Bandaging large animals & Fracture stabilization

What are the four common dressing materials

Release or non-stick gauze

Gel or “moist” pads

Silver impregnated pads

foam pads

What may non-stick gauze possibly do

May adhere

What wounds are non-stick gauzes better for

Less exudative

less “oozy” wounds

What do silver impregnated pads contain

AG- antibacterial

What will silver impregnated pads treat and prevent

infection

What does silver impregnated pads aid in

Rapid healing

What dressing is best for a dry wound

Gel or “moist”

Why does gel/ moist pads help dry wounds

Helps prevent sticking

Speeds healing by applying moisture

What are foam pads great for

Oozy wounds

helps absorb

Explain wet to dry and wet to moist dressing

When you moisten a gauze and remove it when it has dried out

What is wet to dry no longer considered

no longer considered standard of care

Why might wet to dry impede healing

Increased infection rate

disruption of angiogenesis (gets rid of new and healthy rbcs)

increased inflammation

tissue cooling

expensive

What to you apply after your dressing

Conforming gauze

What does conforming gauze help with

anchors bandage in place

What two materials are considered your middle layer

Cotton

brown gauze

How will a cotton bandage normally come

Rolled

What does cotton bandaging provide

padding and stability

what does cotton bandage decrease

decreases motility that allows healing

What does brown gauze allow for

a tighter bandage

Why might cotton bandage come sterile

post-joint surgery

over an open synovial structure

What does your outerlayer do

Holds everything together

What does an outer layer provide

additional support and immobility

What will you wrap around the entire bandage BUT NOT on the skin

Vet wrap

What will you use at the top and bottom of your bandage

elasticon

And you apply the elasticon on to the skin

YEs

Do you want your elasticon on tight or loose

Loose

What type of cattle can you apply a bandage to

handled or “club” calves and cows

What are some examples of reasons to bandage a calf

Wounds

fractures

hoof capsules avulsions

What reasons might you bandage an adult cattle

horn removal

claw amputation

What materials will you need to bandage cattle

Non-stick pad or gauze

cling wrap

vet wrap

white tape

duct tape

why is it difficult to maintain a cattle bandage

Due to the “cone-Shaped” leg

How should you allows bandage around a claw

Figure 8

What are indications of bandaging horses

Wounds

lacerations

under splits or casts

post-surgery

why might you bandage a horses leg for support

Protect normal limb

support soft tissue structures during work

Allows for support of the tendons

Why might you use bandage for protecting

turnout

shipping boots

why might someone use a foot bandages

Protect the sole (foot abscess)

Heel bulb lacerations

coronary band-hoof lacerations

post-surgical correction of white line disease

What supplies do you need for a horse foot bandage

Gauze pad

diaper

vet wrap

elasticon

duct tape

What materials are needed for a distal limb bandage

Gauze or other pad

conforming gauze

sterile cotton or cotton roll

brown gauze

vet wrap

elasticon

A distal limb bandage should extend from what to what

coronary band or fetlock to JUST below the carpus

What are options for long-term distal limb bandaging

Pillow

quilt

“no bow”

standing wraps

Supporting the contra-lateral limb may decrease what

leg and tendon fatigue

may decrease laminitis secondary to load

What is a common problem with full front limb bandages

Slipping due to cone shaped leg

What part of the front limb to you need to be cautious with when doing a full limb bandage

accessory carpal bone-

watch for bandage sores

What are two ways to protect the accessory carpal bone

Figure 8 around the bone

cut through the outer and middle layer

What part of the hind limb should you be cautious of when doing a full limb bandage

the calcaneous- point of hock

What does the robert jones full limb bandage provide

serious immoblization

protection

great for severe laceration

temp. stabilization for fractures

can be applied with splint

A true r-j bandage is __ times the width of the leg

3

What is a fairly common occurrence with bandages

bandage sores

What often takes much longer to heal than the original wound

bandage sores

What are factors for fequency of changing

quantity of exudate

environment - dry vs dirty vs wet\

monitor healing

apply treatment

remove drains

What are factors to know when to remove your bandage to air-dry

exudate

environment

stage of healing

owner compliance

“horse “ compliance

Does if matter what way to wrap each leg?

no, as long as all material is going the same way per bandage

What do you need to assess your patient for when they come in with a fracture

Shock

hemorrhage

pain

able to walk

swelling

wounds

limb stability

How can you control hemorrhage

tourniquet

compression bandage

how can you treat hypovolemia

IV fluids

How can you provide pain relief

NSAIDS

opioids

sedation

What are the goals of fracture stabilization

Prevent additional damage- skin, nerves and blood vessels, bone, other soft tissues\

weight bearing horses- less anxious

protect opposite limb

What is the KEY CONCEPT to fracture stabilization

Immobilize the joint ABOVE and BELOW the fracture

never end a splint at/near the fracture site

What are different ways for external coaptation

Bandage

Split

Cast

Sling

What can you use as a splint

PCV pipe

wood

steel rod

fiberglass cast material

You should always place over a bandage if using this

Splint

Kimzey leg saver splint