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Good news/bad news...(11 posts)

Good news/bad news...HAL9010
Jan 7, 2003 11:40 AM
The good news is that here in SoCal it is sunny and 75+.

The bad news is the wind is blowing about 700mph.

What are some suggestions for aiding in the healing of a nasty asphalt road rash on the hip and side of the leg? Yes, my shorts were torn too, sob sob.

re: Good news/bad news...eschelon
Jan 7, 2003 12:47 PM
Leg: lots of ace bandage with non-sticking first aid pads and lots of neosporin or other topical antibiotics

hip: same thing with the topical ointment thing...but use taping/bandaging resistent from coming off...better the sticking material the better

And most importantly, change and clean the bandaging often during the day. In a few days, you are going to have to start sleeping overnight without the bandaging so that the exposed flesh can start drying up and form a coagulated shell and therefore not need to wear bandaging throughout the day.
Vitamin E OilMisJG
Jan 7, 2003 12:49 PM
You can buy the pills and pop them with a pin to get the liquid out. Heals cuts and fades scars.
re: Good news/bad news...Sadlebred
Jan 7, 2003 12:56 PM
Tegaderm is the best stuff for road rash. You can leave it on for a few days. All of the gals on my team swear by it! It is made by 3M and can be found at most drugstores. If it isn't out, ask at the pharmacy counter.
Second the Tegadermkatie1
Jan 7, 2003 1:29 PM
We use it at the hospital for wound care. It is great stuff!!! It can be pricey but worth it. Good luck! Remember, if you keep the wounds moist (i.e. covered), it will prevent scarring. Scars occur once the wound scabs over.
Thank you allHAL9010
Jan 7, 2003 2:55 PM
I will give the Tegraderm a shot. So far I have been using a Triple Antibiotic ointment ("with pain relief" no less!) and tons of nonstick dressings. Luckily I don't scar easily.

Ya see I was rounding a hard right corner at speed when my front wheel washed out. Down I went and slid. And just one block from home on my way back from my ride. It seems that my front tire started to slowly lose pressure some where along my route.

So much for preventative maintenance... I ALWAYS check my tires for cuts and such, wiping them off for inspection and then pump them up to pressure right before I ride. This time was no different. The pinhole was on the INSIDE, rim side of the tube, not the tire side???

Oh wo is me, alms for the poor?

Thanks again for the advice.
MD here with pertinent advice-long but worth itrrodrigz
Jan 7, 2003 3:46 PM
Superficial to moderate road rash wounds go through different phases of healing. During the first 2-3 days you want to get rid of all the contaminated grit(source of infection) without tearing up whatever normal or injured skin appendages(source of new skin cells). If you use Tegaderm (a "closed" dressing) during this phase you risk bacterial overgrowth, infection, and further scarring. If you scrub the tissues to get rid of the grit and "road tattoo" you risk injuring the remaining skin appendages and turning the wound to a "third degree" injury(you don't want that). If you use gauze pads to gently debride the tissues, make sure you love pain and bleeding because you'll experience both as you pull off the dressings. Better to soak the area until the dressings come off easily. The best dressing at this phase is Mepitel, a perforated silicon dressing(does not stick to skin, I use it even on fresh skin grafts which are notoriously fickle). Lay it on top of the wound then get gauze pads to lay over the Mepitel. When you change the pads you can leave the Mepitel on. The pads collect the debris(dirt) and exudate(what oozes from your wound) while protecting the viable skin appendages. Do this 2-3x/day. You can take the Mepitel off for a bath or shower then place it back on. After the second or third day, the wound is cleaner and the focus changes from decontamination to letting the tissues heal faster. They do better on a moist wound envyronment. At this point Tegaderm is OK although if the surface area of the wound is large it tends to get sloppy and the exudate can leak out. Ointments are OK too at this stage. Vaseline gauze is cheap and does the trick, cover it with a gauze pad and change daily. Throughout this whole period use compression, such as an ace wrap. Tissue swelling is an enemy of healing. Compression will make healing go faster and decrease pain. Vet shops sell Coban Wrap cheaper than pharmacies, and I love it because it sticks to itself, unlike ace wraps which can unravel. Good luck, I hate road rash too.
Re: advice-long but worth itHAL9010
Jan 7, 2003 4:01 PM
Again, Thanks. I crashed last Thursday and have been changing the dressings regularly. I have no signs of infection and it seems to be progressing (towards healing). It's just still tender as you can well imagine especially when I get it wet in the shower. I'm awake then! The sting does subside in a bit and then I can go at it with the soap.
also available cheap from vet supply:lonefrontranger
Jan 7, 2003 4:19 PM
Topical Lidocaine and/or Lidocaine gel. Get some, use it. It will definitely help you get the dirt out better and helps a lot with sleeping better that first couple of nights.

Peroxide is okay for a first-strike disinfectant, but use it sparingly as it promotes granulation tissue (read: scars).

I use elastic "burn" netting instead of ace bandages or "vet-wrap" (what we used to call that stretchy stuff that sticks to itself). It breathes better and is washable and reusable.
also available cheap from vet supply:40ftmushroomcloud
Jan 7, 2003 8:38 PM
Yo punk! Tire black is what I use as a first strike.
and it makes a 40 foot mushroom cloud, right?lonefrontranger
Jan 8, 2003 7:32 AM
Yo dawg, good to see you! Things must be boring at the shop.