A Primer on Managing Road Rash

Bike On-Board Road Rash Kit Ibuprofen Tylenol Neosporin Spray Anesthetic / /Antiseptic Antiseptic wipe Non-StickTelfa Pad Large Xeroform Gauze Non-adherent Roller Gauze 4x4 Pad Adhesive Tape Zip Lock Storage Bag Vehicle / Home Road Rash Kit Low Cost Road Rash Base Kit Bike On-Board Road Rash Kit Ibuprofen (4 x 200mg) Tylenol (2 x 500mg) Neosporin (2 packets) Antiseptic wipe (2) Spray Anesthetic / Antiseptic (1) Non-StickTelfa Pad (1) Large Xeroform Gauze (1) Non-adherent Roller Gauze (1) 4x4 Pad (2) Adhesive Tape Zip Lock Bag YOUTUBE : USNER DOC

Mild antibacterial liquid soap Clean Washcloth PRINT BIKE ON-BOARD KIT LABEL Clean Water ON WATERPROOF PAPER, TRIM TO Ibuprofen / Tylenol SIZE & PLACE IN STORAGE BAG OTC topical spray anesthetic Antibiotic Ointment 4x4 gauze pads Thin Maxipads (with non-adherent top layer, i.e. Dri-Weave) Cotton tipped applicators (Q-Tips) Adhesive Tape Scissors Tweezers Inexpensive support pantyhose (sized for arm & leg) Road Rash Kit OPTIONAL Upgrades Duoderm Tegaderm Zeroform Gauze Petroleum Jelly Gauze Pad Non-Stick Telfa Pad Butterfly bandages Steri-Strips Tincture of Benzoin Shur-Clens Hibiclens Surgical scrub brush 2% lidocaine jelly (MFG: AstraZeneca, requires prescription, see caution note) Tubular fishnet mesh (sized for arm & leg) Bag Balm A&D Diaper Cream Page 1 YouTube : USNEDOC

THE PLATYPUS IRRIGATOR

! LITER WATER BOTTLE IRRIGATOR

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STEP-BY-STEP ROAD RASH TREATMENT PLAN 1. Take pain medication at least 30 minutes prior to wound cleaning a. 200mg x 4 ibuprofen with food or b. 500mg x 2 acetaminophen 2. Apply OTC topical anesthetic 3. Gently clean the wound with mild antibacterial soap, washcloth and irrigate gently with plenty of water a. Gently scrub hard enough to dislodge gravel and debris to prevent wound tattooing b. Gently use tweezers / cotton tip applicator to dislodge firmly embedded debris c. Rough cleansing or scrubbing is unnecessary and risks damaging tissue which delays healing and increases risk of infection d. Soaking in tub warm water is a useful adjunct to tweezers / Q-tips for deeply embedded debris 4. Gently pat dry 5. Apply a thin layer of antibiotic ointment 6. Apply dressing materials a. OPTION 1 i. Petroleum Gauze Adaptec or Zeroform Gauze then ii. Thin Maxi-Pad or 4x4 gauze pads then iii. Tubular Mesh or Self-Adherent Roller Gauze b. OPTION 2 i. DuoDerm then ii. 4x4 gauze pads then iii. Tubular Mesh or Self-Adherent Roller Gauze 7. Check wounds daily for signs of infection a. b. c. d. e. f. increasing redness red streaking swelling increasing pain pus or foul smelling drainage seek immediate medical attention for any signs of infection

8. Change your dressing daily a. if dressings stick to the wound, don't rip it off, soak in warm water for 30 minutes then gently peel off dressing Page 3 YouTube : USNEDOC

NOTES TIPS SUGGESTIONS See your physician, Urgent Care or Emergency Department if it's been 5 years since your last tetanus booster. Butterfly bandages and Steri-Stips are useful for deeper cuts that don't require stitches. Thin maxipads are cheap alternative wound dressing that provides a degree of padding. 4x4 gauze pads impregnated with antibiotic ointment can be used for your dressing. 4x4 gauze pads can be opened up and layered over Duoderm absorb serous fluid expressed by the wound. 2% lidocaine jelly is available by prescription. It should be used sparingly because there safe maximum allowable amount to prevent lidocaine toxicity. Ideally this should be considered an advanced treatment option best applied with some prior guidance by your physician at the time of obtaining a prescription. Clean plain water is the best wound cleanser. Sterile saline solution is an expensive and unnecessary. Shur-Clens is a good gentle wound cleanser that does not damage tissue. Hibiclens is another good wound cleanser for large abrasions. Do not use hydrogen peroxide because it damages tissue, delays wound healing and increases risk of infection. Disposable surgical prep sponges are useful adjuncts to a clean washcloth. Remember to not scrub any harder than necessary dislodge embedded debris.

Some Useful Clickable Links http://www.WoundCareShop.com http://www.obra.org/wound_care.html http://www.hibiclens.com/athletes.html http://www.convatec.com/en/cvtus-productsus/cvt-products/0/proddett/0/399/2338/shurclens-wound-cleanser.html?franchise=364&typesearch=433&proddett=2338

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