Took a spill on Monday and have some nice road rash on my hip. I’ve got some Tegaderm film on order, but in the meantime, just keeping it covered with gauze/Neosporin.
There seems to be lots of differing opinions on what to do and what works best. Everything from just clean with soap and water vs hydrogen peroxide to manuka honey to nothing with Duoderm.
What do you use? What have to tried that didn’t work so well?
Soap and a toothbrush to really get in there. Then Neosporin and bandage
Soap and a toothbrush to really get in there. Then Neosporin and bandage
Given you have tegaderm on order I think this is the best recommendation. If you are worried you put on too much ointment, you have just the correct amount.
I don’t know about Tegaderm or other similar products, but DuoDerm is amazing. Highly recommend. You’ll be shocked how quickly it heals.
Good to know! Got some duoderm coming next week, but I feel like by then it won’t be very useful.
Good to know! Got some duoderm coming next week, but I feel like by then it won’t be very useful.
It will be, even after two weeks or so
Three things to watch out for: 1) the hydrocolloidal stuff (e.g. duoderm) could (and often does) ooze, so cover the edges with non-adhering covering, 2) it really stinks, and 3) it leaves quite a bit of residue (more than non-adhereing covering)
But it really does promote healing and reduce scarring, and one could leave it on for 3 days before changing it out. Certainly better (when it comes to wound healing) than non-adhering covering
Also, Tegaderm is kinda useless when applied to a region with a lot of movement
Soap and a toothbrush to really get in there.
I hurt so badly when I read this - ouch, ouch, ouch!
Took a spill on Monday …
**Screaming Tortise Rule #20:
If you should lose your balance completely and hit the deck, never say “I fell downâ€
One must always say “I collided with a planet†or, even better “I was running/riding along, minding my own business, when a planet jumped up and ran into me. I simply shoved it back into place, and carried on along my way"
Took a spill on Monday and have some nice road rash on my hip. I’ve got some Tegaderm film on order, but in the meantime, just keeping it covered with gauze/Neosporin.
There seems to be lots of differing opinions on what to do and what works best. Everything from just clean with soap and water vs hydrogen peroxide to manuka honey to nothing with Duoderm.
What do you use? What have to tried that didn’t work so well?
I am able to buy tegaderm locally from a medical supply company in town. Depending on how large a town you’re in you might want to search for medical supply companies.
If it’s bad, I’ve had great luck with Silver Sulfadiazine for preventing infection.
Soap and a toothbrush to really get in there.
I hurt so badly when I read this - ouch, ouch, ouch!
Crazy Glue & duct tape
.
Aquaphor healing ointment is my go-to solution for road rash. It greatly accelerates the healing process for me.
Neosporin and bandage until it stops weeping, then switch to tegraderm for the duration. Pretty standard. With sweating/showering, the tegraderm needs to be replaced every day or two.
Here’s a great article done a few years ago here on road rash: https://www.slowtwitch.com/Training/General_Training/Road_Rash_The_Definitive_Guide_6444.html
My main role is in infectious disease but I’m also certified in wound care. Make sure you clean wound. Tap water is fine but if you want to be extra careful you can use saline. Peroxide is cytotoxic (i.e. will also kill healthy tissue). Get some topical lidocaine to help if it is painful doing dressing changes. I am also not a fan of topical antibiotics. Use a product that has antibacterial properties. Xeroform is available at some pharmacies. It also doesn’t still as much so easier to remove. Honey is also great but you need medical grade one, some pharmacies sell honey impregnated gauze. Don’t use duoderm or anything occlusive if you have significant drainage. I always educate my patients that you treat wounds like a plant. They can’t be too wet or too dry.
I’m a huge Manuka honey fan. The stuff is magic.
used tegaderm on my worst patch, it was kinda magical - healed over in a week or so, other smaller patches treated with neosporin/gauze took another week or more to heal up…
self-debridement is the key prior to using colloidal dressings.
The first week I didn’t have anything on it, and then the shorts chafing on a long run pretty much ripped the scab off…dont do that. Tegaderm worked pretty well for me but needed changed like every 2 days on the hip because of all the chafing against fabrics and stuff.
Eventually by the 13/14 day mark i got fed up and put some liquid bandage on it. Not sure if i would recommend but i was able to swim again without it softening up.
So “I ran into a planet” and burned my elbow.
I’ve been using Tegaderm for about 10 days. I watched a couple of videos on YT and covered the Tegaderm with gauze and self-adhesive bandage to keep the oozing off clothing and such.
Now I have no more oozing and when I look at the injury, it looks pretty good.
However, I have no idea how to tell if it’s “healed”. Everything I read/watch says you don’t want it to dry out. So, how do you remove the Tegaderm long enough to know it’s “healed”, but not so long that it dries out?
What am I look for?
Neosporin and non-stick gauze with transpore tape until it stops weeping (couple of days). Tegraderm after that.