Basic Equine Wound Care: Understanding and Treatment

 
Basic Equine Wound Care
 
Timothy McDermott DVM
Ag/NR Hocking Co.
 
What to do first
 
Do not get injured
Calm horse get inside
Call Vet
What can you do to help?
Stop bleeding
Gently irrigate wound
Bandage
Get First Aid material
 
The Healing Process
 
Stages of Healing
Inflammation
Proliferation/Epithelialization
Remodeling
Types of closure
Primary closure
Delayed Primary
debridement
Second Intention
Most tensile strength at 7-14 days, Total strength is 15% less
 
Types of wounds
 
Puncture wounds
Small
Deep
Abrasions
Lacerations
Shallow
Deep
Linear vs Flap
Eyes
 
 
 
 
Puncture Wounds
 
Is it bleeding?  A lot? Gushing?
Deep vs Shallow
Where is the puncture located?
A small puncture over a synovial structure can be worse than a large laceration
over the rump or shoulder.
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Good prognosis with timely and correct care
 
Abrasions
 
Assess how bad the damage is
Does not have the reputation punctures and lacerations do
Fly/Insect secondary damage.
Need to prevent them from getting worse.
 
Lacerations
 
Assess similarly to a puncture wound
Bleeding, location, depth
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Topical therapy
Saline flush for debris
Antiseptics
Antibiotics
Other – Honey, Silver, Hydrogel, etc.
Insect repellants
Oral therapy
Antibiotics
Pain reliever
IV/Hospitalization
Bandages, eye covers, splints
 
Treatment options - medical
 
What is “proud flesh”
 
Part of the normal healing process
Formation of granulation tissue
More common in horses than other species
More common on lower leg
Skin under tension
Need a management plan
Prevention is best, start on DAY ONE
Stall rest, bandaging, cleaning, ointments                         
Photo credit: Dr. Holly Beckford, theequinevet.com
Work with Vet to determine individual plan
Balance too much and too little granulation tissue to get “just right”
 
Kansas St University  FOUR C’s
 
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Questions?
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Learn about basic equine wound care, including initial steps to take, stages of the healing process, types of wounds, and treatment options. Understand how to assess the severity of wounds and the importance of proper care to prevent complications. This guide provides valuable information for horse owners and caretakers.

  • Equine care
  • Wound management
  • Healing process
  • Treatment options
  • Horse health

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  1. OHIO STATE UNIVERSITY EXTENSION Basic Equine Wound Care Timothy McDermott DVM Ag/NR Hocking Co.

  2. OHIO STATE UNIVERSITY EXTENSION What to do first Do not get injured Calm horse get inside Call Vet What can you do to help? Stop bleeding Gently irrigate wound Bandage Get First Aid material 2

  3. OHIO STATE UNIVERSITY EXTENSION The Healing Process Stages of Healing Inflammation Proliferation/Epithelialization Remodeling Types of closure Primary closure Delayed Primary debridement Second Intention Most tensile strength at 7-14 days, Total strength is 15% less 3

  4. OHIO STATE UNIVERSITY EXTENSION Types of wounds Puncture wounds Small Deep Abrasions Lacerations Shallow Deep Linear vs Flap Eyes 4

  5. OHIO STATE UNIVERSITY EXTENSION Puncture Wounds Is it bleeding? A lot? Gushing? Deep vs Shallow Where is the puncture located? A small puncture over a synovial structure can be worse than a large laceration over the rump or shoulder. Synovial Puncture = TRUE EMERGENCY Good prognosis with timely and correct care 5

  6. OHIO STATE UNIVERSITY EXTENSION Assess how bad the damage is Does not have the reputation punctures and lacerations do Fly/Insect secondary damage. Need to prevent them from getting worse. Abrasions 6

  7. OHIO STATE UNIVERSITY EXTENSION Assess similarly to a puncture wound Bleeding, location, depth A laceration involving tendons, joints or large blood vessels is a TRUE EMERGENCY http://priorsequine.co.uk/wp-content/uploads/2015/11/wounds.jpg http://2.bp.blogspot.com/-dBgLdxILjkE/VO8guXlvzcI/AAAAAAAABbw/yENMpjrVgWk/s1600/leg-cuts.jpg Lacerations 7

  8. OHIO STATE UNIVERSITY EXTENSION Treatment options - medical Topical therapy Saline flush for debris Antiseptics Antibiotics Other Honey, Silver, Hydrogel, etc. Insect repellants Oral therapy Antibiotics Pain reliever IV/Hospitalization Bandages, eye covers, splints 8

  9. OHIO STATE UNIVERSITY EXTENSION What is proud flesh Part of the normal healing process Formation of granulation tissue More common in horses than other species More common on lower leg Skin under tension Need a management plan Prevention is best, start on DAY ONE Stall rest, bandaging, cleaning, ointments Photo credit: Dr. Holly Beckford, theequinevet.com Work with Vet to determine individual plan Balance too much and too little granulation tissue to get just right https://theequinevet.files.wordpress.com/2011/07/p21400391.jpg?w=600h=450 9

  10. OHIO STATE UNIVERSITY EXTENSION Kansas St University FOUR C s 1. Stay Calm 2. Clean the Wound 3. Compression bandage 4. Call the Vet 10

  11. OHIO STATE UNIVERSITY EXTENSION Questions? 11

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