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Published on : Mar 14, 2014
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Slide 1 - Bandage Types Robert Jones Bandage Used for temporary immobilization of fractures distal to the elbow or stifle before surgery Must extend one joint above and below the structure you wish to immobilize Large bulky bandage that provides rigid stabilization
Slide 2 - Tape stirrups are placed on the lateral aspects of the limb. A tongue depressor is placed between them to prevent adherence of the stirrups to each another
Slide 3 - Adhesive tape stirrups are initially placed on the patient's foot
Slide 4 - Roll cotton is wrapped along the length of the limb. Cotton padding can be used to create a thicker bandage if necessary
Slide 5 - Elastic gauze is wrapped over the cotton and pulled fairly tight to compress it Not Shown: The stirrups are reflected on top of the gauze
Slide 6 - Protective tape, nonocclusive is then firmly applied. Elastic tape, in this case Vetrap®, forms the outer layer of the bandage
Slide 7 - C The completed bandage should feel solid, and a “ping” should be heard on percussion
Slide 8 - Bandage Types Modified Robert Jones bandage (simple padded bandage) Less bulky Reduce post operative swelling of limbs Provides little or no splinting or immobilization
Slide 9 - Very common bandage Forelimb or hindlimb Numerous indications Protect incision or wound Provide support (minimal) Prevent / reduce swelling Modified Robert Jones
Slide 10 - Tips Always work distal to proximal Maintain constant pressure 50 % overlap Place the limb in functional position Avoid wrinkles Visualization of middle toes Modified Robert Jones
Slide 11 - A. Tape stirrups and a padded secondary layer are applied to the limb Modified Robert Jones or simple padded bandage
Slide 12 - B. This is followed by application of a gauze tertiary layer
Slide 13 - Make sure at least 2 toes are visible!
Slide 14 - C. The stirrups are reflected to adhere to the gauze, and the bandage is covered by protective tape
Slide 15 - Bandage Types Chest or abdominal bandage Applied firmly but without constriction of the chest or abdomen Applied in the standard three layers as described previously
Slide 16 - Splints Distal limb splints Can be made with tongue depressors or pre made aluminum splints Used for temporary immobilization or definitive stabilization, commonly used on: Distal Radius and Ulna Carpus and Tarsus Metacarpal, Metatarsals, and Phalanges
Slide 17 - Splints Used to support traumatized distal limbs Limb should be well padded to prevent pressure points from developing Always be placed on the caudal aspect of the limb
Slide 18 - Cast Application   Stabilization of certain fractures distal to the elbow or stifle   Immobilization of limbs to protect ligament or tendon ruptures   Must extend one joint above and below the structure you wish to immobilize
Slide 19 - Specialized Bandages Ear bandages May be used in the treatment of aural hematomas After ear surgeries After traumatic injuries to the pinna Used to help immobilize the ear which increases the comfort for the patient
Slide 20 - Specialized Bandages Tail Bandages Protect an amputation site Trauma to the tip of the tail
Slide 21 - Aftercare of Bandages, Casts, Splintsand Slings Close monitoring of the patient Monitor them daily for in hospital patients Weekly for out of hospital patients Client education is essential Toes need to monitored daily for: Warmth Color Swelling Foul odor from area
Slide 22 - Aftercare of Bandages, Casts, Splintsand Slings Closely monitor the patient for: Foul odor from area Watch for chafing or rubbing from the bandage Patient should not be allowed to: Chew or lick at the bandage (placement of Elizabethan collars may be required) Exercise should be restricted to short leash walks Protect the bandage from dirt and moisture when patient is outside (Placement of a plastic bag or waterproof material over the bandage) Cover placed over the bandage should not be left on for more than 30 minutes, allowing the bandage to “breathe”
Slide 23 - Aftercare of Bandages, Casts, Splintsand Slings
Slide 24 - Abrasions Partial thickness wounds of epidermis Deep dermis is exposed Can be painful Associated with minimal bleeding Develop minimal exudate Heal by reepithelialization Healing enhanced by keeping surface moist and protected
Slide 25 - Lacerations Have sharply incised edges with minimal tissue trauma Can be superficial (skin) Can be deep (tendons, muscle) <12 hours after injury Minimal débridement, lavage, primary closure >12 hours after injury En bloc débridement, primary closure
Slide 26 - Puncture Wounds Have small openings, deep tissue damage Treatment Exploration Débridement Lavage Primary closure, or drain
Slide 27 - Degloving Injuries Common in small animals Often result of being hit by car, and dragged Anatomic degloving Physiological degloving Treatment Débridement, lavage, management of open wound
Slide 28 - Decubital Ulcers Result of compression of soft tissue and skin between body prominence and surface an animal is lying upon Possibility of secondary infections Treatment Prevention is best Minimal débridement Closures often fail Skin flaps preferred in some cases