Call 911 if the person is seriously injured or a puncture wound:

• Bleeds excessively
• Spurts blood
• Does not stop bleeding after 10 minutes of firm pressure
• Is to the chest, abdomen, or neck
• Is accompanied by any emergency symptoms: severe pain, fast breathing or trouble breathing, vomiting, dizziness, unconsciousness
• Is to the eye or in the throat. Leave the object in place. Keep the person calm.

Call or see a health care provider immediately if:

• The object that caused the puncture wound cannot be easily removed
• The puncture wound is deep, on the face, or touching bone
• The wound is visibly dirty
• The wound is an animal or human bite
• The wound occurred through the bottom of a shoe -- stepping on a nail, for example

1. Remove the object if you can

• If the object that caused the puncture is small and you can easily remove it, do so.

Source: WedMD www.webmd.com