Road Rash Treatment

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Mububban
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Re: Road Rash Treatment

Postby Mububban » Mon Oct 30, 2017 10:49 pm

peter wrote:A picture, be prepared if want to click the link.
That is rather comprehensive.

As my kids and I are allergic to elastoplast/bandaid adhesive, we use these sort of products:

Image

Although for something that long, you'll obviously need something bigger than the 10x10cm dressing! I imagine you can buy rolls of just the dressing pads, then use the Hypafix/Fixomul over the top.
They're excellent for active kids always in need of repairs. Cut it to size and the glue sticks so well it makes them cry when they take it off :D Unlike bandaids that fall off as soon as you sweat.
We get them from a medical supplies store called Actimed but I'm sure there are lots out there that sell to the public.
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ValleyForge
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Re: Road Rash Treatment

Postby ValleyForge » Tue Oct 31, 2017 12:11 am

Mububban wrote:As my kids and I are allergic to elastoplast/bandaid adhesive, we use these sort of products.
Try some hydrocolloid dressings - they are ideal for adhesive sensitive patients.
Mububban wrote:Cut it to size and the glue sticks so well it makes them cry when they take it off :D Unlike bandaids that fall off as soon as you sweat.
Olive oil is the secret. Dab it on the adhesive and give it half an hour. Never fails.
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Mububban
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Re: Road Rash Treatment

Postby Mububban » Tue Oct 31, 2017 12:18 am

Noted. Thanks!
When you are driving your car, you are not stuck IN traffic - you ARE the traffic!!!

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find_bruce
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Re: Road Rash Treatment

Postby find_bruce » Tue Oct 31, 2017 8:15 am

ValleyForge wrote:
find_bruce wrote:Yep my dad was a surgeon & any gravel rash was cleaned with a nail brush - debrided is the term dad used which sticks strongly in my memory, with just a hint of a shudder decades later.
:D Am I a bad father because I have done it to my kids?
My dad would probably have thought that makes you a good father - your kids on the other hand ... :)

madmacca
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Re: Road Rash Treatment

Postby madmacca » Tue Oct 31, 2017 9:45 am

ValleyForge wrote:
peter wrote:My calf is so tight, it's hard as rock now. :o
The only things you should be doing is have your ankle higher than your heart, or walking.
Are healing times improved by using anti-gravity boots and doing both simultaneously? :)

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ValleyForge
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Re: Road Rash Treatment

Postby ValleyForge » Tue Oct 31, 2017 10:20 am

madmacca wrote:
ValleyForge wrote:
peter wrote:My calf is so tight, it's hard as rock now. :o
The only things you should be doing is have your ankle higher than your heart, or walking.
Are healing times improved by using anti-gravity boots and doing both simultaneously? :)
Ummm. Best I can say is "I am not aware of any robust scientific randomised trials using anti-gravity boots in wound healing". :P
Next you'll want a hyperbaric chamber :roll:
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g-boaf
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Re: Road Rash Treatment

Postby g-boaf » Tue Oct 31, 2017 12:20 pm

peter wrote:
ValleyForge wrote:The tightness is due to increased oedema in the sub-cutaneous tissues, and the contraction phase of wound healing - especially obvious over a large area. Managing a wound as "dry" increases this.

The "muscle" was likely contused in the fall, but should return to normal judging by the superficial nature of the injury. Overall, liberal use of analgesics in injuries like this shortens recovery, but only in the short to medium term. Long term results are the same - so all you Spartans out there can rest easily. :lol:
My calf is so tight, it's hard as rock now. :o
That can also be to do with swelling from infection, you'll be able to pick that anyway from the usual signs, mentioned before.

A few doctors have also suggested that vitamin C can help with healing too. If there is no infection and the wounds are clean, you should notice the healing happen pretty fast.

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ValleyForge
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Re: Road Rash Treatment

Postby ValleyForge » Tue Oct 31, 2017 1:33 pm

g-boaf wrote:
peter wrote:
ValleyForge wrote:The tightness is due to increased oedema in the sub-cutaneous tissues, and the contraction phase of wound healing - especially obvious over a large area. Managing a wound as "dry" increases this.

The "muscle" was likely contused in the fall, but should return to normal judging by the superficial nature of the injury. Overall, liberal use of analgesics in injuries like this shortens recovery, but only in the short to medium term. Long term results are the same - so all you Spartans out there can rest easily. :lol:
My calf is so tight, it's hard as rock now. :o
That can also be to do with swelling from infection, you'll be able to pick that anyway from the usual signs, mentioned before.

A few doctors have also suggested that vitamin C can help with healing too. If there is no infection and the wounds are clean, you should notice the healing happen pretty fast.
Yes there has been a case of Scurvy (vitamin C deficiency) in Australia in the last 100yrs. Just the one I believe.... :lol:
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peter
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Re: Road Rash Treatment

Postby peter » Tue Oct 31, 2017 1:39 pm

ValleyForge wrote:
peter wrote:My calf is so tight, it's hard as rock now. :o
The only things you should be doing is have your ankle higher than your heart, or walking.
Thanks all, a lot of good info. I especially like this one. :D

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peter
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Re: Road Rash Treatment

Postby peter » Tue Oct 31, 2017 1:52 pm

I switched to Fucidin Ointment this morning, just a thin layer over the wounds, then it started reacting. Some sort of fluid was dripping down, but already dried by the time I noticed. Not sure if that's normal, also noticed that the injured leg is swelling up.

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g-boaf
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Re: Road Rash Treatment

Postby g-boaf » Tue Oct 31, 2017 6:27 pm

peter wrote:I switched to Fucidin Ointment this morning, just a thin layer over the wounds, then it started reacting. Some sort of fluid was dripping down, but already dried by the time I noticed. Not sure if that's normal, also noticed that the injured leg is swelling up.

That's not a good sign. swelling is a sign that it might have become infected. Get it checked by the doctor in real life. Although we are all obviously way more qualified**, we are not looking at things for real.

** sarcasm alert.

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Re: Road Rash Treatment

Postby trailgumby » Tue Oct 31, 2017 9:09 pm

ValleyForge wrote:
find_bruce wrote:Yep my dad was a surgeon & any gravel rash was cleaned with a nail brush - debrided is the term dad used which sticks strongly in my memory, with just a hint of a shudder decades later.
:D Am I a bad father because I have done it to my kids?
Only if if you failed to disinfect the wound with rubbing alcohol afterwards :D

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kb
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Re: Road Rash Treatment

Postby kb » Tue Oct 31, 2017 9:34 pm

peter wrote:
My calf is so tight, it's hard as rock now. :o
One might say, “petrified” ;-)
Image

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peter
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Re: Road Rash Treatment

Postby peter » Tue Oct 31, 2017 10:25 pm

Things appear to have made a wrong turn, at hospital now just in case.

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ValleyForge
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Re: Road Rash Treatment

Postby ValleyForge » Tue Oct 31, 2017 10:54 pm

peter wrote:Things appear to have made a wrong turn, at hospital now just in case.
Hope you're OK. Keep the updates coming.
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Re: Road Rash Treatment

Postby Bunged Knee » Tue Oct 31, 2017 11:31 pm

peter wrote:Things appear to have made a wrong turn, at hospital now just in case.
Not good to hear that and hospitals got the worst long waiting times before being seen by the doctors.
ID please? What ID? My seat tube ID is 27.2mm or 31.6mm depending on what bikes I ride today.thanks...

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peter
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Re: Road Rash Treatment

Postby peter » Tue Oct 31, 2017 11:32 pm

Thanks mate, the nurse reckons that it has been infected for awhile now. Interestingly the pharmacist made a similar comment yesterday when I was there to pickup the ointment, but I didn’t pay much attention to what she said thinking that the GP said it was fine.

I guess the lesson learnt is go to the hospital for large wounds like that, they have seen more such cases than a GP would, hence more experienced.

Now waiting for blood test result, then will have some drips.

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peter
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Re: Road Rash Treatment

Postby peter » Wed Nov 01, 2017 10:47 am

Discharged this morning, they gave me 2 doses of flucloxacillin drips overnight, to help boost the oral flucloxacillin I have been taking since the incident.

Asked both the night shift and morning doctors, they don't recommend to cover the wounds with dressing at this stage. Left the hospital after breakfast and with a panadeine forte script.

(Breakfast was bacon and eggs, so good, even though limp bacon, I haven't had for so long due to my diet and weight loss goal)

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kb
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Re: Road Rash Treatment

Postby kb » Wed Nov 01, 2017 1:12 pm

Bugger :-(. Yup, hospitals can be slow. We wanted to get our baby checked out last night (puffy, gummy eye and cheek rash underneath) and ended up out at 06:45.
Image

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trailgumby
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Re: Road Rash Treatment

Postby trailgumby » Wed Nov 01, 2017 1:32 pm

kb wrote:Bugger :-(. Yup, hospitals can be slow. We wanted to get our baby checked out last night (puffy, gummy eye and cheek rash underneath) and ended up out at 06:45.
That's a surprise. Usually babies get seen pretty quickly.

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jules21
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Re: Road Rash Treatment

Postby jules21 » Wed Nov 08, 2017 9:30 pm

everyone baulks at the wound cleaning but that's the crucial step. if there's foreign matter in there it will become infected, no matter what brand of plaster you choose

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peter
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Re: Road Rash Treatment

Postby peter » Wed Nov 08, 2017 9:59 pm

A lesson learnt, should have got the wounds cleaned and dressed from the get go. I went to the clinic on Saturday afternoon, 30 minutes before they close, the GP was sloppy and he came up with some lame excuse to send me off. I was lazy, didn't want to go to the hospital.

In hindsight, probably should have cut the ride short to seek medical assistance sooner rather than hours later after the ride.

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Re: Road Rash Treatment

Postby trailgumby » Wed Nov 08, 2017 10:46 pm

peter wrote:I went to the clinic on Saturday afternoon, 30 minutes before they close, the GP was sloppy and he came up with some lame excuse to send me off.
There is an upside in this. Now you know what that guy is like, and know to choose a more diligent doctor next time you need medical attention of any kind.

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peter
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Re: Road Rash Treatment

Postby peter » Thu Nov 09, 2017 10:58 am

Indeed, but it’s also very hard to come across a good GP, good in terms of adminstering the most appropriate treatment for the condition.

I guess they are GPs for a reason, if they are really good they would have become specialists or surgents.

I did have a couple of good experience through referrals, but I think they were only caring because of established relationship, I doubt I would get the same treatment just randomly walk in.

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ValleyForge
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Re: Road Rash Treatment

Postby ValleyForge » Thu Nov 09, 2017 2:12 pm

peter wrote:Indeed, but it’s also very hard to come across a good GP, good in terms of adminstering the most appropriate treatment for the condition.
Most GPs would have no training in how to manage such wounds. A country GP yes; an A&E department - definitely.
peter wrote:I guess they are GPs for a reason, if they are really good they would have become specialists or surgents.
No. And surgeons are specialists BTW.
peter wrote:...I doubt I would get the same treatment just randomly walk in.
No this isn't how it should be. From the treatment offered, it would seem likely that the GP had little training or experience in managing such wounds.
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