Wound Management and Bandaging (Large Animal)

Question 1

Why should water hoses with spray nozzles NOT be used for debridement?

Answer 1

Pressure drives dirt and bacteria into tissue

Question 2

suffix for local anesthetic drugs

Answer 2

-caine

Question 3

a condition notorious for developing from open wounds on the distal aspect of the limbs of horses

Answer 3

Exuberant Granulation Tissue (“Proud Flesh”)

Question 4

Answer 4

Exuberant granulation tissue (Proud Flesh)

Question 5

What is the best treatment for proud flesh?

Answer 5

Surgical excision

Question 6

a bandage that covers a wound distal to the carpus or tarsus in horses

Answer 6

Lower Limb Wound Bandage

Question 7

a bandage that provides support for soft tissues of the limb contralateral to the injured leg and minimizes static leg edema in confined, inactive horses

Answer 7

Lower Limb Support Bandage

Question 8

What layer is a flannel track wrap used for in lower limb support bandages?

Answer 8

Outer shell

Question 9

Splints are placed on the _____ surface of the limb

Answer 9

flexor

Question 10

Answer 10

Full Limb Splint with PVC Pipe

Question 11

How frequently should splints be reset?

Answer 11

At least once a day

Question 12

the external coaptation most frequently used to manage various orthopedic injuries or problems when maximum support and immobilization are required

Answer 12

Cast

Question 13

What type of sedation is used to apply casts?

Answer 13

General anesthesia

Question 14

Horses should be (standing/recumbent) when removing a cast

Answer 14

standing

Question 15

Casts are split on the _____ surfaces to prevent injury to _____

Answer 15

medial/lateral surfaces
flexor/extensor tendons

Question 16

How do cattle handle bandages/casts?

Answer 16

Very well

Question 17

Answer 17

Claw Block

Question 18

a splint used in farm animals to keep the bones at the fracture site in close contact by allowing the patient to bear all its body weight on the ring applied to the axial or inguinal area

Answer 18

Thomas Splint

Question 19

a splint used in combination with casts for external support to provide traction and to maintain alignment of the limb in farm animals

Answer 19

Modified Thomas Splint

Question 20

Answer 20

Modified Thomas Splint

Question 21

PROCEDURE - Applying a Cast

Answer 21

1. Vet applies 2 layers of 3” plaster material > leave 1 cm ortho felt exposed at top
2. Hold fiberglass material in bucket of clean water > until thoroughly wet > shake excess water
3. Apply cast material > overlap by 1/3-1/2 its width > work toward foot > cut traction wires + assistant support leg
4. Apply 4-6 layers of 4-5” fiberglass tape > apply more pressure in these layers > laminates better + makes cast stronger
5. Cut excess stockinette > leave 4 cm > turn down 4 cm over the ends of the cast
6. Place wedge block under the heel > allows horse to walk easier with cast
7. Incorporate excess stockinette + wedge block into last layers
8. Cap the bottom of the cast with hard acrylic
9. Place elastic adhesive tape around top of the cast > attach to skin

Question 22

The skin is powdered with ____ or ____ to keep the area under the cast dry

Answer 22

talcum or boric acid

Question 23

PROCEDURE - Applying a Lower Limb Support Bandage

Answer 23

1. Apply the padded layer > secure with rolled conforming gauze > compress padding to limb
2. Apply outer shell > elastic wrap, adhesive elastic tape, flannel track wrap

• If using Ace bandage or track wrap > secure with white tape in “barber pole” fashion

Question 24

PROCEDURE - Applying a Lower Limb Wound Bandage

Answer 24

1. Clean wound > apply topical antimicrobial
2. Apply nonadherent dressing directly over the wound
3. Secure with rolled conforming gauze > wrap gauze around the limb with light pressure, overlapping, without wrinkles > 2-4 cm proximal + distal to wound edges
4. Apply the padded layer > secure with rolled conforming gauze > compress padding to limb
5. Apply outer shell > secure top + bottom of bandage with Elastikon to skin