The regimen for road rash wound care is essentially the same as for burns. Clean/debride the wound, cover it, and repeat until healed. You can apply an antibiotic ointment to the dressing if you want to/have had good results doing so/are not allergic to them.
Initial cleaning of the wound needs to be VERY aggressive. Any dirt or debris MUST be removed from the wound, and loose pieces of skin will need to be cut away. A soft bristle brush is often useful to remove debris from very contaminated wound areas.
If the wound is dirty at all, this is going to hurt like a mu#$@#^#$%er! In my (unfortunately significant) experience, ambulance crews do not do a thorough enough job cleaning out the wound, and you will need to do this yourself. The goal here is absolutely no foreign materials in the wound area.
After initial wound care, the key is for the wound to heal from the inside out. You want to avoid the formation of scabs, which will tend to become infected. Clean the wound every morning, and before you go to sleep at night, with distilled water and betadine soap applied via a gauze sponge. Clean aggressively enough to remove the scab before it fully firms up. This will hurt a fair bit the first couple of days if the wound is significant. After cleaning, re-apply a sterile dressing. You will repeat this entire procedure until the wound no longer seeps liquid and/or new, pink skin forms. Do not stop covering or cleaning the wound before this happens.
Good luck,
MH
Tech writer/support on this here site. FIST school instructor and certified bike fitter. Formerly at Diamondback Bikes, LeMond Fitness, FSA, TiCycles, etc.
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