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Wednesday, August 7, 2013

The Tongue Does Not Heal All Wounds

Another great article!

The Tongue Does Not Heal All Wounds

 

Have you ever heard someone say that pets should be allowed to lick their wounds because saliva has healing properties? Veterinarians run into the notion all the time … typically after a dog or cat has been brought to the clinic with a wound that is getting worse rather than better after being licked.

 

Like many old wives tales, there is a modicum of truth behind the idea that licking can be beneficial. When an animal is wounded and does not have access to veterinary care, licking removes foreign material from the injured tissues. Also, there is some evidence that saliva does have antibacterial properties, so licking might help prevent or treat infections under these circumstances.

 

It makes sense for a wild animal to lick its wounds since no other options are available, but it does not follow that owners should therefore allow pets to do the same. This is particularly true in the case of surgical incisions.

 

Before, during, and after surgery, doctors go to great lengths to prevent wound contamination and infection including:

 

 

 

 

 

 

 

 

 

  • shaving the site to remove hair
  • scrubbing the area multiple times with two different types of antiseptics
  • covering the surrounding areas with sterile drapes
  • using sterile equipment
  • cleaning our hands and wearing sterile gloves and gowns
  • donning masks, booties and hair covers
  • keeping surgical suites impeccably clean
  • suturing the wound to keep it closed as it heals
  • prescribing antibiotics, pain relievers, and anti-lick devices as necessary

 

When a pet licks a surgical incision, he is introducing contamination, not removing it. In the case of non-surgical wounds, I don’t care if a pet licks a few times before treatment is initiated, but once the area has been thoroughly cleaned and medications started, the downsides of licking once again outweigh its benefits.

 

We now have lots of options available for keeping a pet’s mouth away from its wound or incision. Traditional Elizabethan collars work for some individuals, but others find them too annoying and clunky. See-through varieties are available, as are bulky collars that can prevent animals from turning their heads to reach many parts of their bodies. Body wraps and bandages (including some that emit a mild electric charge when licked) are widely available. Deterrent sprays can also help, but should never be applied directly to a wound. Spray the surrounding skin or use them lightly on an overlying bandage.

 

While we’re on the topic of bandages, a well-applied, appropriate covering that is checked regularly and replaced as needed can speed healing. But when used incorrectly, bandages do more harm than good. They can cut off circulation and lead to tissue death, become soiled and promote infection, and simply hide the fact that a pet’s wound needs attention. I generally do not recommend that owners apply bandages unless they have been taught the correct way to do so by a veterinarian who is familiar with the exact nature of an animal’s wound.

 

If one form of lick deterrence fails, try another. Keeping a pet’s sutures in place and preventing infection as a wound heals are well worth the effort.

 

 

Monday, August 5, 2013

Hose Water Can Get Hot Enough to Burn

Hose Water Can Get Hot Enough to Burn

 

Dr. Coates is on vacation this week, so we're revisiting some of our favorite posts from past summers. Today's post is from summer 2012. 

 

Here’s a new summertime threat I had never thought of before — dogs being burned after being hosed off with scalding hose water. Ten such cases were recently reported in an articlepublished in Veterinary Dermatology.

 

All of the affected dogs had second or third degree burns along their backs after being exposed to hot water from a garden hose that was laying out in the sun. "Third degree" describes a severe burn that damages both the skin and its underlying tissues. Second degree burns involve the superficial and deep layers of the skin.

 

Cases occurred from May through August in Texas, Arizona, California, Utah, Nevada, Indiana, Michigan and North Carolina. The burns were not always apparent until several days after the incident and some resulted in significant scar formation. I’m not sure we need a specific name for this condition, but the authors propose that we use the phrase "garden hose scalding syndrome (GHS)."

 

According to the July 2012 issue of Veterinary Medicine, the pathologists conducted their own experiment to test whether or not hose water could actually get hot enough to cause second or third degree burns. They filled black and green rubber garden hoses with water and set them out on the grass for two hours in temperatures between 89 and 94° F. The water collected from the hoses reached 120°F. Imagine how much hotter the water might get on a truly scorching day. The Burn Foundation reports that in people, hot water causes third degree burns:

 

…in 1 second at 156°

…in 2 seconds at 149°

…in 5 seconds at 140°

…in 15 seconds at 133°

 

I’ve been keeping a hose out on our back patio to water plants this summer and have been surprised a few times at how quickly the water inside heats up. I always let it run for a bit before watering the plants, figuring that they’re not built for those temperatures. The same can obviously be said for canine and human skin.

 

So even though it may seem like an obvious recommendation, make sure to flush the scalding water out of the hose before you turn it on any living creature.

 

 

Dr. Jennifer Coates

 

 

Image: Thinkstock