On Thursday, February 14, 2002 at 12:00, Frank McGregor 
<[EMAIL PROTECTED]>
wrote re "[CfSC] Fw:  cycling site." saying:

> Interesting link page.
> 
> Frank.
> 
> > http://sportsmedicine.about.com/cs/cycling/index.htm

The first link on this site is on Road Rash, and is very interesting:

    Conventional treatment of abrasions and "road rash" had one treat 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 interfere 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 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). 

It would seem advisable to have some sterile (boiled) salty water in a 
sterilised squeeze bottle available - Sodium Chloride is common table salt.

Tom
------- Quidquid latine dictum sit, altum viditur -----------------
   ,__@ Tom A. Trottier +1 613 860-6633 fax:231-6115
 _-\_<, 758 Albert St.,Ottawa ON Canada K1R 7V8 
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