Final answer:
For a child with puncture wounds, initial care would include cleaning the wound, applying direct pressure to stop any bleeding, and seeking medical attention for further assessment and the possibility of emergency imaging or blood transfusion if severe blood loss is suspected.
Step-by-step explanation:
For a child with puncture wounds, the initial care technique involves cleaning and protecting the wound to prevent infection, and administering proper fluid replacement if there is significant blood loss. Direct pressure may be applied to control bleeding, and medical evaluation should be considered to assess the need for imaging, such as MRI or CT scanning, to locate internal injuries. However, straightforward tools like a cotton-tipped applicator can help assess external damage if imaging isn't immediately available.
In the case of a scraped knee or an abrasion, the area should be cleaned to prevent pathogen entry. If the wound becomes increasingly painful, red, and swollen, it may indicate infection, necessitating medical attention. Additionally, in serious trauma cases such as those sustained in motor vehicle accidents, where critical bleeding occurs, emergency blood transfusion may be necessary, using O-negative blood or type-specific blood if previously typed.