Insta keto If the wound is caused by force or significant trauma or trauma and injures other areas of the body If the bleeding cannot be stopped even with constant pressure and elevation If there is a concern that the wound needs repair with stitches. It is important to think about the size and area of the wound. Most facial sores may need to be repaired for cosmetic reasons, especially if the wound involves the lips or eyesIf the wound is caused by an animal bite due to possible consideration for rabies immunizationIf the wound is very dirty and cannot be easily cleaned.If there is evidence of infection including redness, swelling, pain, and pus in the wound. http://www.fabulamaps.com/