Scrapes (Abrasions)
What are scrapes?
A scrape, or abrasion, is an area of skin that has been scraped
during a fall (for example, a floor burn or skinned knee).
How can I take care of my child?
- Cleaning the scrape
First, wash your hands. Then wash the wound thoroughly for at
least 5 minutes with warm water and soap. The area will
probably need to be scrubbed several times with a wet gauze to
get all the dirt out. You may have to remove some dirt
particles (for example, gravel) with a tweezers. If there is
tar in the wound, it can often be removed by rubbing it with
petroleum jelly, followed by soap and water again. Pieces of
loose skin should be cut off with sterile scissors, especially
if the pieces of skin are dirty. Rinse the wound well.
- Antibiotic ointments and dressing
Apply an antibiotic ointment and cover the scrape with a
Band-Aid or gauze dressing. This is especially important for
scrapes over joints (such as the elbow, knee, or hand) that
are always being stretched. Cracking and reopening at these
sites can be prevented with an antibiotic ointment, which
keeps the crust soft. Cleanse the area once a day with warm
water and then reapply the ointment and dressing until the
scrape is healed.
- Pain relief
Because abrasions can hurt badly, give acetaminophen (Tylenol)
or ibuprofen (Advil) as needed.
When should I call my child's healthcare provider?
Call IMMEDIATELY if:
- There is any dirt or grime in the wound that you can't get
out.
- A large area of skin has been scraped off.
- The scrape looks infected (red streaks, draining pus, etc.).
Call during office hours if:
- Your child hasn't had a tetanus booster in over 10 years.
- The scrape doesn't heal in 2 weeks.
- You have other questions or concerns.
Written by B.D. Schmitt, MD, author of "Your Child's Health," Bantam Books.
Published by
RelayHealth.
Last modified: 2007-03-26
Last reviewed: 2008-06-09
This content is reviewed periodically and is subject to
change as new health information becomes available. The
information is intended to inform and educate and is not a
replacement for medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
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