Principles of early wound management.
The equine practitioner can positively influence wound healing by dispensing appropriate treatment in the first few hours after injury. Positive actions in the early period include hemostasis, meticulous cleansing and debridement of the wound, the use of effective but nonirritating products to disinfect the wound, closure (if indicated)with minimal tension on the suture line, the judicious use of drains,and ensuring adequate tetanus protection. Furthermore, a thorough assessment of the wound and the patient in the initial period after trauma provides pertinent information on prognosis. Finally,good communication and cooperation among all involved parties are necessary to ensure that everyone understands the factors involved and the potential for a successful outcome.
Wilson
David A
DA
Department of Veterinary Medicine and Surgery, University of Missouri, Columbia, MO 65211, USA. wilsonda@missouri.edu
D000818:Animals; D003646:Debridement / Q000662:veterinary; D006736:Horses / Q000293:injuries*; D010808:Physical Examination / Q000662:veterinary; D013537:Sutures / Q000662:veterinary; D007507:Therapeutic Irrigation / Q000662:veterinary; D013997:Time Factors; D014945:Wound Healing / Q000502:physiology*; D014946:Wound Infection / Q000150:complications / Q000662:veterinary; D014947:Wounds and Injuries / Q000601:surgery / Q000628:therapy / Q000662:veterinary*