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Stab Wounds  942.e3


           Chronic Treatment                    claws; and evidence of older fractures are   abdominal fluid in dogs involved in motor vehicle
                                                associated with nonaccidental injury.
           •  Short-term antibiotic therapy    •  Cautious  withdrawal  of  the  instrument   accidents. J Am Vet Med Assoc 225:1198-1204,
                                                                                   2004.
  VetBooks.ir  therapy of wounds to allow healing by second   should be performed where radiographic,   Gerdin JA, et al: Forensic pathology of companion   Diseases and   Disorders
           •  Depending  on  extent  of  damage,  chronic
                                                                                   animal abuse and neglect. Vet Pathol 50(6):994-
                                                surgical,  and  supportive  care  (e.g.,  blood
             intention or preparation for skin grafts may
                                                                                   1006, 2013.
             be necessary.
                                                after cardiovascular stabilization.
           •  Remaining foreign material in the wound   transfusion) facilities are available and only   McGuinness  K,  et  al:  Non-accidental  injury  in
                                                                                   companion animals in the Republic of Ireland. Ir
             tract may result in chronic drainage or impair                        Vet J 58(7):392-396, 2005.
             healing.                          Technician Tips                    Menard J, et al: Colonic, ureteral, and vascular injuries
                                               •  Because a stab wound can be small exter-  secondary to stick impalement in a dog. J Vet Emerg
           Possible Complications               nally, it may go undetected in an animal   Crit Care 21(4):387-394, 2011.
           •  Unidentified  laceration  to  the  diaphragm   with only vague signs. Clipping of hair and   Munro  HMC,  et  al:  Battered  pets:  nonaccidental
             can result in a diaphragmatic hernia days   close inspection of the skin are recommended   physical injuries found in dogs and cats. J Small
                                                                                   Anim Pract 42:279-290, 2001.
             to years later.                    when a small cutaneous wound exists in an ill
           •  Sepsis                            animal and/or when the history is consistent
                                                with a stab wound.                RELATED CLIENT EDUCATION
            PROGNOSIS & OUTCOME                •  Because removal of an embedded blade may   SHEETS
                                                inflict additional tissue trauma, the injured
           Depends on location and severity of injury and   animal should be kept quiet and as immobile   Consent to Perform Abdominal Ultrasound
           response to therapy                  as possible in the field.         Consent to Perform Abdominocentesis
                                               •  Contact  local  law  enforcement,  animal   Consent to Perform General Anesthesia
            PEARLS & CONSIDERATIONS             control, or your local animal shelter for   Consent to Perform Radiography
                                                information on reporting animal abuse.  Consent to Perform Thoracocentesis
           Comments                                                               How to Assemble and Use an Elizabethan Collar
           •  Survey  radiography  or  advanced  imaging   SUGGESTED READING      How  to  Provide  General  Postoperative  Care
             (e.g., CT, MRI) may identify internal injuries   Intarapanich  NP,  et  al:  Characterization  and   at Home, Especially Lifting or Picking Up
             such as hematoma, abscess, or subcutaneous   comparison of injuries caused by accidental and   a Pet, and Pain Control
             emphysema. Healed previous injuries may   non-accidental blunt force trauma in dogs and cats.   How to Stop Bleeding from a Laceration or
             also  be  appreciated  (e.g.,  rib  fractures)  in   J Forensic Sci 61(4):993-999, 2016.  Wound
             patients that have been prior victims of                             AUTHORS: April L. Paul, DVM, DACVECC; Mary
             malicious injury.                 ADDITIONAL SUGGESTED               Aslanian, DVM, DACVECC
           •  Compared with motor vehicle accident inju-  READINGS                EDITOR: Benjamin M. Brainard, VMD, DACVAA,
             ries, fractures of the skull, teeth, vertebrae,   Boysen SR, et al: Evaluation of a focused assessment   DACVECC
             and ribs; scleral hemorrhage; damage to   with sonography for trauma protocol to detect free











































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