Gravel rash

[531colin]

There isn't a simple answer for when to use iodine. And there's a range of different chemicals and preparations.

I don't use them for gravel rash and similar.

But I think that they have an important rôle in management of chronic and infected wounds.

Jonathan

I have had success with a product called Inadine.
Its a dressing to place immediately on the wound, its open weave so it needs covering. I think it contains iodine as an antibacterial, and its sort of greasy so the wound doesn't scab over or try to heal trapping contaminants in the wound. A few days use combined with washing the debris off and I get a clean wound which heals properly.
I think its probably pretty old-fashioned!

[Barrowman]

Pretty much what JDSK said earlier in the post.
When I was a youngster I dropped a machine in sheet ice on a bend and slid for an impressive distance.
All clothing trashed and extensive gravel rash on arm/ hip/ knee/ shoulder/ elbow/ forehead ( before I started wearing a helmet on the road) . Casualty , whole lot scrubbed in a mild antiseptic solution and advised to let as much air as possible get to it all.

[Jdsk]

There isn't a simple answer for when to use iodine. And there's a range of different chemicals and preparations.

I don't use them for gravel rash and similar.

But I think that they have an important rôle in management of chronic and infected wounds.

I have had success with a product called Inadine.
Its a dressing to place immediately on the wound, its open weave so it needs covering. I think it contains iodine as an antibacterial, and its sort of greasy so the wound doesn't scab over or try to heal trapping contaminants in the wound. A few days use combined with washing the debris off and I get a clean wound which heals properly.
I think its probably pretty old-fashioned!

Inadine and its history:
https://en.wikipedia.org/wiki/Inadine

I wouldn't use it.

Jonathan

[Jdsk]

Are 'wound healing gels' a better option than standard antiseptic creams? For example savlon wound healing gel vs 'normal' savlon.

I wouldn't use either:

NHS advice
https://www.nhs.uk/conditions/Cuts-and-grazes/

...

NB that specifically recommends against the use of antiseptic: "as it may damage the skin and slow healing". There'll be some evidence behind that somewhere but I can't find it. (There's lots of evidence for surgical wounds and a fair bit for chronic wounds.)

Jonathan

[Jdsk]

A couple of things that I would appreciate feedback on :
Do hydrocolloid patches offer a distinct advantage over dry non-stick dressings like melolin? The obvious one is that the wound would no longer require re-dressing every 24hours, but I wonder if there is a balancing downside I should be aware of.

For healthy skin I don't think that there's much in it. (Chronic venous ulceration is different.) But I don't know if there's much evidence around.

Keeping it dry and avoiding subsequent trauma are probably the important things.

Jonathan

[Jdsk]

Scrubbing the wound and you'd have to get me off the ceiling

I decided I was getting nowhere fast, so I got the nailbrush and scrubbed it. It only took about two seconds to get the whole wound spotless.

Pretty much what JDSK said earlier in the post.
When I was a youngster I dropped a machine in sheet ice on a bend and slid for an impressive distance.
All clothing trashed and extensive gravel rash on arm/ hip/ knee/ shoulder/ elbow/ forehead ( before I started wearing a helmet on the road) . Casualty , whole lot scrubbed in a mild antiseptic solution and advised to let as much air as possible get to it all.

I''ve walked and cycled a fair bit with a very experienced trauma surgeon. The first time I saw how he handled these I was quite surprised. I picked crud out and then washed. He picked crud out and then lightly scrubbed as he washed, the intention being better removal of foreign matter both to reduce the chance of infection and improve the final appearance. He knows more than I do.

Jonathan

[Pendodave]

Thanks very much for all the advice/information ladies and gents.
I'll be adding a small brush to the first aid kit, and something to chew on while I administer it...

[531colin]

There isn't a simple answer for when to use iodine. And there's a range of different chemicals and preparations.

I don't use them for gravel rash and similar.

But I think that they have an important rôle in management of chronic and infected wounds.

I have had success with a product called Inadine.
Its a dressing to place immediately on the wound, its open weave so it needs covering. I think it contains iodine as an antibacterial, and its sort of greasy so the wound doesn't scab over or try to heal trapping contaminants in the wound. A few days use combined with washing the debris off and I get a clean wound which heals properly.
I think its probably pretty old-fashioned!

Inadine and its history:
https://en.wikipedia.org/wiki/Inadine

I wouldn't use it.

Jonathan

I use it....occasionally, I try to keep it rubber side down these days.
I find it works, and its certainly much better than having a wound scab over, only to fester under the scab. Maybe that depends what skin bugs you carry?
I had a look at the Wiki page, and I didn't find anything too scary.....what am i missing?

[Marcus Aurelius]

Take it out with a stiff brush, then apply loads of TCP. It hurts like hell, but it’s better than it getting infected.

[Jamesh]

There isn't a simple answer for when to use iodine. And there's a range of different chemicals and preparations.

I don't use them for gravel rash and similar.

But I think that they have an important rôle in management of chronic and infected wounds.

I have had success with a product called Inadine.
Its a dressing to place immediately on the wound, its open weave so it needs covering. I think it contains iodine as an antibacterial, and its sort of greasy so the wound doesn't scab over or try to heal trapping contaminants in the wound. A few days use combined with washing the debris off and I get a clean wound which heals properly.
I think its probably pretty old-fashioned!

Inadine and its history:
https://en.wikipedia.org/wiki/Inadine

I wouldn't use it.

Jonathan

What would you use that's OTC? (Over the counter)

Cheers James

[Jdsk]

I have had success with a product called Inadine.
Its a dressing to place immediately on the wound, its open weave so it needs covering. I think it contains iodine as an antibacterial, and its sort of greasy so the wound doesn't scab over or try to heal trapping contaminants in the wound. A few days use combined with washing the debris off and I get a clean wound which heals properly.
I think its probably pretty old-fashioned!

Inadine and its history:
https://en.wikipedia.org/wiki/Inadine

I wouldn't use it.

I use it....occasionally, I try to keep it rubber side down these days.
I find it works, and its certainly much better than having a wound scab over, only to fester under the scab. Maybe that depends what skin bugs you carry?
I had a look at the Wiki page, and I didn't find anything too scary.....what am i missing?

Nothing scary, Colin.

I wouldn't use it because AFAIK there isn't any evidence that for wounds to healthy skin it's any better than any plain sterile protective dressing. (This is not a comment about its use in colonised or infected or chronic wounds or with unhealthy skin.)

And iodine sometimes causes reactions.

Jonathan

[Jdsk]

I have had success with a product called Inadine.
Its a dressing to place immediately on the wound, its open weave so it needs covering. I think it contains iodine as an antibacterial, and its sort of greasy so the wound doesn't scab over or try to heal trapping contaminants in the wound. A few days use combined with washing the debris off and I get a clean wound which heals properly.
I think its probably pretty old-fashioned!

Inadine and its history:
https://en.wikipedia.org/wiki/Inadine

I wouldn't use it.

What would you use that's OTC? (Over the counter)

Anything that is consistent with the NHS advice:

"Cuts and grazes":
https://www.nhs.uk/conditions/cuts-and-grazes/

"How do I apply plasters and other dressings?":
https://www.nhs.uk/common-health-questi ... dressings/

Jonathan

[Jupestar]

Earlier this week, I read this thread, and worked out it was 20 years since I had any spill causing any serious gravel rash. Luckily I cleaned it up really well at the time, visiting A&E 24hrs later after my forearms swelled up bigger than my thighs.

Today when going up a hill on my single speed in a rush, and really grinding down on the pedals, the tension went in the chain, and I came crashing down. Knees and hands all torn up.. buckled wheel as well.

[Barrowman]

To add to my prior post, scrubbed and hurt like h@@l . The lovely nurse said that she had to get all of the stones etc out or it wouldn't heal properly . Afraid that you ( or someone) will probably hurt you more than the fall did to achieve this. But worth doing properly at the off to prevent secondary infections around any lurking debris.