Wound / laceration

• Td, Tetanus immunoglobulin (dirty wound, under 3 doses), Amoxicillin-clavulanate (contused, contaminated — farmyard or roadside), Cefuroxime (alternative; or clindamycin 300 mg TDS), Mupirocin 2% ointment (superficial infection), Paracetamol

• Clean and close: Irrigate with saline or tap water, debride; close within 6–8 h (24 h on the face); no antibiotic for clean wounds (NCDC-ICMR 2025)

First visit

• Check tetanus immunisation history — Decides Td and TIG.
• Check distal sensation, movement and pulses — Nerve, tendon or vessel injury.

Only if indicated

• X-ray — Glass or metal foreign body, or a bony injury.
• Blood glucose — Diabetic or poor healing.
• Wound swab culture — Infected wound.