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Old 07/23/09, 10:03 AM
Join Date: Jun 2005
Posts: 1,252
My son stepped on a nail last night

Not just any nail but one from a very old (20 years or so) structure I was taking down in the turkey coop.

The nail was old, rusty, attached to a board that was laying in mud (we've had lots of rain) in a pen that had pigs last year and turkeys this year.

He is 9 and had a tetnus shot 4 years ago but I am concerned about infection. I made him a doctor's appointment for this afternoon.

My husband (who is very anti-doctor) thinks I'm being ridiculous and he'll be fine.

He woke up about 5am with it throbbing and I gave him some tylenol. I put some hydrogen peroxide on it last night but there could be bacteria up in it that the HP can't get to.

Am I overreacting?


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Old 07/23/09, 10:04 AM
WindowOrMirror's Avatar
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Join Date: Jan 2005
Location: northcentral WI
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no, you are not. A doctor's visit is warranted unless you have the medical training to flush the wound. If it's deep, take him in.

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Old 07/23/09, 10:06 AM
JIL JIL is offline
Join Date: Aug 2007
Posts: 946

he will get another tetanas once he sees the dr since it's been 4 yrs and a rusty old nail. watch for a red streak. No you are not over reacting a puncture wound can be a nasty thing. keep us posted. i will say a prayer for healing in Jesus name! JIL

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Old 07/23/09, 10:08 AM
7thswan's Avatar  
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Location: michigan
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Soak it. Yes trobbing is bad, puntures need to stay open. Tetnus shot dosen't stop Blood poisioning.

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Old 07/23/09, 11:16 AM
watcher's Avatar
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I'm anti-doc as well because 90% of the stuff people go to the doctor for they could very easily treat themselves. With that said, puncture wounds are a near automatic dr visit and a deep puncture wound from something outside the house IS an automatic visit.

Such wounds must be allowed to drain and heal from the inside out which means it must remain open. While if it were necessary you COULD do this at home the dangers of infection very much out weigh any possible reason for not going to a doctor.


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Old 07/23/09, 12:05 PM
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Yep... what everyone else has said. One of the few things that are automatic is a puncture wounds.
And if you have any doubts...
A friend's kid was somewhere in the woods he wasn't supposed to be and stepped on a nail. He didn't tell anyone because he didn't want to get in trouble for disobeying....
That was one sick kid and darn near died. Serious hospital stay. Sent home with an IV still in and carried a bag with a line in for something or other for another month etc...
He was 9 too.
It was a bad, bad, bad scene!

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Old 07/23/09, 12:39 PM
Join Date: Dec 2003
Posts: 3,693

I skip doctors visits quite regularly, lapping up my own lacerations and such. Been known to set my own broken bones and things even.

Get the kid to a doctor and don't play around. A deep puncture by a rusty nail laying in the mud of a livestock barnyard is not something to play around with. Tetanus is quite unlikely, but there's a whole bunch of other stuff that's a whole lot more likely.

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Old 07/23/09, 12:49 PM
Join Date: Nov 2005
Posts: 362

I stepped on a screw last summer. Actually bled alot, but I knew it was nearly 10 years since my last tetanus shot. So I went in for the shot, the Dr (a friend of mine), saw me there and asked to look at it. She cleaned it out and cut away the dead skin and prescribed antibiotics. It was a smart thing to do. By the time an infection would become symptomatic its could be too late. As it happened I did start get symptoms, but the antibiotics were already fighting so not a big deal. A week later we had a goat get sick with tetanus, so it happens.

BTW, second time I had seen a dr since we moved here 5 years ago. Drs do come in handy on occassion. This is a time its warranted.

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Old 07/23/09, 01:40 PM
Join Date: Jun 2005
Posts: 1,252

Well, my husband took him to the doctor (I am at work). By the time they got there it was showing signs of infection (red, puffy and starking to get red streaks). He stepped on the nail last night after dinner so that didn't take long.

They gave him 2 different types of antibiotics. I'm not sure what they are yet since I haven't seen the scripts. He's getting them filled now.

I sure am glad my husband took him in. I kept telling him I was worried about infection.

Anyway, please pray that these antibiotics do their job and clear this up!



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Old 07/23/09, 01:58 PM
Gary in ohio's Avatar
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what kid on a farm has not had a nail in the foot. Clean it out, get a tetanas shot, smack him on the but and tell him to watch out next time.


Gary in Central Ohio

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Old 07/23/09, 02:56 PM
Join Date: Apr 2007
Location: Kentucky
Posts: 3,212

I did that years ago. Had to use a crow bar to pry the board off of my shoe! It was horrid. A doctor visit is not over doing it. I'd opt for antibiotics as a just in case. And hydrogen peroxide always works for me. Poor kid, that's gonna hurt a while. Mary.

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Old 07/23/09, 03:06 PM
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soak the wound in a solution of Epsom salts and hot water, as hot as he can stand! i soak wounds at least 3 times a day or as the wound gets dirty on all critters!. check on the tetanus was a good idea!


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Old 07/23/09, 03:55 PM
Join Date: Mar 2005
Location: Bartow County, GA
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Yup, just had a similar issue. My Doc advised to do what Ford Major said. I needed to take antibiotics also for the bacterial infection..

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Old 07/23/09, 04:03 PM
Danaus29's Avatar  
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Location: Ohio
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Epsom salts does wonders for deep wounds and infection. Soaking will keep the wound open so it can drain. The throbbing was an indication of infection. Even with the antibiotics you don't want this wound to heal over until the infection is cleared out. Lancing and draining later is much worse than the original wound. Get the kid some new shoes (if he had shoes on and the nail penetrated the sole) and make him wear shoes until the wound is clear and healed. You don't want new dirt in the old wound.

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Old 07/23/09, 04:51 PM
spring chick
Join Date: Jul 2009
Location: Washington
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Puncture wounds are particularly prone to infection because the bacteria can get pushed in so deep you can't wash it out so I think it's a good idea. Worst case, your son gets another tetnus shot and you don't have to worry so much the next time he steps on a nail. Personally, if I can afford it I'd rather go to the doctor than die of something stupid.

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Old 07/23/09, 05:20 PM
Join Date: Aug 2008
Location: Indiana, USA
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When I was a kid (45 years ago), living on an old farm, I probably stepped on a 100 rusty nails (not all at one time ).

Since he has had a tetanus shot, I'd pass on the doctor, unles it get infected.

What will a Doctor do anyway, other than inject antibiotics, even though he may not need them?

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Old 07/23/09, 05:28 PM
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I'm so glad your husband took him in - sounds like he already had an infection going on.

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Old 07/23/09, 05:41 PM
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Location: IA
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I think you made a wise decision. Sure glad your DH got him in for the appointment.

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Old 07/23/09, 08:31 PM
Join Date: Feb 2009
Location: TX
Posts: 291

The last few construction jobs I worked, I seemed to step on nails about once a week. I had a recent tetanus shot, so I never went to the doctor. However, I would always take my child to the doctor for something like that.

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Old 07/23/09, 09:30 PM
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Join Date: Sep 2004
Location: AR
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a shot is good for anout 10 years now
any puncure will get red and throb , red lines well thats a little fast for blood poisoin


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