Wounds up to 24 hours old on the face may be closed after good cleaning. The blood supply in this area is much better and the risk of infection therefore much less. Other medical illnesses. Diabetes, chemotherapy, steroids, peripheral vascular disease, and malnutrition may delay wound healing and increase the risk of infection. Physical Exam Vascular injury.
Direct pressure is the first choice for controlling bleeding.
If a fracture is involved, immobilization will help control bleeding. Do not clamp vascular structures until it is determined if it is a significant vessel needing repair. If the anatomy is suspicious for injury to major vascular structures, obtain angiogram and consider surgical consult. Capillary refill should be checked distally. Bleeding on the scalp is best controlled by suturing of the wound.