Skin tears usually occur following an injury in people with fragile skin, which can tear like tissue paper. The skin flap often rolls up within the wound. The skin is often too fragile to stitch.

First aid

• if you are able to, gently unroll the skin flap
• apply a non-stick dressing, such as Melolin, or a foam dressing
• secure with a light bandage. Do not use a plaster, as this could cause further trauma when removed
• seek medical help as soon as possible.

Treatment

• the sooner treatment is received, the greater the chance of unrolling and preserving the skin flap
• Steri-Strips may be applied to help hold the skin flap in place and are usually left in place for about one week to allow the skin to unite as much as possible
• a non-stick dressing will be applied
• you will receive a full assessment to identify any risks that could delay wound healing, such as diabetes or poor circulation
• the nurse will decide how often the wound needs to be dressed.

Possible complications

• the skin flap may not fully unite and the wound may take longer to heal
• if the skin dies, it may need to be cleaned surgically
• a non-stick dressing will continue to be used.

Signs of infection

• an increase in pain
• increased leakage
• increased redness
• feeling unwell with flu-like symptoms.

A combination of these symptoms could mean that you have an infection and you may need an antibiotic.

If this happens, contact your GP or out of hours, contact MedOCC on 01634 891855.

Pre-tibial skin tears (on the shin)

• skin tears on the shin can be at risk of becoming ulcerated
• your risk will be fully assessed at the wound clinic
• a support stocking, or padding and bandaging, may be applied from toe to knee to help reduce swelling and improve circulation.

How you can help yourself

• continue with your normal daily activities
• walking is one of the best ways to improve circulation
• when resting, keep your leg elevated.

How to reduce the risk of further injury

• protect your legs by wearing trousers or stockings
• regularly apply emollient cream to your legs
• try to avoid hazards that may cause injury
• if you are experiencing repeated falls, please let us know. You may be referred to the Medway Community Healthcare Falls Service, which can assess your needs and help reduce your risk of future falls.