Larger road rash wounds are more prone to become infected. The risk of infection and scarring increases with the degree of road rash. Road rash of this severity often causes significant bleeding.
Third-degree road rash, which refers to a deep wound that often exposes muscles, tendons, and bones. Victims experiencing second-degree road rash should seek medical attention because the wound is at risk for infection and scarring. Debris, including rocks and sand, may likely become embedded in the wound. ROAD RASH INJURY SKIN
While the lower layers of the skin do not tear, they often become visible when the upper layers have been damaged.
Second-degree road rash, which is characterized by breaks in the skin. In most cases, you can treat first-degree road rash at home. 
However, as mentioned, abrasions are typically highly painful because of the number of nerve endings exposed. First-degree road rash may not appear to be a serious injury.
First-degree road rash, which results in little or no bleeding, possibly some bruising, and one or more minor scrapes. A large abrasion sometimes exposes many more nerve endings, amplifying the resulting pain. A minor cut only exposes a few nerve endings, resulting in manageable pain. Because a road rash typically causes a large abrasion, the injuries can be much more painful than minor cuts and scrapes. Legs, knees, hands, elbows, forearms, and chins are common sites of road rash injuries. No part of a person’s body is safe from road rash however, areas of skin that are commonly unprotected are more prone to road rash than others. Skin may scrape away and the friction between your skin and the surface may generate heat, causing a burn. When a person’s skin comes in contact with a rough surface, such as the pavement, any areas of exposed skin are vulnerable. Road rash is an extraordinarily painful combination of a friction burn and an abrasion. Vehicle passengers may experience road rash if the impact of a collision forces them outside of the car and onto the roadway. Pedestrians may sustain road rash after a forceful impact causes them to fall and slide across the rough surface of the roadway or sidewalk. Oftentimes, however, pedestrians and occupants of passenger vehicles who are involved in an accident suffer road rash. This not only prevents infection, but improves tissue formation and reduces the risk of scarring.When thinking about road rash, the types of accidents that commonly come to mind are motorcycle and bicycle accidents. The goal is to keep the wound clean but slightly moist. Alternately, you can use a semipermeable dressing such as Tegaderm, Bioclusive, or Second Skin to cover the wound. You can do so with sterile gauze and some dressing tape. Use medical-grade honey, such as Medihoney, available over the counter and online, since there is a risk supermarket honey will contain bacterial spores. You may also consider using sterilized honey, which has considerable evidence for wound care. While triple antibiotic ointments like Neosporin may be used, they can cause allergy in some people. Options include bacitracin and neomycin, available at drugstores. Avoid hydrogen peroxide, which doctors advise against for open wounds. Do your best to keep soap away from the wound as it can cause irritation. Wash the skin around the wound with soap and water. Take care not to leave any debris in the wound. If needed, use a pair of tweezers to remove embedded grit. Place it under a stream of cold water to flush out debris. Apply pressure with a bandage until the bleeding stops. Road rash tends to ooze rather than actively bleed.
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