My daughter has puncture wound of the arm. where do i start?

Arm Puncture wound: Get it evaluated in an er or urgent care. History and physical are required to assess for deep structure involvement, retention of foreign bodies, possible neurovascular damage, possible radiologic evaluation, updating tetanus status, etc. No other treatment may be required.

Visit your doctor: Puncture injuries should be seen by a physician or emergency facility to insure nothing foreign remains in the wound, that it is carefully cleansed, and routine wound care be instituted. Punctures are different than simple cuts, and are often treated with preventative antiobiotics. Be certain her vaccinations are up to date.

Cleanse it: Irrigation of a puncture wound with an antibacterial solution or 1/2 strength hydrogen peroxide or even clean soapy water will kill most bacteria in the wound. Follow up with triple antibiotic ointment or other antibacterial. Continue twice daily until closed. Remember a tetanus booster if she's due for one.