The skin has several layers. When the top layer of the skin is rubbed or torn off, it causes a wound called a skin scrape, or abrasion.
Abrasions can cause mild pain and bleeding. It's important to clean and treat abrasions to prevent skin breakdown and infection. In many cases, they can be left open to the air. But some abrasions may need to be protected by a bandage. Abrasions generally heal within a few days with very little scarring.
Home care
Your child’s healthcare provider may prescribe an antibiotic cream or ointment. This helps prevent infection. Follow instructions when giving this medicine to your child.
General care
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If bleeding occurs, place a clean, soft cloth on the abrasion. Then firmly apply pressure until the bleeding stops. This can take up to 5 minutes. Don't release the pressure and look at the abrasion during this time.
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Keep the abrasion clean. Wash it with clean, running water and a gentle soap twice a day. Also wash it if it gets dirty.
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Your provider may tell you to keep the abrasion moist to help the skin heal. If no ointment was prescribed, you may use petroleum jelly or a similar ointment. Then cover the skin with a bandage.
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If you use a bandage, change it daily or as your provider advises. If it sticks to the skin, soak it in warm water to loosen it. Children have sensitive skin that can be irritated by adhesive. You can gently remove any adhesive by using mineral oil or petroleum jelly on a cotton ball.
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Check the abrasion for signs of infection (see below).
Prevention
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Do regular safety checks of your home. Look for things that a child might trip over or run into.
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Keep a wide selection of bandages, sterile gauze, and antibiotic ointment on hand.
Follow-up care
Follow up with your child’s healthcare provider, or as advised.
Special note to parents
Abrasions, especially ones that bleed, tend to look more serious than they are. Try to stay calm when caring for your child.
When to get medical advice
Contact your child’s health care provider if:
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Your child has a fever of 100.4°F (38°C) or higher, or as advised by the provider.
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There are signs of infection around the abrasion. These include redness, swelling, pain, or bad-smelling drainage.
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Your child has bleeding from the abrasion that doesn’t stop after 5 minutes of pressure.
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Your child has trouble moving any body part near the abrasion.
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