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i know there has been some here that knows what to do about road rash.

right now, my whole back is covered with gauze. should i leave it open to breathe or keep it covered up? its leaking alot of fluid.

put neosporin on it maybe? or go to doctor, when i find 1 and let him tell me?

thanks everyone for concerns, prayers and answers.



mark:waving:
 

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You didn't go to a doctor? I would worry about infection. You really need to see someone.
 

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Go to the Doctor. IT is a must.
 

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Vinegar!



No seriously..........get a big tube of burn cream from wally world.......that helps. If you put guase on it, coat it liberally with the burn cream.
 

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Mark,

Just called my sister who did my rehab for over two months. I have no residual scarring. The following procedure is exactly what my doctor ordered for my recovery.

My wounds were treated with Bacitracin for three days at first. Cleaned with sterile towels soaking wet in warm soapy water. You need to soak the scabs loose. Don't go peeling them off. They will lift off with the towels.

Then get some Sulfadine (may need a script for this?). Slather that on thinly, expensive, don't waste it, but it must cover the whole wound area. This will lift the scabs.
The stuff is technically Silver Sulfadine or SILVER SULFADIAZINE 1% CRM


24 hours for the Sulfadine, warm soak w/towel.

Cover with Bacitracin and cover with gauze for 48 hours. warm soapy soak w/towel again.

Sulfadine again and covered with gauze for 24 hours, yada yada yada.

It is a long process of being diligent with the care.

When the skin starts to grow over the abrasion area, it will look very pink. Cover the scarred area all over with Maderma (over the counter). Walgreens has "Scar Gel" which is almost the same thing, just cheaper and is a gel.

Maderma has 3 different kinds. I prefer the White UV Creme ($30 ), not the gels. The gels tend to just run off and dry up right away, leaving the scar unprotected. The White UV creme is thick like zinc oxide and looks the same. It will stay on nearly all day. This stuff is just awesome and will prevent scarring. I guarantee it.
 

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GO SEE A DOCTOR. It's for your own good, and who knows what your skin may have picked up from the road.
 

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I agree with Mikef on this..... medical care, and quickly!

Back when I held a UCFS bicycle racing license (yes, I really did! :cheeky1:And I was skinny then!), the road rash practice was to clean and then cover thewound with petroleum jelly, then lightly with gauze.... the theory being that the new skin would come in under the jelly, and not scab over. We wanted to avoid the scab back then because it would be stiff, and crack and bleedwith movement. But that was back then, and I don't think our wounds were as large as yours..... again, medical care, and quickly!

Out of curiousity, what were you wearing when you went down?
 

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You really need to be seen by a doctor and be under their care just for the infection part of it. That's a large area and not easily seen by you, so it will be hard to keep track of it's progress.
 

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How did you get treated at the hospital without seeing a doctor? Did they give you no treatment advice while there?

You must have gone to Dr. Nick.
 

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The first thing (if you haven't already done it) would be to have an MD (doctor of internal medicine preferred) really check you out for any injuries that aren't obvious. I would then take his recommendation of treatment or his recommendation of a dermatologist for care of the rash. When I had road rash (36 years ago) they used the silver sulfadiazine on me at the ER (my good luck was that there was a plastic surgeon on call) and wrapped the affected areasin gauze and a protective bandage. I was given many antibiotics to prevent infection.


Four weeks later the dermatologist unwrapped the bandagesand checkedthe progress ofhealing. He rewrappedtheaffected areawith the silver sulfadiazine and protective bandage for another 3 weeks at which time he was satisfied with the results when he removed the bandages. The skin that was affected was pink for some time and fairly tender as well after the bandages came off.

Good luck with the healing...the infection factor is something that really needs to be thought about, hence leaving the affected area covered. These days, they may do different as there have been advances in treatment since 1973. The good news is that my scarring was very minimal except where the "rash" went to the bone.Oneof the things that bothered me during the healing time was therestriction on bathing (that infection thing)...spot baths suck, but they're better that nothing.
 

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GET TO THE DOCTOR NOW IF NOT SOONER!!!!!!

No reason to monkey f&^% around... get it taken care of right!!
 
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GO TO A DOCTOR!!!!!!
All treatments aren't the same for all people.
You need to see a dr because no telling how much trash got in there.
 

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agreed go see a doctor. if you can not get there i would start with a good scrubbing with warm soapy water and a sponge. have some one do this, it is going to hurt pretty bad but yu have to get the debris out of the wound. then cover loosey with gauze and treat with first aid cream. but that is just me.
 

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Yep, go see the doctor.......so he can wash it with cold water, pick out the gravel, and bill your insurance company a grand for it. This also includes a bonus medical record showing that you were injured in a motorcycle accident. This is extra awesome......as if you ever get your own health insurance policy outside of one offered by an employer (for example, if you're self employed) any you have to go through the application and screening process, they will use that as a reason to put you in a higher risk category. As an extra bonus........nothing like exposing your open and raw skin to all the possible infections that reside in hospitals! Wouldn't it suck to go to the hospital for what amounts to "discomfort", only to end up losing your whole leg to MRSA? Life is full of ironies.



BTW, in 36 years of "road rash" injuries (I've been riding since age 4 and racing since age 5), I can tell you that mommies, wives, and girlfriends are just as good at scrubbing out gravel as the doctor. Plus, you can ease the pain with an ice cold beer while thebetter halfpours hydrogen peroxide in your battle wounds, something generally frowned upon at the hospital.



If you cant' see bone or pieces of ligament and muscle moving around at the bottom of deep holes in your skin.........the doc aint' gonna do sh!t for you that you can't do yourself. And if you ask them........they'll tell you that.
 

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guys i agree, see a doctor.unfortunately not enough cash. they won't do a 3rd party ins. without an attorney.

and he hasn't called me back.at the emergency room while i was there, theycovered it with gauze. now the gauze is soaking through, and not able to go to doctor. no medicine of any kind has ever been put on.

so i'm gonna find someone who is not sqwemish and just change gauze. thank you,everyone.



mark:waving:

ps. the emergency room did wash it after the gave me some dilata or something
 

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You are playing a game that you will not win without medical attention. Untreated or poorly treated road rash is scaring for life. Bacitracin can be obtained over the counter and is relatively inexpensive. You can also ask pharmacist if there is something similar or close substitute for sulfadine. Azgl 1500 info is right on the money. TREAT IT NOW.
 

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zimmerleemark wrote:
guys i agree, see a doctor.unfortunately not enough cash. they won't do a 3rd party ins. without an attorney.

and he hasn't called me back.at the emergency room while i was there, theycovered it with gauze. now the gauze is soaking through, and not able to go to doctor. no medicine of any kind has ever been put on.

so i'm gonna find someone who is not sqwemish and just change gauze. thank you,everyone.



mark:waving:

ps. the emergency room did wash it after the gave me some dilata or something
Which is all the doc is going to do.......keep it clean, keep it dry, keep infection free. That's it.



Now, there is one reason to go back to the ER........and that's if somebody else hit you and they are at fault........you need some kind of documentation and proof.



If that's the case.......you don't need cash to go to the ER..........they can't turn you away. When they bill you.........call them and set up a payment arrangement until you can get all the accident insurance sorted out.



Me personally? I work in a hospital. I wouldn't go for road rash if I didnt' have to one bit. Having been completely hosed over on health insurance when self employed in the past.........Iam now extremely conscious ofwhat goes in my health records.



Like I said, and any doctor will tell you........something like that they can't do a thing for you that you can't do yourself.



From a medical standpoint...........home treatment is NO different or less effective than what you are going to get from a doc for something like this. Period.



Now, if you don't treat it all, and don't take care of it........that's something else. But you aren't going to die or be hideously scarred for life because you picked the gravel out and cleaned and bandaged it yourself instead of nurse.
 

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Oh yeah..............if you haven't had a tetanus shot in the last decade.......and the ER didn't give you one (negligent on their part)........you do need to do that.



Any after hours/urgent care clinic will do a tetanus shot for about 20 to 30 bucks.



Also, FYI



If you served more than 1 day of active duty in the military excluding training, and have an other than dishonorable discharge......you are eligible to recieve treatment at the VA on a space available basis. This is also an option for vaccinations or treatment if it applies.
 

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Mark,



If they gave you dilaudid that is just hydromorphone (yeah just hydromorphone :D) for pain but it doesn't do squat for infection. I can't help you with the cleaning requirements other than to agree that I always use hydrogen peroxide to clean out the wound on smaller wounds. Keep spraying until it quits foaming.

But your wounds may be WAY worse than simple cleaning will handle. Do you have a paypal account? Is there an emergency clinic near your house? If so, I'll send you a few bucks and maybe a few others can chip in to get you some basic care. I don't know what those places charge but I'd bet that a couple hundred bucks would go pretty far there. I'll chip in for a fellow biker.:waving:



David
 

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NativH wrote:
Mark,



If they gave you dilaudid that is just hydromorphone (yeah just hydromorphone :D) for pain but it doesn't do squat for infection. I can't help you with the cleaning requirements other than to agree that I always use hydrogen peroxide to clean out the wound on smaller wounds. Keep spraying until it quits foaming.

But your wounds may be WAY worse than simple cleaning will handle. Do you have a paypal account? Is there an emergency clinic near your house? If so, I'll send you a few bucks and maybe a few others can chip in to get you some basic care. I don't know what those places charge but I'd bet that a couple hundred bucks would go pretty far there. I'll chip in for a fellow biker.:waving:



David
Me too. I don't have much, but I'll help. Let us all know how to get it done.
 
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