Page 102 - The Veterinary Care of the Horse
P. 102

STEP 1

        Thorough cleaning of any wound is essential. It should be done in an area of good light with
  VetBooks.ir  a clean floor so wood shavings, straw or mud do not enter the wound. If the bleeding is under

        control, gently hose off any dirt before the vet arrives. If the injury is on a limb, begin hosing
        below the wound. Gradually work upwards while quietly reassuring the horse. Try to ensure

        that  dirty  water  from  around  the  wound  does  not  run  onto  the  damaged  tissue.  Continue
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        hosing until the wound is clean and protect it with a non-stick dressing, Gamgee  pad and a
        firm support bandage until the vet arrives. This will minimize any swelling.

             Not every horse will tolerate hosing or even gentle cleaning if it is anxious or in a lot of
        pain. In this case, do what you can to protect the wound from contamination while waiting
        for the vet. Do not risk being injured yourself while attempting to help the horse. In these

        cases, the vet is likely to administer a sedative so the horse can be treated efficiently and
        safely.



        STEP 2

        The  following  points  should  be  followed  if  you  decide  at  this  stage  to  treat  the  wound
        yourself.

        •    Wash your hands.

        •    Use curved round-ended scissors to trim away any hair overhanging the wound edges,
             taking care not to let it fall into the wound. The wound can be covered with a wound gel,

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             e.g. Intrasite  or K–Y Jelly  while this is being done. This prevents tiny pieces of hair
             adhering to the injured tissue.
        •    Now clean the skin around the wound with warm water and a diluted antiseptic scrub,
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             e.g.  Hibiscrub ,  I  Part  Hibiscrub  to  20  parts  water.  If  this  is  not  available,  a  saline
             solution  made  from  500  ml  (just  under  a  pint)  of  cooled  boiled  water  with  a  level
             teaspoonful  of  salt  dissolved  in  it  can  be  used.  Use  moistened  cotton  wool  or  gauze

             swabs. Alternatively, antiseptic-impregnated moist wipes are useful for this. Try to avoid
             dirty water running onto the injured tissue.

        •    Clean the wound with cooled boiled water and diluted Hibiscrub  or sterile saline. If the
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             wound  is  large  and  very  dirty,  begin  at  the  centre  of  the  wound  and  work  outwards.
             Discard each swab or wipe as soon as it has been used – never put it back into the bowl

             of washing solution. Do not use strong, undiluted antiseptics on the wound as they can
             cause further damage to the exposed tissues.
        •    Forceps or tweezers can be used to remove any foreign material.

        •    Little pieces of dirt can be flushed from wounds using a 35 ml syringe containing sterile
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