You trip, you hurtle towards the ground, you skid over 25 yards on your face, you're pavement surfing, dude.
person 1: Where'd you get the gravel rash?
person 2: drank 352 double vodkas and surfed the pavement.
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The horribly painful rash one gets after tripping and falling, or 'pavement surfing' as it's often called.
"I fell on my face and now I have gravel rash on my face, down my arm, down my leg and on my arse"
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