Emergency - HELP! graphic photo

mammabooh · #21 02/24/12, 12:48 PM

I agree with susanne and Caliann. I don't have any experience with horn injuries, but that looks like a slice to me. Whatever it was that happened, I sure hope you can get her fixed up!

LoneStrChic23 · #22 02/24/12, 12:50 PM

I'd clean it REALLY well. Get some EMT gel to dress it with.....And bandage it. I did this with Bleuberry's leg & the EMT gel kept it moist and allowed to heal from the inside out. I used non stick gauze, & coated it with antibiotic ointment as extra "anti stick" insurance & placed bandage on top of the EMT Gel coated wound.

Redressed daily, then every other day after the first few days. At each redressing I cleaned with Vetricyn, let air a bit, then a new layer of EMT gel & fresh bandages......Caliann posted a link to my blog post about the nasty wound doctoring with pics.... Bleu's bone was gouged, it needed stitches, but I found her too late for stitching.

To be safe, I'd also give this doe tetanus antitoxin & antibiotics..... I used Biomycin because thats what I had, and my girl was pregnant at the time of her injury.

Good luck!

yarrow · #23 02/24/12, 12:51 PM

Quote:

Originally Posted by TroutRiver

Yarrow - what I meant was that I want to make sure I do not induce labor with any drugs that I give her. I know that would be a big mess!

Okay... got it.. you want to stay away for the steroids.. no using Dexamethasone for swelling, which COULD put her into premature labor..

This quote from Dr. House.. is one of the easiest to remember and so true when it comes to most injuries ect...

"If it's wet, keep it dry. If it's dry, keep it wet.
If it's not supposed to be there, cut it off"

You will need to keep the area dry or you set her up for a staph infection..
so watch out with oily creams & such..

susie, mo ozarks

TroutRiver · #24 02/24/12, 03:40 PM

Thanks.

So, if I want to keep it dry, then I probably do not want to bandage it, right? Also not sure how I would get a bandage to stay on her udder. I don't have anything to shave it with. Maybe tape?

I gave her 3cc PenG and 2cc of banamine (she's a big girl). After the banamine she let me touch and clean her udder, so I cleaned it up as well as I could, and covered the entire wound with the betadine/sugar mixture. Will clean it again before the end of the day.

I am worried about one spot that seems to be bulging out more than the rest of it, like a small puncture wound under the flap of skin. Not sure what I can do about it except keep it as clean as possible.

Would a spray antiseptic like blu-kote or alu-shield be better than cleaning it with a liquid?

She did get CDT vaccine. Can I get the antitoxin at TSC?

Also, maybe this got answered and I missed it, but should I give multiple doses of PenG, or just one?

EDIT: and maybe I judged too soon that it was a horn. I didn't see it happen so I don't really know. I guess I just assumed. I was so sure of myself on the horn issue, and that was the first thing that came to mind this morning when I saw her injury

motdaugrnds · #25 02/24/12, 03:45 PM

So sorry this occurred; and yes, I've seen horn "tears" that separated the skin like that.

You're getting some great information here...as usual with this wonderful group...

If she were mine, I would "not" stitch it either. I would definately give her a tetanus and clean it well (probably with Betadine); then I would coat it with a mixture of "raw honey and neosporin". Also, since she's pregnant, the PenG (8-10cc in muscle to start; then 4-5cc every 12 hrs for total of 4 more times) would be my choice of antibiotic. I would "not" attempt to wrap it...just keep her bedding extra clean.

Do let us know how she does.

Pony · #26 02/24/12, 04:11 PM

OH, ouch, wow, ooogy...

I'm sorry this happened to your gal. You've gotten really great advice (love the House quote - lol!) so all I will add is my heartfelt prayer that she heals well and quickly.

Alice In TX/MO · #27 02/24/12, 04:15 PM

I would NOT use Neosporine. That's exactly the greasy type med that will catch dirt and feces and hold it next to the wound.

When hubby had a permanent abdominal catheter for peritoneal dialysis, he would treat the exit site with Betadine and then dust the damp Betadine with Fruit Fresh, which is primarily Vitamin C. NEVER had an exit site infection after he started doing that.

Minelson · #28 02/24/12, 04:20 PM

That is a doozy

I would flush it with Chlorhexidine diluted with water to a very light blue...like a swimming pool. It's too hard for me to tell about stitches...Can you pull it together at all? If it was stitched I would do a drain for sure. It almost looks like a deep abrasion. Flush that flap on the bulging area and see if you can get the flush underneath and in all the nooks and crannies. You might be able to tell how deep it goes by doing this.

I'm sorry this happened!

Sherry in Iowa · #29 02/24/12, 04:25 PM

Sorry about this accident. I don't think I would stitch it..I'd clean it up and then put white sugar or honey on it. We've seen some real miracles with both on humans and animals.

Best of luck.

KrisD · #30 02/24/12, 09:52 PM

When my son ran into some furniture and split his cheek open through the muscle, wide gaping wound, our pediatrician said he needed a plastic surgeon. The surgeon couldn't see him for 2 weeks. I used honey and a tegaderm patch to keep it clean. His scar now looks like a small dimple. Most people can't even see it. I now use honey and a tegaderm patch on all injuries. The high sugar content in honey prevents bacteria from growing. It even stops MRSA. Tegaderm patches you can usually buy at a pharmacy. So sorry to hear about her injury. Hugs

bee · #31 02/24/12, 11:54 PM

Well now..there is only one addition I think I see...with the antibiotics I think you need to give a pro-biotic to get the "good bugs" back in her digestive system..at least I have always seen folks advised to do so.

Nasty looking mess; good luck! bee

copperpennykids · #32 02/25/12, 12:31 AM

Excellent advice given.

Prevail/Banamine/Flunixin are all dosed at 1cc/100 lbs.

Penicillin needs to be dosed at 5cc/100 lbs. So you are looking at 10cc/day for this doe. 3ccs is not enough. Penicillin excels at wound care (not much good for illness anymore, but great for wounds).

Don't try to cover the wound. Clean and dry. Go with the sugar (which would be drier than the honey, although honey is awesome). Sprinkling Golden Seal powder on is a great idea - You should be able to purchase it in bulk. Get 1 ounce of Golden Seal and 1 ounce of Slippery Elm and mix them. Then sprinkle them on the wound. The slippery elm is a mucilagenous herb and very healing.

Glad she is still feeling good - Yarrows' advice on clean deep bedding in her own pen/stall is right on. Probiotics is excellent advice as well.

You can give the prevail/banamine in 1/2 doses, once in the AM and once in PM if she needs that for pain.

Laura Workman · #33 02/25/12, 01:26 AM

I'm probably a little late, but I had a dog bite on a full udder, all the way through. There was about a one-inch gash and bloody milk poured out of it. I looked online and found multiple vet recommendations that udder tissue does NOT stitch well. Then I got in my medical kit and hauled out some tissue glue, which is a LOT like super glue. Cleaned the wound, glued it shut, and milked the doe several times a day VERY gently to keep the stretching stress off the wound. She healed quickly, and I started letting her hold milk again after about a week. After a month, you could barely see a mark. Goats have amazing healing ability.

susanne · #34 02/25/12, 08:17 AM

Quote:

Originally Posted by copperpennykids

Excellent advice given.

Prevail/Banamine/Flunixin are all dosed at 1cc/100 lbs.

Penicillin needs to be dosed at 5cc/100 lbs. So you are looking at 10cc/day for this doe. 3ccs is not enough. Penicillin excels at wound care (not much good for illness anymore, but great for wounds).

Don't try to cover the wound. Clean and dry. Go with the sugar (which would be drier than the honey, although honey is awesome). Sprinkling Golden Seal powder on is a great idea - You should be able to purchase it in bulk. Get 1 ounce of Golden Seal and 1 ounce of Slippery Elm and mix them. Then sprinkle them on the wound. The slippery elm is a mucilagenous herb and very healing.

Glad she is still feeling good - Yarrows' advice on clean deep bedding in her own pen/stall is right on. Probiotics is excellent advice as well.

You can give the prevail/banamine in 1/2 doses, once in the AM and once in PM if she needs that for pain.

went back to re-read my post and missed to write the correct dosage. vet recommended 3cc per 10 pound of body weight 2x a day. sorry about that.
that is what i use if i have a problem and so far never failed.

April · #35 02/25/12, 10:03 AM

Owie! That looks really similar to a wound my cow got when she freshened with horrific edema. Her wound came from her stepping on her poor swollen udder as she got up. The skin was stretched because of the edema and therefore more delicate than normal and her hoof just sliced it very surgically.

It was a blessing in disguise, though, because the drainage provided by the wound eased the edema some. I would have rather found a different way to do that than a wound, though.

I used honey as a salve and taped it. It healed up and haired over quite well, but we did end up having to trim some of the torn skin flap off. We took the honey and tape off at each milking, cleaned the area with water, sprayed with Vetricyn, then reapplied the honey afterward.

copperpennykids · #36 02/25/12, 03:09 PM

Quote:

went back to re-read my post and missed to write the correct dosage. vet recommended 3cc per 10 pound of body weight 2x a day. sorry about that.
that is what i use if i have a problem and so far never failed.
__________________

I got my dosage from a DVM who owns/breeds three National Show herds. If the lesser amount works for you, that's good. But with an injury like this I wouldn't want to take any chances.....

Ford Zoo · #37 02/26/12, 08:24 AM

One of my does did this last year. I speculate that she stepped on her udder when she was getting up. In my case, the open area was a bit larger than the size of a quarter and also went all the way thru the skin. I cleaned it with chlorhexadine then applied wonder dust to dry it. It scabbed over, the flap dried and fell off, and it healed without problems. Drying it helped keep dirt off- think of the goo that covers rug burns if they are bandaged and not allowed to dry. Of course, yours may be worse than mine was. Let us know how it goes.

TroutRiver · #38 02/26/12, 09:45 AM

OK guys, she seems to be doing well. Still eating and talking and bright-eyed. Yesterday I went back and scrubbed the wound really throughly with betadine (gave banamine first and she didn't complain much). The sugar is working wonders and is keeping it really dry, so I am thinking it would be best at this point to not scrub it or get it wet, so long as it stays dry and clean. I sprayed it with blu-kote this morning, it looked dry and clean. She is in a deep bedded stall separated from everyone else

Here is my twice daily routine with her, tell me what you think:

2cc banamine IM (will probably cut it down to 1cc twice a day starting tonight)
5cc PenG IM (how long should I do this for? I am guessing just a couple more days...)

5cc tincture containing garlic, echinacea, goldenseal and cayenne, mixed with a couple tablespoons of aloe vera gel, given orally

5g probiotics

Also putting homeopathic arnica in her water

susanne, 3cc of PenG per 10 pounds of bodyweight, twice a day? Really? That is a massive amount! That means I would be giving her 45+ cc twice a day, that's like a cow-sized dose... did you mean to say per 100 pounds?

I am worried though because this morning she had a little bit of thick, creamy white mucous discharge, possibly her plug? We may have babies on the way

if that is the case, I really hope her udder can handle the stress of kidding.

Also, I do have some slippery elm powder and could get some goldenseal, but the wound is dry now so it might be too late? Either way it is looking good, so long as kidding doesn't reopen the wound

Alice In TX/MO · #39 02/26/12, 09:55 AM

I think you are doing *everything* humanly possible. Good job. :thumb

beccachow · #40 02/26/12, 10:10 AM

Kris, I used honey on my GSD's pressure sore when he was paralyzed...that thing was so deep you could see the hip bone. I used other stuff as well, of course, but the things that stuck with me were being told to keep the hole open to prevent closing infection in, constant dressing changes, don't use peroxide after the first day or two, and my own experience using honey and dressings. Of course the down side with an out door animal is that you must keep an eye on the site as it will draw bugs and dirt. Honey is an ancient remedy that is overlooked by modern medicine; the egyptians were using it thousands of years ago for the beneficial anti-biotic qualities in it.

Can you lay the skin flap over the wound? I would also try wet-to-dry dressings to keep that area moist for healing and hopefully to reattach the skin flap, if it isn't too late.

As for kidding, do you have any one around you that can spare some milk, preferably a way to get some colustrum, just in case? Store it up if you can.

((HUGS))

Emergency - HELP! *graphic photo*

Emergency - HELP! graphic photo