Lacerations and Punctures

Severity of the laceration and puncture will depend on

    • Depth (and size)Picture8Picture10
    • Location
    • Lameness

Many times the lacerations look worse than they actually are.

Punctures are worse than they look.

Picture11

The Depth Determination

  • Abrasion

    • Superficial damage to the skin

  • Partial thickness

    • Epidermis only is affected
    • May or may not require sutures

  • Full thickness

    • All layers of the skin involved
    • Gap in the skin
    • Exposes subcutaneous tissue
    • Requires sutures within 6-8 hours

Location – Location – LocationPicture9

  • Synovial Structures

    • Joints  •  Bursas  •  Tendon Sheaths
    • Extremely sensitive to infection
    • Can jeopardize the long term soundness and life of the horse!
    • Must be treated IMMEDIATELY!

Danger Zones

Picture13Picture12

Distal Limb

Picture14

 

 

 

 

What You Can DoPicture17

  • Apply pressure to significant bleeding

    • Clean towel or bandage
    • Do not remove to change dressing

  • Clean wound

    • Betadine or Nolvosan scrub
    • Sterile saline is best but water is okay
    • Do NOT apply ointments if the vet is on the way

  • Place bandage to keep clean
  • When you are Managing the wound on your own you need to keep it bandaged

    • Reduce swelling
    • Prevent contamination/infection

  • Clean and replace bandagePicture15

    • Every 1-3 days
    • Picture18Use antibiotic cream

      • SSD
      • Furascin

  • Stall rest but monitor for lameness**
  • Give Anti-inflammatories

    • Ask your Vet about which one and how much

**if the horse is lame contact your veterinarian! (there may be a joint involved)

What the Vet Can DoPicture16

  • Identify involved structures

    • Radiographs

  • Evaluate joint involvement

    • Pressurize joint with Saline

  • Suture wound if necessary
  • Administer Medications

    • Antibiotics
    • Anti-Inflammatories

 


 

 

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