figures above reflect current UK guidance from the bodies named at the foot of this page; where those bodies revise their position, theirs is the account to follow rather than this one.

Where to go next

When to speak to a doctor

Seek medical help for a wound that will not stop bleeding, is deep or gaping, involves the face, hands or a joint, contains embedded material, or was caused by an animal or human bite. Signs of infection — increasing pain, spreading redness, swelling, pus, fever or a red streak — need same-day assessment. Check tetanus status for dirty or puncture wounds.

Where this comes from

  • NHS — Cuts and grazes
  • NICE — Wound management clinical knowledge summaries

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Ben Halvorsen

Strength and conditioning coach, and our resident sceptic on anything sold with a before-and-after photo. Writes the programmes he has actually run with beginners, not the ones that look impressive on paper.

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