Signs of Scalp laceration (Scalp cut)

Scalp Laceration (Scalp Cut)

Description

Most likely occurs after blunt trauma. The majority are easily repaired. Fractures of the skull and injuries to the brain can occur. Further workup depends on the mechanism of injury and the symptoms experienced. If confusion, weakness, loss of consciousness, or vomiting occur with the injury immediate medical attention in an emergency department should be obtained.

Symptoms

Pain, bleeding, tenderness.

Tests

A history and physical exam will be performed. The wound will be explored to look for skull fractures. A CT scan may be done to look for skull fracture or brain injury.

Standard Workup

CT Scan

Treatment

Repair of the laceration with sutures. Associated skull fractures require neurosurgical evaluation. Scalp lacerations should be repaired within 12 hours to prevent infection. While waiting for treatment the laceration can be cleaned with running water and covered with gauze or a clean cloth. Pressure on the wound can be applied to stop bleeding. If the bleeding is profuse consider calling 911. A tetanus shot may be needed if the last shot was more than 5 years for a dirty wound or more than 10 years for a clean wound.