Today morning, i took the bike out for a spin and attempted to negotiate a turn at a speed way inappropriate for the turn. The result was that I ended up landing hard on the road at 40mph.
So naturally, i now have a few abrasions and grazes, the most serious of which is located on my knee. This abrasion is probably 16cm2 in area (imagine a 4cmx4cm wound) and is blackened about it's edges. I remember that this was exactly how it looked immediately after my fall. The road had cut through my light jeans and inflicted damage thus. The abrasion soon bled a while, and assumed a pink hue at it's center. However, I did note a few black spots at the center of the abrasion.
Anyway, so i cleaned it at home with a cotton and diluted anti-septic solution rather gingerly, but not too lightly. After that, I applied an antiseptic cream and fixed an appointment with the local physician at 5 hrs from the time of accident. The man recommended a tetanus shot and waved off the idea of dressing the wound. He sent me home with a couple of antibiotics and a painkiller.
The wound began to ooze brownish liquid which smelled like bad eggs and solidified quickly. The surface got covered by a crusty semi-solid in a few hours and attained a black color. I've washed it twice today with the lotion.
Finally, at night, i've only just covered it with plain gauze and taped it clean.
My fears/questions are:
1.) I may not have cleaned enough initially and hence there is a possibility of the presence of sand grains or small stones.
2.) The scab formation may include these foreign bodies and cause infection.
3.) Should I cover the wound as described or let it breathe free?
4.) Any other suggestions for a healthy and safe healing?
What should I do?
I'm extremely anxious now and keep imagining flesh eating bacteria eating away at my flesh, causing gangrene and leading to amputation.
I must now confirm that i don't trust the local doc too much. He suggests leaving my wound uncovered and left to dry. On the internet I read that it's better to use a dressing than to leave it open because a moist environment promotes healing.
Which method do i follow? It still secretes fluid.
My dh does wound care and he recommends using a moist dressing after a good cleaning with lots of running water. Absolutely no hydrogen peroxide...it kills the cells.
Thanks for replying, Brocallie. Yep, HO2 is a thing of the past.
Today is day 2 for me and I'm keenly tracking my progress. You see, my last wound (another road rash) was on my other knee but quite similar to this one. It was a laceration and was much deeper than this one. My silly doc asked me to leave it uncovered and it got infected. It healed through a month and a half finally and left a keloid scar. That is the reason for my worry. I'm sure I'll be falling again sometime and i must therefore master the right healing practices now.
This time i've dressed it nice and good and I change the dressing every 24 hours. I wash it with a solution of Dettol and water, leave it to dry for maybe half an hour before dressing it again with SteriPads. I think it's healing, but do check out the pics and tell me if it's healing.
Also, there's this black spot where I reckon could be lodged a small stone. Photos are attached.
It's day 3 and I'm glad to say there are no problems. The healing is happening wonderfully. Only problem was, today i pulled off a little bit of the healing skin while removing yesterday's dressing. Taking off the dressing is a real bother.
You know, when I think of it, this thread is really almost all about whether to dress a wound or not because I hear there's some debate about it. Well as of now i'm completely in favour of dressing your wounds. I've healed much quicker than last time around.
Thanks a lot, Rosequartz and Brocallie for the talk. I'm almost completely healed now. It's just scab formation and complete recovery from here. I'm thinking maybe in a week I'll be bettering my cornering skills again, with knee guards. A very logical ending lol.