stick injuries

RE: stick injuries

grumpyoldman — Mon, 13 May 2019 23:15:27 GMT

[quote user="Evelyn Barbour-Hill"]Well that's jolly nice for you, isn't it.[/quote]

Yes ,god loves a trier but if your not on his christmas card list its nice to know the stick hasn't slashed a carotid or popped into the pleural space before you start.

RE: stick injuries

Evelyn Barbour-Hill — Mon, 13 May 2019 23:09:44 GMT

[quote user="Jill Butterworth"]Never say never...[/quote]

fair comment.....

[quote user="grumpyoldman"]I just bung them through the CT now, [/quote]

Well that's jolly nice for you, isn't it.

RE: stick injuries

grumpyoldman — Mon, 13 May 2019 23:04:31 GMT

I just bung them through the CT now, lets me know exactly where it is and plan how to get it out.

RE: stick injuries

Jill Butterworth — Mon, 13 May 2019 21:10:10 GMT

Never say never...

It depends on the circumstances, and how close it is to the jugular. I once took a stick out, and all seemed well until the dog recovered from the anaesthetic and suddenly began to bleed out when the blood pressure normalised. Quick GA again (!) I put lyosypt into the hole and sutured it in. The bleeding stopped and the dog was fine.

RE: stick injuries

Anthony Dennison — Mon, 13 May 2019 19:34:04 GMT

[quote user="Evelyn Barbour-Hill"]Never suture it.[/quote]

Good, that's what I thought. Had one Easter weekend and pulled out about 5" of stick from the base of the tongue. First on call vet seemed quite perturbed that I had no intention of closing the wound.

RE: stick injuries

Evelyn Barbour-Hill — Mon, 13 May 2019 19:18:16 GMT

[quote user="Anthony Dennison"]

With the oropharyngeal stick injuries where the stick can be pulled back out the entry wound, should that be sutured closed or left open to drain just in case there are some small fragments still left in?

[/quote]

Never suture it.

Apart from anything else, it's not necessary.

Always GA and explore any known or suspected recent stick injury. Then the only ones that proceed to an abscess and the need for a ventral midline approach should be the ones that were unobserved or disregarded by the owner. There's little or no indication for antibiotic treatment.

RE: stick injuries

Anthony Dennison — Mon, 13 May 2019 17:26:31 GMT

RE: stick injuries

Rob Loxley — Mon, 13 May 2019 17:18:29 GMT

[quote user="Beats"]

I hate stick injuries.

Any top tips

[/quote]

Avoid antibiotics until foreign body found; make your surgical approach ventral midline

RE: stick injuries

Evelyn Barbour-Hill — Mon, 13 May 2019 14:14:00 GMT

Not sure if I can help you.

I love stick injuries.