Should You Seek Medical Attention for a Utility Knife Cut?

Cut from a utility knife?

I accidentally cut my left index finger with a utility knife while working.
There was a lot of bleeding at first, but it has stopped now.
The cut seems to be a bit deep, almost reaching the nail (it was a diagonal cut, and the flesh near the cut turned white).
I'm unsure if I need to go to the hospital for stitches.
The utility knife was clean and not rusty, so I'm also uncertain if I need a tetanus shot.
Could you please advise me if I should see a doctor or if normal bandaging and applying ointment would suffice?

Yu Yan, 10~19 year old female. Ask Date: 2020/02/22

Dr. Li Zhonghuai reply Surgery

Hello! There's no rust and no need for a tetanus shot; a small clinic can handle it! Take care! Changhua Hospital cares about you!

Reply Date: 2020/02/22

More Info

If you have sustained a cut from a utility knife, especially one that is deep and has caused significant bleeding, it is important to assess the situation carefully. Based on your description, it sounds like the cut on your left index finger may require medical attention. Here are some considerations to help you decide whether to seek medical care:
1. Depth and Severity of the Cut: If the cut is deep enough that it has reached the underlying tissues (such as tendons, nerves, or bone), it is advisable to seek medical attention. Cuts that are deep, especially those that are close to the nail or joint, can lead to complications if not properly treated.

2. Bleeding: You mentioned that there was a lot of blood initially, but it has since stopped. If the bleeding was significant and you had to apply pressure to stop it, this could indicate a more serious injury. If bleeding resumes or if you notice swelling or increased pain, you should see a doctor.

3. Signs of Infection: After a cut, it is essential to monitor for signs of infection, which can include redness, warmth, swelling, pus, or increased pain. If you notice any of these symptoms, you should consult a healthcare provider.

4. Tetanus Shot: Since you mentioned that the utility knife was clean, the risk of tetanus may be lower, but it still depends on when your last tetanus booster was administered. If it has been more than five years since your last tetanus shot, you may need a booster, especially if the cut is deep or dirty.

5. Wound Care: If you decide to manage the wound at home, ensure that you clean it thoroughly with soap and water. Apply an antiseptic and cover it with a sterile bandage. However, if the cut is deep or if you have any doubts about the proper care, it is better to err on the side of caution and seek medical attention.

6. Potential for Nerve or Tendon Injury: Given that the cut is close to the nail and has caused the surrounding tissue to appear white, there is a possibility that you may have injured a nerve or tendon. If you experience numbness, tingling, or inability to move the finger properly, you should seek immediate medical care.

In summary, while minor cuts can often be treated at home, the depth of your cut, the initial bleeding, and the location suggest that it would be wise to seek medical attention. A healthcare professional can properly assess the injury, determine if stitches are necessary, and provide appropriate care to prevent infection and ensure proper healing. Remember, it is always better to be cautious when it comes to injuries, especially those involving the hands, as they are crucial for daily function.

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