Immediate Care/First Application First do a head to toe check to make sure no serious injuries have occurred. Next, clean and remove debris from the wound. Use running water (i.e., water from your water bottle) to flush dirt away and use your fingers to remove any remaining embedded debris. Use the antiseptic wipe to finish cleaning and disinfecting the wound by rubbing it over the surface area of the wound and its edges. Apply a light layer of the Sting Relief over the entire surface of the wound with your finger to dissipate some of the pain Apply a light layer of the antibiotic ointment over the entire are of the wound to protect it from infection On large abrasion wounds, lay the non-adherent Tefla dressing directly on top To secure the non-adherent Tefla dressing near joint areas such as your elbow, pull on the stretch netting over the dressing to hold it in place For areas like your hip, simply apply the Tefla dressing underneath your shorts, which will apply sufficient pressure to secure the dressing Typically the knee experiences smaller abrasion wounds than the elbow and hip and can usually be dressed with a simple band-aid or left exposed until you get home. Repeat this treatment for each wound Definitive Care (at home) Cleansing & Treating Step 1 Remove all pre-existing dressings from your wound. Step 2 Clean wound thoroughly with wet/moist surgical sponge to ensure that all dirt is removed from wound - This could require scrubbing the wound itself. A thoroughly clean wound is one where all of the debris, dirt and dead skin has been removed. You will most likely experience discomfort and/or pain while cleaning your wound, however, ensuring that your wound is clean will not only prevent an infection but also assist with quicker healing. Step 3 Pat the area dry around the wound with a fresh surgical sponge. Drying the skin will enable the dressings to stay fixed once they have been put into place. Step 4 Apply a light layer of antibiotic ointment directly over the entire surface of the wound. The antibiotic ointment will help to protect the area from infection. Step 5 Apply sting relief gel/pad directly on your wound to reduce the pain associated with the swelling or stinging of your injury. Dressing Your Wound For Larger Abrasions Step 6 On larger abrasion wounds, apply Tagederm (transparent dressing) to entirely cover the wounds. This dressing is essential to your wound healing efficiently and to minimizing scarring by providing a moist, protected environment for the wound to heal. The moist environment allows new skin to grow and prevents the scabbing that leads to more serious scarring. Note: Tagederm can be somewhat tricky to apply and can stick and fold onto itself if you are not careful with its application. Step 7 Remove the Tegaderm from its package. Step 8 You will find that the Tegaderm has paper on both sides of the dressing. One side covers the entire sticky back (this side is not transparent); the other side covers the outside of the bandage to maintain the shape of the patch during applications (this side of the bandage is transparent except for the paper outline of the bandage). Step 9 Remove the paper on the side that covers the entire patch (opaque side) to expose the sticky backing. IMPORTANT NOTE: do not remove the other side yet. Step 10 Firmly place the exposed sticky side on the abrasion and press on all areas of the bandage to smooth it out over the wound. Step 11 Once the Tagederm dressing has been applied to the wound, remove the paper rim on the outside of the dressing. The Tegaderm is designed to be applied directly over clean skin or wounds and to stay on until new skin covers the wound surface or up to 7 days. Step 12 If your wound is in an area that is not smooth or if you feel that the Tagederm will not lay smoothly and stick on all sides of the dressing, use the cloth tape to tape the edges of the Tegaderm dressing to your skin. Step 13 Take the recommended Ibuprofen dosage to reduce pain from the wounds as necessary. For Smaller Abrasions Step 1 On smaller wounds where the Tegaderm dressing may be impractical to use, utilize either one of the band aids or the Tefla pad to cover the wound. Step 2 If a band aid is used to cover the wound, use the white pad portion of the band aid to cover the wound area entirely. If the white pad portion of the band aid is not sufficient in size to cover the wound, then follow the instructions for the Tefla pad dressing. Step 3 Tefla Pad Dressing: If a band aid is not sufficient or impractical to cover and protect your wound effectively, take one of the Tefla pads and place it directly over the surface of the wound. NOTE: You may cut the Tefla pad down with scissors to fit the wound area more effectively. Step 4 After the Tefla has been placed on the wound, use either the stretch netting or co-ban dressing to wrap around the Tefla pad to keep it in place. Bear in mind that the Tefla pad may shift during the application of either the stretch netting or the co-ban. As a result, apply the stretch netting or co-ban carefully and slowly to better ensure the Tefla pad does not move. For better results, you might ask for someone to assist you with applying the stretch netting or co-ban while you hold the Tefla pad in place. For Abrasions on Joints Step 1 Given the irregular shape of joints such as the knee and elbow, the Tegaderm (and possibly a band aid) may not work effectively to cover and protect the wound effectively. If this is the case, a Tefla pad combined with either stretch netting or co-ban can be applied. Step 2 Open the Tefla pad package. Take one of the Tefla pads and place it directly over the surface of the wound. NOTE: You may cut the Tefla pad down with scissors to fit the wound area more effectively. Step 3 Take one of the Tefla pads and place it directly over the surface of the wound. NOTE: You may cut the Tefla pad down with scissors to fit the wound area more effectively. Step 4 After the Tefla has been placed on the wound, use either the stretch netting or co-ban dressing to wrap around the Tefla pad to keep it in place. Bear in mind that the Tefla pad may shift during the application of either the stretch netting or the co-ban. As a result, apply the stretch netting or co-ban carefully and slowly to better ensure the Tefla pad does not move. For better results, you might ask for someone to assist you with applying the stretch netting or co-ban while you hold the Tefla pad in place. Maintaining your new skin Keep Moist Your new skin is fragile and easily susceptible to drying and cracking, therefore it is important to periodically apply body lotion, Aloe Vera or another moisturizing agents until your skin has returned to a normal state. Avoid Direct Sun Exposure When your new skin grows back, you will notice that it is pink and without pigment. In this state it is easily damaged by sun resulting in possible sunburn, discoloration and/or scarring. To protect the new skin, avoid direct exposure the wound to sunlight and otherwise use sun block until the pigment has fully returned. Note however, that it will take time (i.e., possibly a year or more) for the pigment to match these surround area.