Most often, such injuries occur in the summer. Summer is the time for holidays and trips to the country. Many at this time of the year start repair and construction work. This is where we get different types of injuries - bruises, cuts, punctures. With a large number of injuries, we can cope on our own by giving ourselves first aid. There is nothing difficult in washing the wound and covering it with a band-aid. However, there are situations when it is necessary to consult a traumatologist.
I pierced my leg with a nail, what to do, how to treat? Careless behavior on the infield can lead to quite serious injuries. Поэтому не удивляйтесь, если к вам подойдет муж с вопросом: I pierced my leg with a nail, what to do, how to treat?

First aid
The first thing to do when you step on a rusty or ordinary nail is to remove it from your foot. It all depends on the situation: if he entered shallowly, you can get it yourself. But in the case when the nail is deep in the leg, the help of a medical professional is likely to be required. This is especially true for damage to the child's leg - do not take risks, dealing with the problem on your own, only the doctor knows exactly what and how to do in this situation.

The second action for first aid, if a person pierced his leg with a nail, is to treat the wound and simultaneously examine the damage. For these purposes, there is usually hydrogen peroxide, furacilin tablets or potassium permanganate in the first-aid kit, with which it is necessary to thoroughly wash the wound. Peroxide does not need to be diluted for this, it is sold in a pharmacy, as a rule, in a standard 3% concentration. To create the correct concentration of furacilin, use 2 tablets of the drug per 1 cup of boiling water, which, after dissolution, must be cooled to room temperature. Manganese is diluted to a dark crimson color. When using the last two antiseptics, it is recommended to keep your foot in them for 20-30 minutes for better disinfection. If a person stepped on a nail, other, more modern, antiseptics, such as Miramistin or Chlorhexidine, can also be used. It has a wide spectrum of action, gives a pronounced antiseptic effect, has antifungal and antiviral properties, actively stimulates regeneration and local immunity in case of any wound lesions. Does not require breeding and very easy to use. After treatment, it is necessary to dry the wound with a sterile bandage, treat the edges of the damage with brilliant green or iodine, apply a bandage to prevent infection.

What are the symptoms after the injury?
Swelling is one of the signs of the inflammatory process. If the inflammation is local in nature, then it is associated with particles remaining in the wound. This usually happens when the patient does not seek help from a doctor and tries to wash and bandage the wound on his own. Doing this on your own, given the location of the wound surface, can be difficult. It is also a difficult task to make sure that all the particles that have got in from the outside are washed out. In addition to swelling, you will feel:

Puncture of the foot with a nail with a rusty needle
Soreness. It will become very difficult to step on the affected leg, until you visit a medical institution, you will be "chained" to the bed.
Redness. The skin next to the puncture site will change its color, depending on the stage, the color will be more saturated. The prevalence of the process will increase every day, by the end of the week the entire leg may be burgundy.
Heat. Temperature increase, first locally then systemically. The foot will become hot to the touch. The sensation is unpleasant, given that all the others are added to it.
Function violation. This is due to pain, you will not be able to step on your foot until the condition improves.
Damage to the leg with a rusty nail, why is it dangerous to step on a nail?

!IMPORTANT. If a person stepped on an old rusty nail, the most dangerous complication of such damage can be tetanus. This is an infectious disease in which the entire nervous system is affected, manifested by the development of muscle tone and generalized convulsions up to death. Tetanus is caused by a Gram-positive bacillus that produces highly resistant spores.
To combat tetanus, anti-tetanus serum is used, which must be administered once every 10 years. If the immunization was performed less than 10 years ago, a second dose of the vaccine, even if a person stepped on a nail, will not be required. If vaccination was not carried out or was carried out in a more ancient period, the introduction of serum is necessary. Treatment tetanus, even with the current advanced medicine, is very difficult due to the stability of the pathogen. It is much easier to prevent a disease by administering a vaccine than to deal with the terrible consequences of an infection. Therefore, after providing first aid, in the absence of vaccination, it is necessary to urgently go to the nearest first-aid post for the administration of serum.

Correct course of action:
Remove the nail when it is superficial.
Stop bleeding, either by finger pressure or by applying a pressure bandage.
Seek help at the nearest traumatology, emergency room, emergency department.
Treatment of the wound, washing the wound, applying an aseptic dressing. Prevention of tetanus, administration of tetanus toxoid (according to indications).
Take the full course of prescribed antibiotics and anti-inflammatories.
In addition to tetanus, gangrene and blood poisoning can be considered life-threatening consequences. The development of gangrene occurs due to improper treatment of the wound and further connivance on the part of the patient. When the leg starts to hurt, change in color, sensitivity is lost - some are afraid to go to the doctor. Will you have to cut?
The problem is that the process will not stop by itself, gangrene will continue to crawl higher and higher up the leg. Dead tissue releases specific toxins and substances into the general circulation, which accelerate the death of adjacent cells and worsen the general condition of the patient. Sometimes you have to sacrifice something to save a life.
To prevent blood poisoning, it is necessary to contact traumatology as soon as possible and strictly follow all the instructions of the attending physician.

Infection in the nails
But the main danger is not damage to the tendon or the development of inflammation. Since ancient times, a not very pleasant disease has been known, we call it tetanus. A very capacious and accurate name, given that in the last stage all the muscles of the patient are tensed to such an extent that he cannot assume any other position.
Death is preceded by a long agony, when even the entire medical staff of the hospital cannot help. Thanks to vaccination and the development of a special serum, the incidence and mortality rates have dropped dramatically. But not to zero, infections are still meet. And if patients are treated already in the last stages, it is not possible to cure tetanus.

Local antibiotic treatment
Puncture of the foot with a nail with a rusty needle
If a person who stepped on a rusty nail, after treating the wound and applying a bandage, does not have the opportunity to see a doctor - provided that he was vaccinated no earlier than 10 years ago - you need to treat the wound at least 3-4 times a day and observe for the development of the situation. To prevent infection, in addition to washing with antiseptics, it is recommended to treat the wound with an antibacterial ointment or cream.
"Argosulfan" - an ointment containing silver salt of an antimicrobial substance from the group of sulfonamides, effectively prevents the development of wound infection, promotes regeneration, relieves pain and discomfort. "Baneocin" - two-component ointment or powder with bactericidal and local antibacterial action. It contains two antibiotics that provide a wide spectrum of action, due to which reliable disinfection, rapid relief of the condition and wound healing are achieved.
"Levomekol" is a combined ointment, which includes the antimicrobial component chloramphenicol and the anti-inflammatory regenerating methyluracil. The ointment significantly alleviates the symptoms of inflammation, prevents the development of infection and stimulates regeneration.

Spread of infection
Puncture of the foot with a nail with a rusty needle
If even during local treatment, after some time, the leg swelled up and / or pus appeared, the pain increased, the body temperature increased, this indicates an infection of the wound and the spread of infection. In this case, it is urgent to seek help from a doctor who will prescribe treatment with broad-spectrum antibiotics, indicated for infections of the skin. The doctor may prescribe one of the following remedies. Levofloxacin preparations (Levofloxacin-Teva, Levolet, Tavanik) and other antimicrobial agents of this group have a wide spectrum of action and are prescribed for infections of the skin and its appendages. Antimicrobial agents based on clindamycin ("Dalacin", "Klimitsin") have a high dermatotropy, that is, the ability to penetrate the skin, muscles and other soft tissues, where they develop a pronounced antibacterial effect. Representatives of the group of macrolides and azalides ("Sumamed", "Fromilid", "Rovamycin") are also prescribed for skin infections. They have a wide spectrum of antibacterial activity. As prescribed by a doctor, they can be used in the form of a suspension for the treatment of a child. If