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