Dressing and bandaging a knee wound

6m 5secs
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Made by:Horse Hero

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This video is primarily about dressing a knee wound. This horse sustained a puncture to his knee whilst jumping a wall out hunting the day before. Sally Watts, practice nurse at Willesley Equine Clinic, expertly poultices and bandages the knee, one of the trickiest areas of the horse. It's quite an art and involves various layers. We had the added bonus of an insight into puncture wounds generally from lameness expert, Dr Svend Kold. Warning! Don't watch this video before eating!!

How to dress and bandage a puncture wound

Preferably wear plastic gloves to do this job.

Soak an appropriately sized piece of poultice in a clean container of warm water (it doesn't have to be hot).

The poultice should be face down (ie. the shiny layer on top).

Allow it to fully absorb water then remove from container, fold in half and gently squeeze to remove excess water (be careful not to touch the inside of the poultice which is going to be placed on the wound).

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Comments

Missbear 27 Jul 2009 Well done Sally, beautifully applied dressings you are clearly very experienced in this area. There is to much old fashioned stuffiness in the equine world that is never a problem when treating humans! Who cares which way the bandage goes. I was a frontline medic for many years & believe me when there is a genuine emergency no one cares which way a dressing is applied. Thank you for this and can we have more like it.

12 Jul 2009 Absolutely right Svend, I feel that it makes no difference provided that you bandage with an even pressure, which is the most important. If you think about it realistically, a nurse would make no distinction on clockwise/anti clockwise if she was bandaging a human limb. She would only be worried about the pressure and effectiveness of the dressing. And a lot of medical techniques do overlap.

Svend Kold 16 Dec 2008 It is encouraging that people are commenting on aspects of bandaging legs. However I do feel that it is dangerous to become too dogmatic about how a simple procedure such as bandaging should be done. There should be no issue of the bandage 'pulling on the tendon' since the first layers of bandage material ensure that EVEN pressure is present. In that case I'm not convinced that going clockwise or anti-clockwise makes any difference at all.

Dressage_junkie 15 Dec 2008 You are right, all but the first layer of bangage on the right leg was put on wrong and also the ones on the other leg were put on wrong. they are suppose to wrap the tendon to the inside meaning: Left leg counter clockwise, right leg clockwise.

MissDeSummer 15 Dec 2008 I found this very interesting too, but I noticed that every layer she put on, including the bandage to the other leg, was facing the wrong way, ie. pulling on the tendon?