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Check items twice a year, discard expired items and restock promptly after each use

Check items twice a year, discard expired items and restock promptly after each use. Swollen Painful Lame Full thickness. Veterinary Care.

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Check items twice a year, discard expired items and restock promptly after each use

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  1. Check items twice a year, discard expired items and restock promptly after each use

  2. Swollen • Painful • Lame • Full thickness

  3. Veterinary Care Sometimes lacerations can be treated in the field, other times your Vet may need to refer the horse to a hospital if the wound is extensive or vital structures are involved. Any full thickness laceration should receive veterinary attention.

  4. Wounds below the knee and the hock will take the longest to heal. Wounds in these areas may form exuberant granulation tissue called “Proud Flesh,” which will delay wound healing. A Vet should be called if Proud Flesh is present to remove it and restimulate healing.

  5. If an open wound is near a joint or synovial structure like a tendon sheath, this should be considered an emergency and should be examined promptly. A wound culture may be needed to guide antibiotic choices.

  6. Coffin Joint

  7. Eyelid lacerations The skin flap should never be cut. Every effort should be made to suture the flap. This is considered an emergency. • Follow up and monitoring • Tearing/Weeping eye • Holding the eye closed • Discharge • Excessive swelling • Cloudy cornea

  8. What to do… • Control bleeding first and foremost • Apply a bandage if needed to apply pressure, be sure it is clean • Keep the horse calm, place hay in front of the horse • Call your vet to get direction and advice • Recommendations • Cold hose • Lavage with weak betadine scrub or saline (do not vigorously scrub the wound) • Weak Tea Color • Place bandage until Vet arrives Photo: Anne M. Eberhardt/The Horse

  9. Major vessel lacerations will likely need hospital surgical care.

  10. Your first aid kit should be stocked with bandage material

  11. The Stages of Wound Healing Inflammation, Debridement, Repair, Maturation • Inflammatory Phase – at time of wounding • Retraction of skin due to tension. Retraction can last up to 15 days. Immobilize area to reduce retraction. • 5-10 min post - vessel constriction and dilation • 30 min post – cells respond to “clean up” • 1 hour post – localization response. The clot is formed and contamination prevented from entering the blood stream. Framework formed for repair • Signs of inflammation– pain, heat, redness, swelling Info provided by THE HORSE and Bimbo Welker, DVM, MS, a clinical associate professor in the Ohio State University (OSU) College of Veterinary Medicine

  12. The Stages of Wound Healing • Debridement Phase • Neutrophils enter to kill bacteria, breakdown debris, increase inflammation • Too many neuts slow healing and result in pus • To prevent too many neuts from attracting to wound region, KEEP IT CLEAN! • Some inflammation is good, too much delays healing • Epithelialization • The first sign of repair • Begins 8-10 hours post wounding • Epithelial cells (skin cells) migrate under the scab • Upper body 0.2 mm per day • Lower limbs/lower body 0.09 mm per day Info provided by THE HORSE and Bimbo Welker, DVM, MS, a clinical associate professor in the Ohio State University (OSU) College of Veterinary Medicine

  13. The Stages of Wound Healing • Repair Phase • 4-5 d post wounding – Repair Mechanisms • Fibroblasts work to tie the wound edges together, and fill in the defect • 3-6 d post wounding – Granulation Phase • Granulation tissue (GT) provides a surface for the epithelial cells to migrate over, resistant to infection • GT carries the fibroblasts responsible for collagen formation • Too much GT is bad  Proud Flesh (above the level of skin) Info provided by THE HORSE and Bimbo Welker, DVM, MS, a clinical associate professor in the Ohio State University (OSU) College of Veterinary Medicine Photo borrowed from: Equinews.com

  14. The Stages of Wound Healing • Maturation Phase • Final stage • Can last months to a year or more • Time of phase dependent on wound severity • Collagen production continues • Wound tensile strength increases • Once fully healed, the wound area’s tensile strength will be 15-20% less then surrounding normal tissues • We can’t speed wound healing but can provide care to facilitate it Info provided by THE HORSE and Bimbo Welker, DVM, MS, a clinical associate professor in the Ohio State University (OSU) College of Veterinary Medicine

  15. MONITORING TOOLS

  16. Monitoring Tools • Rectal temperature (Temp> 101.5°F) • Lameness/Non-weight bearing • Heat • Pain • Swelling • Discharge/signs of infection – pus, foul odor, maggots • Appetite and attitude • Diarrhea (especially if on medications) • Proud flesh

  17. Provide a Safe Environment • Check fencing regularly • Clean up debris • Bucket hooks and double ended snaps • Check stall for nails • Clean up after roofers or contractors visit

  18. Thank You! Oley Valley Feed Dr. Gina G. Tranquillo Certified Equine Sports Massage Therapy Certified Equine Acupuncture Allpointsequine.com 610-351-1404

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