JACKSONVILLE, Fla -

Shirley James raised five kids and now she's got the grandkids part-time.  She knows from experience the girls can be just as active as the boys.

"My daughter was playing and running behind the dog and she fell and hit her head, so did my son running," says James.

Both kids needed stitches and James knew right away it was serious.

"Because of the length of it and then it was bleeding really bad," says James. 
These are all signs that you need to call in a professional.  UF Shands emergency doctor Tom Morrisey says for kids the dangers are everywhere.

"It's everything, it's the street, it's debris, it's branches, pieces of metal," says Morrisey.

Dr. Morrisey says the first thing you need to do is assess the damage by cleaning out debris and any blood.

"My first move is to go get the garden hose. There have been a lot of studies that show the first thing to do to reduce infection and increase chances of increased healing is to clean it out," say Morrisey.

Run the wound under water for 5-10 minutes.  If it won't stop bleeding, is gaping, there's damaged tissue underneath, or especially if it causes a body part to stop working you need to see a doctor fast.

"A lot of people don't realize that but if you have a wound that needs stitches it's going to heal a lot better if the stitches get in early," says Morrisey.

You have 6 to 12 hours to get stitches on parts of the body with a good blood supply, areas like the scalp or face. On the feet, shins or hands you need stitches within 6 hours.  Dr. Morrisey says the next thing to watch for is infection. 

"Most of what we tell them is how to watch for signs of infection. That's what we worry most as those wounds are healing," says Morrisey.

Signs that a wound is infected are redness, a red border more than the width of your finger, puss or a foul smell coming from the wound, nausea and vomiting.