"Cost, not to mention owner dedication to the cause, has to be considered, especially for wounds that take long periods of time and a large amount of bandaging or ointment to fully heal. In our experience through the years, products such as wound wash and PRP ointment can significantly decrease the time and thus the money spent on healing."


LARGE AREA BODY INJURIES Here are some of the more ser ious compl icating factors when deal ing


with large injur ies on the body: Infection/Contamination. T e primary role of skin is to keep out


harmful bacteria. Large open wounds are easily infected and diffi cult to bandage, so keeping the wound clean and infection free is a constant issue. Lacerum and Eclipse wound washes are ideal for achieving this, as these products are antifungal and antibacterial but won’t kill the cells. Water kills cells, as do 80% of products sold in feed stores. Dehydration. One of the main functions of skin is to maintain


moisture balance in the body. When a substantial surface area is in- jured, dehydration becomes a prominent problem. Lack of body temperature control. Another major task of the skin


is to maintain normal body temperature. Losing a large amount of skin makes it diffi cult for the body to regulate its temperature appropriately. Hair, pigment and the many layers of cells are all important for keeping the body at the right temperature of 99 to 101 degrees F. Immunology. T e layers of cells beneath the skin are a huge part of


the immune system. When an animal has a large area of skin damage, it is important to realize they may be immunologically compromised to some degree.


CASE #250: PHOTOS 1 & 2 T is mare, a consultation from Wisconsin, sustained a third-degree


ammonium nitrate chemical burn while in foal. Over ¾ of the skin on her barrel sloughed off . Burns in general heal very slowly and are very painful. T e owner cared for the mare himself using wound wash and PRP ointment to stimulate epithelial growth around the border of the wound. It took over a year to get a fi nal healing on this mare, and she foaled during treatment. Both mare and baby are healthy and the mare was sold with a baby at her side. T e large epithelial border is very unusual as most body wounds heal by contraction.


A CASE OF CLOSTRIDIUM: PHOTOS 3 & 4 T is 6-year-old gelding was a consultation case from Texas. He


caught a bad case of Clostridium chauvoei, a bacteria that rarely aff ects horses but is a common killer of cat le, causing the disease black leg. T e wound started with a small puncture wound on the shoulder and developed into a full-blown case. Clostridium chauvoei is a gas-forming organism. T e fi rst symptom of the bacterial infection was a crackling sound due to gas being trapped under the skin, also known as crepita- tion. T e extreme crepitation that occurred in this horse caused the mass sloughing of its skin, leaving these gaping wounds. T e horse lost over a square meter of skin!


continued page 41 WWW.TRAILBLAZERMAGAZINE.US • December 2011 | 39 3 4


1 PHOTO 1: Healing progress of a third- degree chemical burn at 80 days using wound wash and PRP. Note foal at side.


2


PHOTO 2: At eight months post- injury, healing is nearly complete. T e large epithelial border is very unusual as most body wounds heal by contraction.


PHOTO 3: Large portions of this horse’s skin sloughed off from Clostridium chauvoei, a rare bacterial infection in horses known as “black leg” in cat le.


PHOTO 4: Healing progress is clearly evident aſt er several weeks of treatment.


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88  |  Page 89  |  Page 90  |  Page 91  |  Page 92  |  Page 93  |  Page 94  |  Page 95  |  Page 96  |  Page 97  |  Page 98  |  Page 99  |  Page 100