Emergency Medicine Book

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Skin Abrasion

Aka: Skin Abrasion, Road Rash
  1. Signs
    1. Evaluate Skin Abrasion as a friction burn
    2. Estimate depth of injury (First Degree Burn, Second Degree Burn, Third Degree Burn)
    3. Estimate total body surface area involved
  2. Management
    1. As with Burn Injury, for extensive involvement, replace fluids, and burn center referral
    2. Wound cleaning
      1. Anesthetize area (topical anesthetic, local anesthetic or Field Block)
      2. Scrub wound with soapy water to remove as much particulate matter as possible
      3. Irrigate wound
      4. Scrape wound with #10 blade to remove additional particulate matter
      5. Residual matter within wound results in Tattooing
    3. Dressing
      1. Apply Topical Ointment (Bacitracin, petroleum jelly)
      2. Apply Absorptive Dressing and changed dressing twice daily until drainage ceases
    4. Additional skin protection
      1. Apply sun screen (SPF 30 titanium or Zinc Oxide) to scar to prevent permanent darkening
  3. References
    1. Orman and Swaminathan in Herbert (2017) EM:Rap 17(11): 1-2

skin abrasion (C0518443)

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
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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