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Discussion Starter · #1 ·
WARNING....Do not read if eating.
Had a major spill last weekend and came out second best...bikes fine.
Had some blood loss but no broken bones or anything req stiches ,luckly.
Problem is I now have scabbing which looks like its festering...some puss discharge.
It's likely there might be gravel still under the scab .Scars are cool but I dont wan't to be left with creater holes in my arm . Rip the scabs or not?...
 

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If you're getting a pus discharge, it might have become infected. GO TO A HOSPITAL OR DOCTOR'S OFFICE!!! Do not wait, do not pass go or collect $200. GO THERE NOW!

Besides, there's not supposed to be pus in your arm. Blood yes, pus no. See how that works?

Ross
 

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If the discharge from your wound has a foul odor, and/or the area is hot to the touch and has redness/swelling, you have an infection and will need to see a doctor for treatment. If it has no foul odor you probably have no infection. Many wounds will "weap" for a time, especially those involving skin loss. How much tissue was lost? How deep was the wound? If there is still contamination in the wound you should go to the doctor. Better safe than infected!
 

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Wound Care

Good advice here on evaluating if you have infection and what to do if so.

In the "next time around" department here are some tips gleaned from raising a road/cx/mtb racer who has had his share of crashes, pavement surfing and whatnot (not that I haven't!). I'll cover it in terms of what we keep in our road rash kit.

Item 1: A new, unopened toothbrush
What it's for: Debriding the wound. With the toothbrush, soap & water start scrubbing to get all the gravel & debris out. When it starts hurting a lot, you've begun to do it right...keep it up until you've debrided the whole area and the whole wound is pink or red (from bleeding). You should not be able to see any dark specs left in the wound. If it's too painful or you think you might pass out, go to the e-room where they'll do the same thing...though they might give you some local anesthesia first.

Item 2,3,4 & 5: Tegederm, small guaze pads, bandage tape, vaseline & q-tip(s)
What it's for: Tegaderm or other waterproof breathable dressings are expensive, but work really well for promoting healing without scabbing. Why would you want healing without scabbing? THEY claim healing happens faster (couldn't tell you), scarring and discoloring are less (I think that's true) and the wound area remains more flexible during healing (definitely true). Also, if done right, you can stick this stuff on and leave it on through showers, etc. Anyway, I've seen recommendations for it from several biker/doc types and have personal/family experience both ways and I'm sold.

The Tegaderm (comes in different size sheets) should overlap the wound by 1"+ all around, so it can stick to dry skin. It won't stick to the wound, which will probably still be weeping from your scraping the s__t out of it with the toothbrush.

BEFORE you stick the Tegagderm on, do this: take the q-tip, dip it in the vaseline and paint a strip the width of the q-tip from the wound to outside where the Tegaderm will cover. This will be a drain pipe for secretions. It should be oriented wherever down will be most of the time. You can put 2 in if you want; say one that is down during the day & one that is down while you're sleeping. At the end of the drainpipe (after the Tegaderm is on) tape a small guaze pad; this will absorb the fluid and you can change it out as needed. If you don't put a drain pipe(s) in, the fluid will build up under the Tegaderm and you'll have to change that more often, which is spendy and unneccessary if you drain the fluids.

If the area is difficult to bandage due to location, (say a joint, as opposed to mid-limb) you may have to replace the Tegaderm more often. You can also put some tubular stretch net (Surgilast) over the tegaderm to help prevent the edges from getting peeled off. The netting is also great for holding on traditional gauze wound dressings w/out a bunch of tape, but I'm a believer in the moist healing program. Best of luck.
 

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Discussion Starter · #6 ·
Thanks for the help guys . Everything is going fine in the healing stakes (though i stacked
out on the weekend ,landing on the tender parts(?) again :madman: ). Next time of to the docs , and prob get a tetinus shot thrown in . :eekster: MJC
 

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copag74 said:
Thanks for the help guys . Everything is going fine in the healing stakes (though i stacked
out on the weekend ,landing on the tender parts(?) again :madman: ). Next time of to the docs , and prob get a tetinus shot thrown in . :eekster: MJC
I have found that the best way to remove a skab to check underneath for infection is with a well placed tree or root. Rocks may work as well as certain parts of the bike. Once you get good at it you can take the spill and not even notice until you see the large skab hanging off the skin... :rolleyes:

Glad everything is getting better. It usually takes me a full 2 weeks before the skab starts to come off.
 

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Discussion Starter · #8 ·
had to remove my arm

I had to remove my arm bandage last week ...I recommend shaving first. :eek:
As for the problem about removing scabbs or not ...rip them of if they sh!t you they seem to come good in the end .There is no scientific principal to this just feels right..... :cool:
 
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