What is an appropriate initial wound care step for a wound encountered on the field?

• A. Clean with saline and apply sterile dressing
• B. Massage around wound
• C. Apply ointment and leave uncovered
• D. Cover with dry cloth only

Answer: (A)

The first step in field wound care is to clean the wound and then protect it with a sterile dressing. Flushing with saline helps wash out dirt, debris, and surface bacteria without harming tissue, which reduces the risk of infection. After cleaning, placing a sterile dressing over the wound controls bleeding and provides a barrier against further contamination.

Rubbing or massaging around the wound can push bacteria deeper and cause tissue damage, so that’s not appropriate. Applying ointment and leaving the wound uncovered can keep contaminants at the surface and doesn’t provide a sterile barrier. Covering with a non-sterile dry cloth offers poor protection and can shed fibers into the wound. If saline isn’t available, clean water is acceptable as an alternative, but the key is to clean first and then cover with a sterile dressing.