Protocol 27 should not be used for which type of wounds?

• A. Insignificant peripheral puncture wounds such as household pins, needles, tacks, or stepping on nails
• B. Deep puncture wounds
• C. Gunshot wounds
• D. Burns

Answer: (A)

Wounds are handled differently based on how serious they appear. Protocol 27 is intended for injuries that carry higher risk and require more thorough assessment and management. Very small, superficial puncture wounds from household pins, needles, tacks, or stepping on a nail are considered insignificant and can be managed with basic first aid (clean, dress, monitor) without the more involved steps of Protocol 27. Applying Protocol 27 to these minor wounds would be unnecessary and could delay simple care.

For deeper puncture wounds, gunshot wounds, and burns, there is greater concern for tissue damage, contamination, or systemic effects, so the structured guidance of Protocol 27 is appropriate to ensure proper evaluation, wound care, and monitoring during transport.