Contusions, Abrasions(Scrapes) 좌상, 찰과상 – Dr. John Sangwon Lee's Pediatric Updates

Contusions, Abrasions(Scrapes)

좌상, 찰과상

In the United States, in 2005, 11.8 million people received emergency treatment at emergency medical centers for acute skin injuries.

More than 500,000 of them are burned,
7,300 people were reincarnated,

2 million people have been treated for cuts and punctures,

It is said that 4,700,000 people are bitten by animals every year (Source: NEJM September 2008 p.1037).

If minor trauma such as burns, cuts, lacerations, and abrasions occurs on children and adolescents (0-18 years old),

in most cases, parents themselves are the first step at the site of the trauma accident before receiving the first initial treatment from a doctor.

It is common to prioritize first aid.

Sometimes parents themselves continue to perform catch-up treatment as needed. Or,

it is common for the parents themselves to give priority to first aid at the accident site, and then receive catch-up emergency treatment at the pediatrics department or at the hospital emergency room.

Parents must be at least the half -doctors in order to appropriately take the first aid at the accident site for burns, cuts, lacerations, cuts and abrasions that occurred to children and young children.

When minor traumas such as burns, cuts, lacerations, cuts and abrasions occur to children and adolescents, the first step that parents can do at the site of the accident, first-aid measures for acute skin damage (acute cutaneous wounds management)

The following will be explained. In most cases, parents often have to do the first treatment at the accident site.

Causes of contusions and abrasions

Skin injuries without skin breakage are called contusions or bruises.
Damage to the brain parenchyma without breakage is called brain contusion.
Here, we mainly describe a skin contusion.
Children and adolescents have strong physical activity, play badly, and do a lot of physical exercises, so various traumas such as contusions, abrasions, and lacerations occur almost every day.
Sometimes, the skin may suffer severe contusions, and both strains and abrasions can occur at the same time.
When a part of the skin is severely contused or rubbed, the epidermal layer of the skin is thinly peeled off, and a small amount of blood is formed on the skin, which is called abrasion.
Abrasions are more common on the face, knees, limbs, and torso due to a fall or a traffic accident.

Symptoms of contusions and abrasion

The upper wound is swollen and painful.
The function of the wound area where the abrasion has occurred may be limited.
After a day or two, it turns red and bruises.
Symptoms vary slightly depending on the severity of the abrasion.
In general, skin wounds caused by abrasions are sore and painful, and a little swelling and a little swelling and blood formation are common.
‘After 2-3 days of abrasion, the abrasion wound is bruised black or red. If not treated properly, a contusion or abrasion wound can become infected with bacteria and fester.
In the event of abrasion, dirt can enter the skin layer or subcutaneous tissue where the abrasion wound is located.111111111111111111111111111111111111111

Treatment of the contusion and abrasion

If the affected part of the body hurts or swollen, applying cold water or ice to the left wound right away can make it less painful and less swollen.
If the compression wound or left-wound caused by pressure is large or continues to be painful and swollen, treat it according to the doctor’s instructions.
Emergency treatment is given a little differently depending on the size and extent of the abrasion and where the abrasion is located on the body.
When the abrasion is small and relatively clean, it can be left as it is for observational treatment, or after washing with soapy water or a disinfectant soapy water, sterilization treatment can be performed with such as betadine solution disinfectant.
It can be treated by applying a topical antibiotic ointment such as Neosporin.
If the abrasion wound is dirty and infected with bacteria, wash the dirt thoroughly with soap and water with a disinfectant.
Antibiotics for application to wounds can be used to treat infections.
You may be allergic to betadine solution disinfectants.
Before treating with betadine solution disinfectant, you should find out if your child is allergic to betadine solution disinfectant.
If your child is not allergic to betadine liquid disinfectant, the abrasion wound should not be washed with soapy water but washed with betadine liquid disinfectant, and the wound covered with a disposable band-aid should be treated.

▴ Photo 1-41. Betadine solution disinfectant is used in the United States without a doctor’s prescription. It can be stored and used as a household medicine at a pharmacy. Copyright ⓒ 2011 John Sangwon Lee, MD., FAAP

Depending on the size and extent of the abrasion wound, sterilization treatment is performed to treat the abrasion, and an antibiotic ointment for application such as Neosporin ointment is applied to the wound, and the abrasion can be treated by covering the abrasion with a disposable band-aid or sterile gauze.

We do not recommend emergency treatment of abrasion wounds with alcohol sterilization.

Small and minor abrasions can be healed by sterilization treatment with a betadine solution disinfectant

([Parents must also be at least the half–doctors-Encyclopedia of Pediatrics and Family Nursing)-Volume 21 Children and Adolescents Home School Nursing-Disinfectants.)

If dust, dirt, sand, etc. is buried on the surface of the abrasion wound, or if it is deeply embedded in the abrasion wound, or is dirty due to dirt on the abrasion, wash it thoroughly with soapy water or dust on the abrasion wound with clean gauze or medical brush (refer to Photo 49) B.

Wash and treat dirt, sand, and other dirt carefully.

When treated like this, it hurts a little and the wound may bleed a little.

Sometimes, local anesthesia for the abrasion is performed and the dirt is washed away.

Unclean abrasions are washed with soapy water, and then washed further with betadine disinfectant and sterilized.

Then, the abrasion can be covered with sterile gauze and fixed with a bandage or band-aid.

When the skin from the abrasion wound is dry and not festered, remove the covered gauze.

Change with new gauze as needed.

Get the tetanus vaccine as directed by your doctor.

▴ Photo 1-41. If necessary, wash the dirt off the abrasion wound with clean water. Sometimes you can wash it more thoroughly with a hygiene brush.

When the upper wound is hot and painful, pain relievers such as Tylenol are used. If the abrasion wound is festered or a foreign object, such as sand or wood, is deep inside the abrasion wound, the foreign body should be properly removed at the hospital.
Replace the wound covered with gauze or disposable band-aids with new ones every 1-2 days.
Whenever changing gauze, etc., either Neosporin antibiotic ointment for skin application, bacitracin antibiotic ointment, or Bactroban antibiotic ointment is applied to prevent festering, or a re-sterilization treatment with betadine solution is performed.
If the abrasion wound is large or dirty, or if you are unsure of what to do at home, you should consult your doctor for appropriate treatment.
When the abrasion wound is festered, it is appropriately treated with oral antibiotics or intravenous antibiotics.
If the abrasion wound occurs on the entire skin layer and the width is greater than 1㎠ or does not heal within 2 weeks after the abrasion, it is recommended to seek treatment by a plastic surgeon (source; NEJM September 2008 p.1037).
The following is an example of the Internet pediatric and adolescent health counseling question and answer about “wounds near the eyes, abrasions.”

. Q&A.

Wounds near the eyes, abrasions,

Thank you for the last reply.
I have a 9-month-old girl.
A scratch has occurred near the eyes and just under the lower eyelid.
It looks like that when she rubs your eyes.
I always cut my nails short..
What kind of medicine should I use?
Whenever I get sleepy, I rub it, and it’s often wet due to tears, so it doesn’t heal well, and I’m afraid it might get infected.
There are betadine liquid disinfectants or Neosporin, but I don’t apply them because they seem to get into my eyes.
Please let me know if there are any medicines that can be applied around the eyes.

Dear mother, Hello. Thanks for asking. That’s a good question. The more information you know about your child’s age, gender, past medical history, family medical history, medical examination findings, and clinical examination, the more helpful it is to give you an answer.
We will respond based on the information you provided.
Apply a little bit of skin disinfectant, such as betadine solution, to the Q tip and apply it lightly to the affected area, and wait for 1 to 2 minutes so that some of the applied disinfectant may be absorbed into the blood through the skin.
When a very small amount of betadine disinfectant enters the eyes of a child, tears come out of the eyes, and the betadine disinfectant is diluted and washed away with tears.
Even if you perform sterilization treatment with betadine solution disinfectant, there is no need to worry too much.
Betadine solution, a disinfectant, may cause allergies, so it should be used with care. It can be treated with Neosporin antibiotic ointment.
Please read the instructions carefully before starting treatment.
Refer to [Parents should also be at least half-doctors-Child and Family Nursing]-Volume 21 Children and Adolescents, Home School Nursing, and Disinfectants for Home Nursing.
If you have more questions, please contact us again.
Thank you.
May you be healthy and blessed in the new year, and all things prosper.

Lee Sang-won, MD

좌상 및 찰과상
2005년 미국에서는 1,180만 명의 사람들이 급성 피부 손상으로 인해 응급 의료 센터에서 응급 치료를 받았습니다.
이들 중 50만 명 이상은 화상을 입었고,
7,300명은 열상(찢어진 상처)을 입었으며,
200만 명은 베인 상처나 찔린 상처로 치료를 받았습니다.
또한 매년 470만 명이 동물에게 물린다고 합니다(출처: NEJM, 2008년 9월호, p.1037).
영유아 및 청소년(0~18세)에게 화상, 베인 상처, 열상, 찰과상 등 경미한 외상이 발생했을 때,
대부분의 경우 의사에게 전문적인 초기 치료를 받기 전, 사고 현장에서 가장 먼저 조치를 취하는 사람은 바로 부모입니다.
이때 응급처치를 최우선으로 하는 것이 일반적입니다.
때로는 부모가 직접 필요에 따라 후속 치료까지 계속해서 수행하기도 합니다. 혹은,
사고 현장에서 부모가 먼저 응급처치를 한 뒤, 소아청소년과나 병원 응급실을 방문하여 전문적인 응급 치료를 받는 경우가 흔합니다.
영유아 및 청소년에게 발생한 화상, 베인 상처, 열상, 찰과상 등에 대해 사고 현장에서 적절한 응급처치를 수행하려면, 부모가 적어도 ‘반의사(half-doctor)’ 수준의 지식은 갖추고 있어야 합니다.
영유아 및 청소년에게 화상, 베인 상처, 열상, 찰과상 등 경미한 외상이 발생했을 때, 사고 현장에서 부모가 가장 먼저 취할 수 있는 조치, 즉 급성 피부 손상에 대한 응급처치(급성 피부 상처 관리)에 대해
다음과 같이 설명하겠습니다. 대부분의 경우, 부모가 사고 현장에서 1차적인 치료를 직접 수행해야 하는 상황이 많기 때문입니다.
좌상 및 찰과상의 원인
피부가 찢어지거나 손상되지 않은 상태의 피부 외상을 ‘좌상(contusion)’ 또는 ‘멍(bruise)’이라고 합니다.
뇌 조직(실질)에 손상이 발생했으나 뇌가 찢어지지는 않은 경우를 ‘뇌좌상(brain contusion)’이라고 합니다.
여기서는 주로 ‘피부 좌상’에 대해 다루겠습니다.
영유아 및 청소년은 신체 활동이 왕성하고, 격렬하게 놀거나 다양한 신체 운동을 많이 하기 때문에, 좌상, 찰과상, 열상 등 각종 외상이 거의 매일 발생하곤 합니다. 때로는 피부가 심한 타박상을 입기도 하며, 염좌와 찰과상이 동시에 발생할 수도 있습니다.
피부의 일부가 심하게 부딪히거나 쓸리면 피부의 표피층이 얇게 벗겨지고 상처 부위에 소량의 출혈이 생기는데, 이를 찰과상이라 합니다.
찰과상은 넘어지거나 교통사고를 당했을 때 얼굴, 무릎, 사지, 몸통 부위에 발생하는 경우가 흔합니다.
타박상 및 찰과상의 증상
상처 부위가 붓고 통증이 느껴집니다.
찰과상이 발생한 부위의 기능이 제한될 수 있습니다.
하루 이틀이 지나면 상처 부위가 붉어지거나 멍이 듭니다.
증상은 찰과상의 심각도에 따라 다소 차이가 있습니다.
일반적으로 찰과상으로 인한 피부 상처는 쓰리고 아프며, 약간의 부종과 출혈이 동반되는 경우가 흔합니다.
찰과상이 발생하고 2~3일이 지나면 상처 부위가 검거나 붉은색으로 멍이 듭니다. 적절히 치료하지 않을 경우, 타박상이나 찰과상 부위에 세균이 침투하여 감염되거나 곪을 수 있습니다.
찰과상을 입게 되면 상처가 난 피부층이나 피하 조직 내부로 이물질이나 흙먼지가 들어갈 수 있습니다.

타박상 및 찰과상의 치료
신체 손상 부위가 아프거나 부어 오른 경우, 즉시 찬물이나 얼음을 환부에 대주면 통증과 부기를 완화하는 데 도움이 됩니다.
압박이나 압력으로 인해 발생한 타박상이나 상처가 크거나, 통증 및 부기가 지속된다면 의사의 지시에 따라 치료해야 합니다.
찰과상(긁힌 상처)에 대한 응급 처치는 상처의 크기, 범위, 그리고 신체 어느 부위에 위치해 있는지에 따라 조금씩 다르게 적용됩니다.
찰과상이 작고 비교적 깨끗한 상태라면 별도의 처치 없이 경과를 지켜보는 관찰 치료를 하거나, 비눗물 또는 소독 성분이 포함된 비눗물로 세척한 후 베타딘(Betadine) 용액 같은 소독제로 살균 처리를 할 수 있습니다.
또한 네오스포린(Neosporin)과 같은 국소용 항생제 연고를 발라 치료할 수도 있습니다.
찰과상 부위가 오염되었거나 세균에 감염된 경우, 비누와 소독제를 사용하여 이물질을 철저히 씻어내야 합니다.
감염 치료를 위해 상처에 바르는 항생제를 사용할 수 있습니다.
베타딘 용액 소독제에 알레르기 반응을 보이는 경우가 있을 수 있습니다.
베타딘 용액 소독제로 치료하기 전에, 아이에게 해당 소독제에 대한 알레르기가 있는지 반드시 확인해야 합니다.
만약 아이가 베타딘 용액 소독제에 알레르기가 없다면, 비눗물 대신 베타딘 용액으로 상처 부위를 세척한 뒤 일회용 반창고를 붙여 상처를 보호하고 치료해야 합니다.
▴ 사진 1-41. 베타딘 용액 소독제는 미국에서 의사의 처방 없이도 구입할 수 있습니다. 약국에서 구매하여 가정용 상비약으로 보관하며 사용할 수 있습니다. Copyright ⓒ 2011 John Sangwon Lee, MD., FAAP
찰과상의 크기와 범위에 따라 살균 처리를 시행하고, 네오스포린 연고와 같은 국소용 항생제 연고를 바른 뒤, 일회용 반창고나 멸균 거즈로 상처 부위를 덮어 보호하는 방식으로 치료할 수 있습니다.
찰과상에 대한 응급 처치 시 알코올 소독제를 사용하는 것은 권장하지 않습니다. 작고 경미한 찰과상은 베타딘(Betadine) 소독액을 이용한 소독 처치만으로도 치유될 수 있습니다.
([참고: 『소아 및 가족 간호 백과사전』(Doctors’ Encyclopedia of Pediatrics and Family Nursing) 제21권 – 아동 및 청소년 가정·학교 간호: 소독제 편])
찰과상 부위에 먼지, 흙, 모래 등이 묻어 있거나 깊숙이 박혀 있는 경우, 또는 오염되어 지저분해진 경우에는 비눗물로 상처 부위를 깨끗이 씻어내거나, 깨끗한 거즈나 의료용 브러시를 사용하여 상처에 묻은 이물질을 털어내십시오(사진 49-B 참조).
흙, 모래 및 기타 오염 물질은 매우 세심하게 씻어내고 처치해야 합니다.
이러한 방식으로 처치할 때, 상처 부위에 약간의 통증이 느껴지거나 소량의 출혈이 발생할 수 있습니다.
경우에 따라서는 찰과상 부위에 국소 마취를 시행한 후 이물질을 씻어내기도 합니다.
오염된 찰과상은 먼저 비눗물로 세척한 뒤, 베타딘 소독액을 사용하여 다시 한번 씻어내고 소독합니다.
그 후, 멸균 거즈로 상처 부위를 덮고 붕대나 반창고를 이용하여 고정합니다.
찰과상 부위의 피부가 마르고 덧나지 않는 상태가 되면 덮어두었던 거즈를 제거합니다.
필요에 따라 새 거즈로 교체해 주십시오.
의사의 지시에 따라 파상풍 예방 접종을 받으십시오.

▴ 사진 1-41. 필요하다면 깨끗한 물로 찰과상 부위의 이물질이나 흙을 씻어냅니다. 경우에 따라 위생용 솔을 사용하여 더 철저하게 씻어낼 수도 있습니다.
Copyright ⓒ 2011 John Sangwon Lee, MD., FAAP
상처 부위가 뜨겁게 느껴지거나 통증이 심할 때는 타이레놀(Tylenol)과 같은 진통제를 복용합니다. 만약 찰과상 부위가 곪았거나 모래, 나무 조각 같은 이물질이 상처 깊숙이 박혀 있다면, 병원을 방문하여 이물질을 적절하게 제거해야 합니다.
거즈나 일회용 반창고(밴드)로 덮어둔 상처는 1~2일 간격으로 새것으로 교체해 줍니다.
거즈 등을 교체할 때마다 상처가 곪는 것을 예방하기 위해 피부용 항생제 연고인 네오스포린(Neosporin), 바시트라신(Bacitracin), 또는 박트로반(Bactroban) 중 하나를 바르거나, 베타딘(Betadine) 용액을 이용해 상처를 다시 소독해 줍니다.
찰과상 부위가 넓거나 오염이 심한 경우, 또는 가정에서 어떻게 처치해야 할지 확신이 서지 않을 때는 의사에게 진료를 받아 적절한 치료를 받도록 합니다.
찰과상 부위가 곪았을 때는 경구용 항생제나 정맥 주사용 항생제를 사용하여 적절하게 치료합니다.
찰과상이 피부의 전층(모든 층)에 걸쳐 발생했거나, 상처의 폭이 1㎠를 넘는 경우, 또는 상처가 생긴 지 2주가 지나도 아물지 않는 경우에는 성형외과 전문의에게 진료를 받을 것을 권장합니다 (출처: NEJM, 2008년 9월호, p.1037).
다음은 인터넷 소아·청소년 건강 상담 게시판에 올라온 “눈 주위의 상처 및 찰과상”에 관한 질의응답 사례입니다.
. Q&A.
눈 주위의 상처 및 찰과상
지난번 답변 주셔서 감사합니다.
저에게는 생후 9개월 된 딸아이가 있습니다.
아이가 눈 주위, 정확히는 아래 눈꺼풀 바로 아래쪽에 긁힌 상처가 생겼습니다.
아이가 눈을 비빌 때 생긴 상처인 것 같습니다.
평소 아이 손톱을 항상 짧게 깎아주고 있는데도 이런 일이 생겼네요.
이럴 때 어떤 종류의 약을 발라주어야 할까요?
아이가 졸릴 때마다 상처 부위를 비비고, 눈물 때문에 상처가 자주 젖어 있어서 잘 아물지 않고 자꾸 덧나는 것 같아 걱정입니다. 혹시 감염이라도 될까 봐 두렵기도 하고요.
베타딘 소독액이나 네오스포린 같은 약이 있기는 하지만, 눈 속으로 들어갈까 봐 차마 바르지 못하고 있습니다. 눈 주위에 바를 수 있는 약이 있는지 알려주세요.
어머니, 안녕하세요. 문의해 주셔서 감사합니다. 아주 좋은 질문이십니다. 자녀분의 나이, 성별, 과거 병력, 가족력, 신체 검진 소견, 임상 검사 결과 등 더 많은 정보를 알려주실수록 더욱 정확하고 유용한 답변을 드릴 수 있습니다.
우선, 현재 제공해 주신 정보를 바탕으로 답변드리겠습니다.
베타딘 용액과 같은 피부 소독제를 면봉(Q-tip)에 소량 묻혀 환부에 가볍게 바르신 후, 1~2분 정도 기다려 주십시오. 이는 바른 소독제의 일부가 피부를 통해 체내로 흡수되도록 하기 위함입니다.
만약 아주 소량의 베타딘 소독제가 아이의 눈에 들어가더라도, 눈에서 눈물이 흘러나오면서 소독제가 희석되어 눈물과 함께 씻겨 나가게 됩니다.
따라서 베타딘 용액으로 소독 처치를 하셨다고 하더라도, 지나치게 걱정하실 필요는 없습니다.
소독제인 베타딘 용액은 알레르기 반응을 일으킬 수 있으므로, 사용 시 주의가 필요합니다. 베타딘 대신 네오스포린(Neosporin) 항생제 연고를 사용하여 치료하실 수도 있습니다.
치료를 시작하시기 전에 반드시 사용 설명서를 꼼꼼히 읽어 보시기 바랍니다.
참고자료: [부모도 최소한 반의사가 되어야 한다 – 아동 및 가족 간호] 제21권 ‘아동 및 청소년’, ‘가정 및 학교 간호’, ‘가정 간호용 소독제’ 편.
추가로 궁금한 점이 있으시면 언제든지 다시 문의해 주십시오.
감사합니다.
새해에는 늘 건강하시고 복 많이 받으시기를 바라며, 모든 일이 번창하시기를 기원합니다.
이 상 원 (의학 박사)
Copyright drleepediatrics.com 2026년 3월 15일

Contusions, Abrasions(Scrapes)

좌상, 찰과상

In the United States, in 2005, 11.8 million people received emergency treatment at emergency medical centers for acute skin injuries.

More than 500,000 of them are burned,

7,300 people were reincarnated,

2 million people have been treated for cuts and punctures,

It is said that 4,700,000 people are bitten by animals every year (Source: NEJM September 2008 p.1037).

If minor trauma such as burns, cuts, lacerations, and abrasions occurs on children and adolescents (0-18 years old),

in most cases, parents themselves are the first step at the site of the trauma accident before receiving the first initial treatment from a doctor.

It is common to prioritize first aid.

Sometimes parents themselves continue to perform catch-up treatment as needed. Or,

it is common for the parents themselves to give priority to first aid at the accident site, and then receive catch-up emergency treatment at the pediatrics department or at the hospital emergency room.

Parents must be at least the half -doctors in order to appropriately take the first aid at the accident site for burns, cuts, lacerations, cuts and abrasions that occurred to children and young children.

When minor traumas such as burns, cuts, lacerations, cuts and abrasions occur to children and adolescents, the first step that parents can do at the site of the accident, first-aid measures for acute skin damage (acute cutaneous wounds management)

The following will be explained. In most cases, parents often have to do the first treatment at the accident site.

Causes of contusions and abrasions

Skin injuries without skin breakage are called contusions or bruises.

Damage to the brain parenchyma without breakage is called brain contusion.

Here, we mainly describe a skin contusion.

Children and adolescents have strong physical activity, play badly, and do a lot of physical exercises, so various traumas such as contusions, abrasions, and lacerations occur almost every day.

Sometimes, the skin may suffer severe contusions, and both strains and abrasions can occur at the same time.

When a part of the skin is severely contused or rubbed, the epidermal layer of the skin is thinly peeled off, and a small amount of blood is formed on the skin, which is called abrasion.

Abrasions are more common on the face, knees, limbs, and torso due to a fall or a traffic accident.

Symptoms of contusions and abrasion

The upper wound is swollen and painful.

The function of the wound area where the abrasion has occurred may be limited.

After a day or two, it turns red and bruises.

Symptoms vary slightly depending on the severity of the abrasion.

In general, skin wounds caused by abrasions are sore and painful, and a little swelling and a little swelling and blood formation are common.

‘After 2-3 days of abrasion, the abrasion wound is bruised black or red. If not treated properly, a contusion or abrasion wound can become infected with bacteria and fester.

In the event of abrasion, dirt can enter the skin layer or subcutaneous tissue where the abrasion wound is located.111111111111111111111111111111111111111

Treatment of the contusion and abrasion

If the affected part of the body hurts or swollen, applying cold water or ice to the left wound right away can make it less painful and less swollen.

If the compression wound or left-wound caused by pressure is large or continues to be painful and swollen, treat it according to the doctor’s instructions.

Emergency treatment is given a little differently depending on the size and extent of the abrasion and where the abrasion is located on the body.

When the abrasion is small and relatively clean, it can be left as it is for observational treatment, or after washing with soapy water or a disinfectant soapy water, sterilization treatment can be performed with such as betadine solution disinfectant.

It can be treated by applying a topical antibiotic ointment such as Neosporin.

If the abrasion wound is dirty and infected with bacteria, wash the dirt thoroughly with soap and water with a disinfectant.

Antibiotics for application to wounds can be used to treat infections.

You may be allergic to betadine solution disinfectants.

Before treating with betadine solution disinfectant, you should find out if your child is allergic to betadine solution disinfectant.

If your child is not allergic to betadine liquid disinfectant, the abrasion wound should not be washed with soapy water but washed with betadine liquid disinfectant, and the wound covered with a disposable band-aid should be treated.

▴ Photo 1-41. Betadine solution disinfectant is used in the United States without a doctor’s prescription. It can be stored and used as a household medicine at a pharmacy. Copyright ⓒ 2011 John Sangwon Lee, MD., FAAP

We do not recommend emergency treatment of abrasion wounds with alcohol sterilization.

Small and minor abrasions can be healed by sterilization treatment with a betadine solution disinfectant

([Parents must also be at least the half–doctors-Encyclopedia of Pediatrics and Family Nursing)-Volume 21 Children and Adolescents Home School Nursing-Disinfectants.)

If dust, dirt, sand, etc. is buried on the surface of the abrasion wound, or if it is deeply embedded in the abrasion wound, or is dirty due to dirt on the abrasion, wash it thoroughly with soapy water or dust on the abrasion wound with clean gauze or medical brush (refer to Photo 49) B.

Wash and treat dirt, sand, and other dirt carefully.

When treated like this, it hurts a little and the wound may bleed a little.

Sometimes, local anesthesia for the abrasion is performed and the dirt is washed away.

Unclean abrasions are washed with soapy water, and then washed further with betadine disinfectant and sterilized.

Then, the abrasion can be covered with sterile gauze and fixed with a bandage or band-aid.

When the skin from the abrasion wound is dry and not festered, remove the covered gauze.

Change with new gauze as needed.

Get the tetanus vaccine as directed by your doctor.

▴ Photo 1-41. If necessary, wash the dirt off the abrasion wound with clean water. Sometimes you can wash it more thoroughly with a hygiene brush.

Copyright ⓒ 2011 John Sangwon Lee, MD., FAAP

When the upper wound is hot and painful, pain relievers such as Tylenol are used. If the abrasion wound is festered or a foreign object, such as sand or wood, is deep inside the abrasion wound, the foreign body should be properly removed at the hospital.

Replace the wound covered with gauze or disposable band-aids with new ones every 1-2 days.

Whenever changing gauze, etc., either Neosporin antibiotic ointment for skin application, bacitracin antibiotic ointment, or Bactroban antibiotic ointment is applied to prevent festering, or a re-sterilization treatment with betadine solution is performed.

If the abrasion wound is large or dirty, or if you are unsure of what to do at home, you should consult your doctor for appropriate treatment.

When the abrasion wound is festered, it is appropriately treated with oral antibiotics or intravenous antibiotics.

If the abrasion wound occurs on the entire skin layer and the width is greater than 1㎠ or does not heal within 2 weeks after the abrasion, it is recommended to seek treatment by a plastic surgeon (source; NEJM September 2008 p.1037).

The following is an example of the Internet pediatric and adolescent health counseling question and answer about “wounds near the eyes, abrasions.”

. Q&A.

Wounds near the eyes, abrasions,

Thank you for the last reply.

I have a 9-month-old girl.

A scratch has occurred near the eyes and just under the lower eyelid.

It looks like that when she rubs your eyes.

I always cut my nails short..

What kind of medicine should I use?

Whenever I get sleepy, I rub it, and it’s often wet due to tears, so it doesn’t heal well, and I’m afraid it might get infected.

There are betadine liquid disinfectants or Neosporin, but I don’t apply them because they seem to get into my eyes.

Please let me know if there are any medicines that can be applied around the eyes.

Dear mother, Hello. Thanks for asking. That’s a good question. The more information you know about your child’s age, gender, past medical history, family medical history, medical examination findings, and clinical examination, the more helpful it is to give you an answer.

We will respond based on the information you provided.

Apply a little bit of skin disinfectant, such as betadine solution, to the Q tip and apply it lightly to the affected area, and wait for 1 to 2 minutes so that some of the applied disinfectant may be absorbed into the blood through the skin.

When a very small amount of betadine disinfectant enters the eyes of a child, tears come out of the eyes, and the betadine disinfectant is diluted and washed away with tears.

Even if you perform sterilization treatment with betadine solution disinfectant, there is no need to worry too much.