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Road rash experts... help please.(16 posts)

Road rash experts... help please.5ive
Jul 16, 2002 5:05 PM
I took a nasty spill few days ago and I'm wondering if what I'm doing is wrong. I've been cleaning the wounds with Hydrogen Peroxide, apply anti-biotic ointment, and bandages. It's been 4 days and the wounds still appear quite 'raw'. Is there a better way to treat this? Also, should I avoid taking showers to keep the wounds away from water?

Thanx in advance.
Lose the hydrogen peroxide.Ahimsa
Jul 16, 2002 5:24 PM
That stuff is too harsh unless you dilute it to death. It can actually slow healing.

Clean it with soap and water and scrub it well. Neosporin is fine. Bandages are fine.

I'd say that you should NOT keep it from water.

Change bandages often.

Good luck,

A. (Not an "expert" on anything, but been there.)
Yes, that stuff can kill exposed tissue. -nmTig
Jul 16, 2002 5:31 PM
Moist is bestTig
Jul 16, 2002 5:29 PM
Many people think it is good for an abrasion to scab up and stay dry. This is fine and natural, but the healthiest method is to keep the wound moist with a great product like 3M's Tegaderm dressing.

Tegaderm acts as a second skin and promotes healing and minimizes scarring and infection. Tegaderm does have to be covered with another dressing such as Micropore Tape. It should be changed every 3 days after a shower, or more often if it becomes soiled, wet, or loose.

For more info, check out this site:
http://www.dressings.org/Dressings/tegaderm.html
re: Road rash experts... help please.JuniorRacerFL
Jul 16, 2002 5:29 PM
Im not an expert but, the antibiotic ointment say like neosporin makes it take a little longer to heal. If your keeping it wet it take alot longer to go away and will appear raw for a while. when i got a nasty road rash on my leg on put this thing called Tegaderm which is like a clear bandage that keep it reallly wet and it was pretty raw with like bits of blood visible for about 7 days than it started clearing up without a scab so i dont have much of a scar now. I think it would be a good thing to wash it everynight and get the crappy ointment off and dry the woound and apply new ointment and new bandage.
dang we sure all did post at the same time lol/ nmJuniorRacerFL
Jul 16, 2002 5:32 PM
I agree w/all, and check out..coonass
Jul 16, 2002 5:55 PM
www.bravesoldier.com
Thank you all! You're all awesome(nm)!5ive
Jul 16, 2002 6:02 PM
re: Road rash experts... help please.ripper
Jul 16, 2002 8:12 PM
wet to damp dressings are best (dont let it get dry so you are pulling away tissue every time you take the dressing off.) tegaderm is great. if you keep the dressing/wound wet it wont appear the same as if it scabs over but should heal faster and with less scarring.
re: Road rash experts... help please.R-I-D-E
Jul 16, 2002 8:25 PM
Keep it moist the entire time! It will in fact heal faster. And from experience, I can tell you that Brave Soldier is probably the best stuff going.

RIDE
Moist equals less scarring!gerwerken
Jul 16, 2002 9:46 PM
After you have made sure that everything is out of the wound try to keep the wound clean and moist. Further cleaning will aggravate the skin, making healing slower, and scarring worse (Of course clean it if it gets dirty). Most anti-biotic ointments will do the job. Remember to keep the wound out of the sun even after it appears healed, because tanning makes invisible scars visable, and it will take longer for the scar to go away.
Medical Advicejtlmd
Jul 17, 2002 4:36 AM
I recommend to my patients to clean abrasions 1-2 times a day with soap and water. (Yeah it hurts) Apply antibiotic ointment. Neosporin is fine but bacitracin is probably not as irritating to the skin. Keep the abrasions covered if you want. I don't think it is absolutely necessary if you keep them clean and use the antibiotic ointment. You can use a non-stick gauze dressing available at any pharmacy or the tegaderm suggested above. Regular gauze is fine but will usually stick to the wound and be painful to remove. Definitely stop using the hydrogen peroxide: you may be damaging the healing tissue. Leave any scabs that form alone. They are wonderful natural dressings.

Most important is to watch for signs of infection: increasing redness, pain, swelling, drainage of pus (clear fluid is normal), or fevers. If you see signs of infection seek medical attention.
Advice from a surgeon...MXL02
Jul 17, 2002 6:23 AM
The H2O2 and antibiotic ointment is ok, but simply washing it (in the shower) with good antibacterial soap and covering it with antibiotic ointment and a non-adherent dressing will suffice. The healing time is dependent on the depth of the wound. The less epidermis there is the longer the time it will take to "re-epithelialize" or heal. It may take up to two weeks. Just keep it clean and moist, and you should do fine.
re: Road rash experts... help please.No_sprint
Jul 17, 2002 8:01 AM
Great advice above. I consider myself a road rash expert. If it's really bad, you can get a scrip for Silvadene cream. Road rash has more in common with a burn than a cut. Burn netting to keep bandages in place on knees and elbows, etc. works great.
re: Road rash experts... help please.PBWatson
Jul 17, 2002 11:03 AM
True, burn cremes are better because they allow the wound to drain & do a great job of fighting infection.
Ace BandageKristin
Jul 17, 2002 11:38 AM
Just an addition. I skinned up my entire shin up 2 years ago. At first I tried taping the non-stick gauze over the rash. When I walked the guaze would rub against it and make my hair stand on end. Finally I wrapped an ace bandage over the gauze instead of tape. Ah, releif. Plus it kept my muscle from moving around so much--which also hurt.. It may seem like overkill; but it saved me from a world of pain.