wound with build up of blood under skin

[Wonder-Full]

Today 4yr old dd was at the park with dh and ds and she climbed up to the top of a play structure and knelt on a piece of broken glass (:mad:). It went through her thick tights into her knee and bled a lot. DH removed the slither of glass (it went in at an angle and sliced under the skin as well as taking out a small chunk at the entry) and returned home.

I wiped it down (no dirt or grit due to tights), poured hydrogen peroxide into the wound and then applied some 15% manuka honey onto the gauze of a plaster and stuck it on.

I also gave her both ledum and hypericum homeopathic remedies.

After a bath a few hours later I reapplied the HP and honey/plaster.

I noticed though that there was a collection of blood at what I presume to be the end of the internal part of the wound and it had swelled up a little.

Is this blood collection of concern and does it need further attention?

[Momtezuma Tuatara]

Does she indicate that she thinks there is still something in there?

[Barefoot]

I would add Silica in to the mix of Ledum and hypericum if i suspected there may be splinters left in the wound.

[Wonder-Full]

MT, she seems comfortable with it. Is sitting on the floor with her knees tucked up without a worry.

Barefoot, thanks, I will give her some silica too.

Have just changed the dressing and applied more honey on a plaster. It appears more smoothed out now and the blood had dispersed a bit (some oozed out?) and blackened opposed to the blue it appeared yesterday.

[Quickening]

The honey will draw out blood or splinters. It sounds like the honey is doing its job. I saw something similar when DS had a flap wound and blood collected under the skin, but honey drew all the extra blood out, you just need to do dressing changes if using honey.

[Wonder-Full]

Thanks quickening. I did wonder if it was drawing it out coz there was quite a bit of ooze on the plaster this morning but wasn't "bleeding" as such (just had to keep dd away from licking it all off last night after the bath since the honey was mixed with ooze :eyeroll:).

So how often would you change the dressing (fortunately 2 platers x-ed over each other keep it contained unless I put too much honey on it)? I'm not sure whether to re-do it again this evening? And how long to keep up with the honey and it being covered? Until the layers of skin regrow and seal over completely?

[Momtezuma Tuatara]

I'd change it as often as you need to.. it depends on the plasters used, and how much ooze there is.

I'd keep dressings on it (though not necessarily the honey ) until the skin is new and pink and you know the healing is complete. Be aware though that that skin needs to toughen up, and is fragile for a while....

Being winter, if you keep her in trousers, that would protect her a bit from opening up the skin if she fell.

[Wonder-Full]

Thanks MT.

Yep to the fragility, I recall when ds lost the end of the fleshy part of his toe it didn't take much for him to restub it and remove the top layer of skin over the next 6mths.

It's amazing to think of covering over wounds like this as they heal - it seems such a "normal" thing to think of letting a wound dry out and scab over as being the best form of healing. The first time I observed a covered healing was ds's toe and it was fascinating watching the outer layers of skin grow in until there was just a pinprick in the middle that needed to seal over (but that could have been more obvious due to the clean removal of the end rather than ragged looking as well).

[Momtezuma Tuatara]

It's amazing to think of covering over wounds like this as they heal - it seems such a "normal" thing to think of letting a wound dry out and scab over as being the best form of healing. The first time I observed a covered healing was ds's toe and it was fascinating watching the outer layers of skin grow in until there was just a pinprick in the middle that needed to seal over (but that could have been more obvious due to the clean removal of the end rather than ragged looking as well).

so much advice today, is absolute rubbish. To me, the above is just sheer laziness, and the scarring that results can be appalling.