II. Signs
- Evaluate Skin Abrasion as a friction burn
- Estimate depth of injury (First Degree Burn, Second Degree Burn, Third Degree Burn)
- Estimate total body surface area involved
III. Management
- As with Burn Injury, for extensive involvement, replace fluids, and burn center referral
-
Wound cleaning
- Anesthetize area (Topical Anesthetic, Local Anesthetic or Field Block)
- Scrub wound with soapy water to remove as much particulate matter as possible
- Irrigate wound
- Scrape wound with #10 blade to remove additional particulate matter
- Residual matter within wound results in Tattooing
- Dressing
- Apply Topical Ointment (Bacitracin, petroleum jelly)
- Apply Absorptive Dressing and changed dressing twice daily until drainage ceases
- Additional skin protection
- Apply sun screen (SPF 30 titanium or Zinc Oxide) to scar to prevent permanent darkening
IV. References
- Orman and Swaminathan in Herbert (2017) EM:Rap 17(11): 1-2
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| Definition (NCI_FDA) | Abraded wound; excoriation or circumscribed removal of the superficial layers of the skin or mucous membrane. |
| Definition (NCI) | Superficial damage to the skin caused by rubbing or scraping.(NICHD) |
| Concepts | Injury or Poisoning (T037) |
| SnomedCT | 400012003 |
| English | Abrasion, Skin abrasions, Abrasion;skin, abrasion skin, skin abrasions, Abrasion and/or friction burn of skin, Abrasion AND/OR friction burn of skin (disorder), Abrasion and/or friction burn of skin (disorder), Abrasion AND/OR friction burn of skin, Abrasion of skin, ABRASION, Skin Abrasion, skin abrasion |
| Spanish | abrasión y/o quemadura por fricción de piel (trastorno), abrasión y/o quemadura por fricción de piel, quemadura de piel por abrasión Y/O fricción (trastorno), quemadura de piel por abrasión Y/O fricción |
