External Coaptation

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Transcript of External Coaptation

Horse production projection

EQUINE MEDICINE

External Coaptation-Bandaging, Splints, Casts

INDICATIONSCompression of dead space or open wound spaceReduce motionMinimize contaminationMedication applicationPrevent mutilationProtect limbControl hemorrhage

COMPLICATIONS

Pressure soresPressure necrosisTendon & ligament injuryToo much padding may cause:Bandage slippingBandage bunchingCompromised blood flow

BANDAGE MONITORINGMust be done dailyPlacement/TightnessSoiling/Strike-throughSwelling of limbDamage of materialsIncreased lamenessPatient monitoringTie/cross-tie horseNeck cradleWrap safe/other liquidsElectronic strips

Types of BandagesExercisePolo wraps, splint bootsBell bootsSupport-Professionals ChoiceShipping Protection from self & trailerMay extend to cover carpus/tarsus & hoofBandages or boots

Types of BandagesHoofUsesCover hoof woundsProtection TypesEZ boots/Davis bootsBandages Considerations Needs to be waterproofNo pressure at the coronary bandWeight bearing surface needs to be thick

Types of BandagesDistal Limb (Standing Bandage)UsesInflammatory conditionsProtectionSupport CoverageTop of metacarpus/metacarpus to coronary bandApplicationClean & medicate woundsBandage with limb weight bearingAll materials should be easily accessible before beginning

Types of Bandages

Full LimbUsed when upper limb needs to be bandagedBony prominencesExtra paddingRelief incision

Types of BandagesLimb SplintsImmobilize joint, bone, soft tissueRobert JonesStrutKimsey

Types of Bandages

Limb CastsBetter than splints for immobilizationUsually applied under anesthesiaWeight bearing surface must be reinforcedTypesFootLower limbFull limbTube (Sleeve)

Cast Monitoring

Should be checked at least twice dailyTPRHot spots on castOdor, exudate, swellingWear, cast integrityOpposite limb inflammationWeight bearingComplications Cast soresOpposite limbLaminitisTendon/ligament damage