A 35-year-old female presents with a puncture wound on her cheek after an altercation where a piece of glass was involved. The wound is deep and actively bleeding. What are the next steps?
Initial steps should involve controlling the bleeding with direct pressure. Given the location of the injury, immediate consultation with a plastic surgeon may be appropriate as facial wounds often require careful repair to minimize scarring and preserve function. Tetanus prophylaxis should be administered if she's not up to date, and antibiotics should be considered given the potential for contamination from the glass.