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Road Rash(10 posts)

Road Rashtoronto-rider
Aug 28, 2002 6:47 PM
Tonight at a race I took a fall, and have a some missing skin on my elbow and thigh. What is the best way to treat road rash so it does not get infected? Should I put pollysporin on? What kind of bandage should I use? How often should i change the dressing?
Thanks Gary
re: Road RashPhatMatt
Aug 28, 2002 6:51 PM
This is from a Harley Rider believe it or not. Us Solicane and treat it like a burn as that is what it is. Use non stick bandages

Matt
re: Road Rashflybyvine
Aug 28, 2002 9:12 PM
I agree that you need to treat it like it is a burn - keep it moist. It is a bit hard on your elbow (I just let those scab) but on your thigh I just clean, wipe gently with Betadine (not too much), put some burn gel on it (Intrasite Gel) and then cover with a transparent plastic burn dressing (I can't remember the name but it is clear with adhesive around the edges). I tend to change the dressing, re-betadine & re-gel every day.

This method will clear up in around a week with almost no scarring.

I have heard that larger rashes have been done with Cling Wrap & duct tape. Just make sure you use the gel (or a dressing with Gel incorporated) so the new skin doesn't stick to the dressing. It will ooze for a few days & come out the bottom of the dressing, this I try to control with stips of tape around the outside of the dressing. After a few days the ooze should stop & the dressing should be OK on its won (i.e. no tape).

That's my experience (limited luckily).
Make SURE you get NON-stick gauze! nmempacher6seat
Aug 28, 2002 9:58 PM
re: Road RashMXL02
Aug 29, 2002 3:04 AM
Keep moist, best dressing is Xeroform gauze, impregnated with bismuth which is an antimicrobial. Change the dressing once daily in the shower sothe water will loosen up the xeroform. If you keep it clean and moist, it should heal no problem.
Tegaderm..GTDave
Aug 29, 2002 5:19 AM
From 3M, great stuff
I'll second that, and add "Liquid Skin"off roadie
Aug 29, 2002 6:05 AM
I don't get much road rash, but last summer my right knee was a "permascab" from daily MTB rides. I work in a vet clinic, and the vets gave me some Tegadrm. Worked really well. Its an over-the-counter product, though you may have to go to an online medical supply house or have your pharmasist order it.

What's also handy is "liquid skin". Its an aerosol or botle liguid antiseptic that also forms a clear hard film after its appliend, kinda like a clearcoat for skin. Stings like hell going on, but its got clove oil that kills the pain after a few seconds. I keep a bottle in my bike kit. It really helps cut down on infections, and makes riding home after a crash much more comfortable- it numbs you up some, and keeps sweat out of the wound. I like the aerosol, but the nozzle clogs easily, so the regualr bottle may be better.
re: Road Rash- from a plastic surgeonrrodrigz
Aug 29, 2002 5:26 AM
I not only treat plenty of wounds, I have had the pleasure of experiencing large road burns myself. Here's the lowdown:
You need nonstick to protect whatever reepithiliazation going on (growing skin back), but you also need debridement (getting rid of junk on the surface of the wound. Moist dressings are good at helping reepithiliazation but not so much at debriding. "Wet to dry" dressings such as gauze are better at debriding but are more painful and can disrupt reepithialization. In the old days I would use wet to dry on the first few days to get rid of the "dirt tattoo". Your wound itself will be putting out a lot of exudate so a gel at this point is kind of redundant and will not be that great at removing crud from your wound. After two or three days switch to a gel, if your wound looks clean. A good trick to remove the wet to dry gauze is to soak in a bath until the gauze comes of easy. THE BEST WAY is to use MEPITEL. It is a perforated silicon dressing that is non stick. The use a wet to dry gauze on top of it. It will wick off crud thru the perforations. It holds well in joints. Wrap the whole thing with a mesh stockinette as you see the pros wear. It bends well to accomodate motion and provides compression. Finally a word about compression- everything heals better witha little bit of compression especially in the lower extremities. It should be snug but not tight. Hope this helps.
re: Road Rash- from a plastic surgeonMXL02
Aug 29, 2002 6:30 AM
Where do you practice?
How does that match up with the wet&gooey or dry&crusty debate?PdxMark
Aug 29, 2002 8:36 AM
So if I understand... it sounds like "wet & gooey" (keeping the rash moist & covered), especially at first, helps to clean things up so they can heal. Is that right? Initial wet & gooey doesn't need any gel, but after a couple days a gel helps... more wet&gooey. Is it ever helpful to let the rash scab-up ("dry&crusty")?

We had this discussion on a ride this weekend. Another friend who wasn't there recently had a bad crash, so he has enough rash to try 3 treatments... wet&gooey, dry&crusty, and some skin-like dressing 9not sure what it is) to see which heals fastest and best.