Wednesday, August 09, 2006
Treatment for Abrasions
Conventional treatment of abrasions and road rash included treating the area by cleaning the wound with mild soap and water or a mild antiseptic wash (hydrogen peroxide), and then covering the area with an antibiotic ointment and a dry dressing. New evidence shows that this treatment approach actually may cause tissue damage and increase healing time. (See Immediate Steps for Treating Abrasions
). It has also been shown that the use of antiseptics, such as hydrogen peroxide "can actually cause harm to the tissue and interfer with function, which can further increase the injury and lengthen the healing process. Topical antimicrobials have been shown to be detrimental to fibroblasts and other cells needed for wound restoration." (Basler, et al, 2001)
While a severe abrasion should be seen and abraded (cleaned) by a physician, there are some things you can do to help the healing process on your own. The recommended method of treating abrasions and road rash injuries includes the follows steps. First, because abrasions can easily become infected, you should clean the area thoroughly and remove any dirt and debris. Ideally, you want to irrigate the area with nontoxic surfactant (0.9% sodium chloride or Shur-Clens) under some pressure (use a syringe if possible). The area must be completely clean. If necessary, use a clean gauze to gently scrub the area. Do not scrub vigorously, as this can cause more tissue damage.
Use a semi-permeable dressing (Tegaderm, Bioclusive or Second Skin, for instance) to cover the wound and attach the dressing to dry healthy skin with adhesive tape. The dressing should be changed every few days. Keep the wound moist until it has healed. A moist environment will promote healing through improved cell migration and gaseous exchange, ease of removal of excess exudate, protection from bacteria and other contaminants. (Basler et al, 2001).
Your tetanus status is very important to avoid infection and if you aren't certain when you had your last tetanus shot or if your last booster was more than 10 years ago, you should see a physician and get a tetanus immunization. Tetanus is an acute infectious disease in which the voluntary muscles go into spasm. It is not only caused by stepping on a rusty nail. It can also "develop in wounds in which the flesh is torn or burned." (See Adults Need Tetanus Shots, Too
Posted by LiTTle-FooT at 3:49 AM with 0