• The fingertip or toe has been partially or completely amputated.
• Major bleeding doesn't stop after 10 minutes of pressure.

1. When to See a Health Care Provider

• The finger or toe is deformed, which may indicate fracture or dislocation.

• The wound looks deep or long enough to need stitches.

• Discoloration or a bruise under the nail covers more than a quarter of the nail or there is continuing, intense pain.

• The nail is completely torn off or partially cut off from a crush injury or cut.

2. Stop Bleeding

• Apply direct pressure with a clean cloth.

3. Clean and Protect the Wound

• If the nail is torn, use sterile scissors to cut off rough edges to prevent further injury.

• Clean the wound and torn nail area with soap and warm water.

• Apply antibiotic ointment and bandage.

4. Treat Symptoms

• For swelling, ice the area.

• For pain, give acetaminophen (Tylenol) or ibuprofen (Advil, Aleve).

5. Follow Up

• Continue to use ice and over-the-counter pain medication as needed. Pain and swelling should clear up within a week. It can take several months for a nail that has separated from the nailbed to grow back.

• Change the bandage daily. If signs of infection develop -- such as pus, redness, or heat around the nail or a red streak extending from the wound -- call a health care provider promptly.

• The person may need a tetanus shot or booster, depending on the date of last booster shot.

• If the person sees a health care provider, the health care provider will determine if there is a fracture or if tissue under the nail needs repair and may remove the nail to make the repair. The health care provider may make a hole in the nail to drain blood and give a tetanus shot if needed.