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Road rash - eughhh!
 

[Closed] Road rash - eughhh!

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[#5233786]

Took a wee tumble from the road bike on Saturday and took a layer of skin off my knee, about 2" wide by 4" long. Not a clever thing to use as a brake.

It's all cleaned up and antisepticed and bits of dirt and stones now it's just oozing profusely. I've got a melanin dressing held on with a bit of micropore tape to stop it moving and a tubigrip to keep it in place. Even melanin is sticking to it and because it's bending it's not exactly comfortable.

Any ideas how I can make it heal and stop hurting with things available in a normal pharmacist?


 
Posted : 10/06/2013 4:51 pm
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Try some E45 cream on it.


 
Posted : 10/06/2013 4:54 pm
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Pour some vinegar on it ๐Ÿ˜‰


 
Posted : 10/06/2013 4:59 pm
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sudocream?


 
Posted : 10/06/2013 6:16 pm
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Pics?


 
Posted : 10/06/2013 6:18 pm
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E45, shave your legs in future for easy cleaning ๐Ÿ˜‰


 
Posted : 10/06/2013 6:18 pm
 bigG
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Get some mipore dressings, let it dry if you can with nothing on it at all for a day, then once it's dry use sudocreme on it to soften the scabs, that way you'll heal fast and still have pretty knees. If you want scars, let them dry, scab and pick the scabs off.


 
Posted : 10/06/2013 6:33 pm
 69er
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I recommend a trip to A and E if it's hurting more than it should. Is it red around the edges? Tender? If you start feeling woosey get there asap.
A word of warning - I got blood poisoning through road rash. It was cleaned in hospital using saline and a stiff toothbrush by a sadistic nurse. She definitely enjoyed it.....


 
Posted : 10/06/2013 6:55 pm
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Iodine...actually don't.


 
Posted : 10/06/2013 6:59 pm
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My grandfather used surgical spirits on me when I binned my bike on gravel as a kid. Wouldn't recommend it but it cleaned the wound a treat.


 
Posted : 10/06/2013 7:01 pm
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I was just about to say that my gran used to dab any knee grazes I got as a kid with a bit of petrol splashed on her hanky. Probably went on the same first aid course as your grandfather ๐Ÿ˜€


 
Posted : 10/06/2013 7:04 pm
 Muke
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Savlon Spray Plaster

just dont put it on your [url= http://singletrackworld.com/forum/topic/psa-savlon-spray-plaster-vs-fin-de-la-cloche ]fin de la cloche[/url] ๐Ÿ˜€

warning... may smart a bit when applied.


 
Posted : 10/06/2013 7:11 pm
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Had an elbow go septic after road rash a few years ago, went to occupational health every day for a week and it hurt like mad, antiseptic powder and clean dressings .

Also a warm bath with a handfull of salt thrown in and mixed will promote healing it does for me, it stings but accepting pain is the sign youre a real man.


 
Posted : 10/06/2013 7:33 pm
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Salt water, nail brush, scrub for 5mins then pat dry and get the hair dryer on to it.


 
Posted : 10/06/2013 7:36 pm
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+1 for salt water bath. It helps draw out pus. Nice!


 
Posted : 10/06/2013 7:50 pm
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Go to A and E. They'll scrub it out (Not pleasant) and then cover it completely with a transparent waterproof adhesive dressing that will enable you to view with fascination as it all scabs up and heals! (M/Cycle accident 20 odd years ago - no road rash evidence)


 
Posted : 10/06/2013 8:50 pm
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Neat Dettol (with an expiry date of 1998) and a good going over with a scrubbing brush, that's what I did. The run in lieu of cycling the day after hurt more than the treatment.


 
Posted : 10/06/2013 9:22 pm
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It is all cleaned out, had that pleasure on Saturday. A sponge and soap then savlon and pan scrub topped off with a layer of wonderful Germolene. And then a large gin. Various degrees of pain. Gave it a trim too as matted hair in there surely wasn't helping. It's not infected and doubt it's worth an A&E trip and the edges have healed pretty well.

E45 on the edges and middle bit has had another layer of Germolene on it, will see if that helps. Anyone tried those goo-filled plasters - hyrdocolloid dressings they seem to be. As long as it will actually stick, could be just the job.


 
Posted : 10/06/2013 9:54 pm
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If you can have it open to the air for a bit then do. Antiseptic (germolene/savlon etc) and fresh air will be more comfortable and healthy in the short term.

Savlon has a mild anaesthetic, I can't remember of germolene does or not.

As bigG says, let it dry if possible while keeping it clean. The puss is hopefully just your leg pushing some of the road back out.


 
Posted : 10/06/2013 10:06 pm
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Try some N-A Ultra Silicone knitted dressings.

They are completely non-stick, so will solve the problem you're having with the melanin ones. They're also cheap.

They are a bit of a faff to get to stay in place. I managed last time by laying the patch on my leg; cutting a regular dressing and a silicone dressing to the same size and a fair bit bigger than the abrasion; then taping the edge of the regular dressing to my skin.


 
Posted : 10/06/2013 10:11 pm
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Last time I opened up my knee I just did similar to you, just make sure you liberally cover the gauze pad in something like savlon and change it daily (I ended up shaving around the wound so I could get tape to stick properly.
Hydrocolloid dressings are supposedly the best thing to use but the time I tried them was a faff as even with a carrier bag taped over it whilst showering I couldn't keep the area completely dry and the dressing started to come off (you need it to stay in place for several days to be effective). If the dressing comes off and you lose the magic gunk your body produced with it then you're back to square one. I gave up and let it scab in the end (leave it to air dry and only use dry gauze on it when needed, e.g. in bed and if the gauze sticks due to weeping just wet it to get it off and let it dry out again.


 
Posted : 11/06/2013 9:18 am
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DO NOT GO TO A&E, it is not an emergency. Phone your GP and ask if the practice nurse can change the dressing and give you some supplies. FFS, it's people with non-urgent needs like this who are clogging up A&E and making old ladies wait on trolleys.

My preferred treatment for big abrasions is always to let it scab. Fresh air and sunshine (which also has a sterilising effect) and let Nature do its work. However before the scab forms you've got to keep the wound clean and dry otherwise bacteria will infect the unprotected skin.


 
Posted : 11/06/2013 9:26 am
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[i]Phone your GP and ask if the practice nurse can change the dressing and give you some supplies.[/i]

"Certainly, Mr WW - we have an appointment available in 11 days"

would be the response from my one.


 
Posted : 11/06/2013 9:30 am
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Fuzzywuzzy has the right idea for bad road rash, i.e., where the top layer of skin has been scraped right off. Hydrocolloid dressings all the way. Make the effort to keep them on for a few days. It'll tell you when it wants to come off as there'll be too much ooze for it to stick. Hold it in place with a gauze pad and surgical tape, maybe a tubigrip will help as the wound is over a knee (but not tight), even cut-off bits of nylon stockings are good. Healing will be faster and end up tidier than if you just let it scab over.


 
Posted : 11/06/2013 9:56 am
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DO NOT GO TO A&E, it is not an emergency. Phone your GP and ask if the practice nurse can change the dressing and give you some supplies. FFS, it's people with non-urgent needs like this who are clogging up A&E and making old ladies wait on trolleys.

If A&E don't want to be clogged up with such things then they really need to change their name to E.


 
Posted : 11/06/2013 12:40 pm
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DO NOT GO TO A&E, it is not an emergency. Phone your GP and ask if the practice nurse can change the dressing and give you some supplies. FFS, it's people with non-urgent needs like this who are clogging up A&E and making old ladies wait on trolleys.

If A&E don't want to be clogged up with such things then they really need to change their name to E.

Don't go to A&E, go to a walk in clinic, or minor injuries clinic.

Watch 24 hours in A&E on C4, then think about if road rash is a good use of their time. I guarantee the answer will be no.

For healing, scrub it out, on the day, which you have done by the sounds of it, then plenty of antiseptic cream, and regular change of dressings. If you let it dry out it will take ages to heal.


 
Posted : 11/06/2013 12:45 pm
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Dont let it dry out or leave it open to the air (old wives tale, wounds heal quicker with less scarring if kept covered and warm) if the lesion is open.
Its clean, so dress in with NA ultra and a meopore dressing cover.
Use betadine, or an iodine spray if you need to.
cleanse in clean water and sterile gauze and redress every 2 days until a hard dry scab forms. then you can leave it open to the air and get it wet showering etc, but keep it dry at all times unless cleansing it.
any signs of infection, (pain, redness, swelling) get and see your GP.


 
Posted : 11/06/2013 12:58 pm
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Well one week on it's stopped oozing - almost. The bit on my shin has sorted itself, just a gouge out my knee. The hyrdocolloids wouldn't stick; the worst bit is over my patella so the stretchinest bit of skin and the plasters just came undone. Just kept it covered with melonin dressings at work and left it open when I could wear gym shorts and at night. Bed doesn't look too much like red flag week. Taking dressings off in the shower seems to have sorted the sticking issue, so that's good.

Bit of bio oil has helped keep it hydrated so it's not too bad, all at the itchy scab stage now. Quite chunky haematoma on my thigh and calf from getting tangled up in the bike but overall not too bad. Nowt upper body either, wierdly.

Reckon I've got away OK from crashing a road bike at 40kph all told.


 
Posted : 15/06/2013 11:30 pm