Dogs are animals after all, so they are still wild. Sometimes they will fight if they see the same kind or natural enemies, or because of various accidents, the dogs will be injured. The dog's head is injured, how should we do first aid treatment for the dog's head injury?

Irish Wolfhound

Teddy dog, male, one Aged, 5kg, body temperature 38.5℃. The day before the consultation, he hit the wall and was stabbed by a foreign object on his forehead. He fainted on the spot, and his mental state was okay when he saw the doctor.

During the diagnosis, observe whether the dog's mental state and movement are normal, whether the wound is contaminated, whether there is foreign body in the wound, and take X-rays to observe whether there is foreign body in the skull. After examination, it was found that the dog walked and ran normally, the head was infected with wounds, and there was not much exudate (see Figure 2).

After general anesthesia, the wounds were shaved and disinfected with iodine tincture. The wounds were washed with hydrogen peroxide, 0.9% normal saline (250ml) ceftiofur (0.1g) and iodophor, subcutaneously injected with ceftiofur (25mg) and dexamethasone (0.25ml) for seven consecutive days, together with A- Parker anti-inflammatory ointment for anti-inflammatory treatment. After subcutaneous injection of vitamin K (0.5ml) and sulfoethylamide (1ml), hemostasis was performed. Finally, intravenously inject 5% glucose and sodium chloride injection (250ml), 50% glucose injection (5ml), ATP (0.2ml), coenzyme A (50U units), gentamicin (0.5ml), correct water and electrolytes out of tune.

The wound was mildly infected. After thorough debridement, the wound edge was trimmed, sutured aseptically, ointment was applied, and the wound was disinfected and changed every day. The stitches are removed in 7-10 days depending on the healing.

According to the time elapsed after injury, trauma can be divided into fresh wounds and old wounds. In fresh wounds, the post-injury time is short, there is still blood outflow or blood clots in the wound, and the contours of the tissues in the wound can still be identified. Old wounds have a long post-injury time, the contours of each tissue in the wound are not easy to identify, and there are obvious wound infection symptoms, some discharge pus, and some appear granulation tissue. Wounds are classified into aseptic wounds, contaminated wounds, and infected wounds according to the presence or absence of infection. Polluted wounds are contaminated with bacteria and foreign objects but have not invaded the deep tissue to develop and reproduce.

Factors affecting wound healing include: wound infection; foreign body or necrotic tissue in the wound; poor blood circulation in the injured part; restlessness in the injured part; unreasonable handling of the wound; vitamin deficiency in the body;

①Anti-shock is firstly anti-shock, and then debridement is performed after the shock has improved. and intestinal prolapse, surgical treatment should be performed while actively anti-shock.

②Antibiotics should be started immediately after infection prevention to prevent purulent infection, and local treatment should be combined at the same time.

③ Correct water and electrolyte imbalance

④ Eliminate factors affecting wound healing

⑤ Strengthen feeding and management to supplement adequate nutrition, improve resistance, and promote wound healing Healing, for severe wounds, high-protein and vitamin-rich feed should be given.

2. Basic methods of wound treatment

①The wound is cleaned and sterilized gauze covers the wound, and the hair around the wound is washed with soapy water and iodine tincture.

②Wash the wound to remove foreign bodies, blood clots or pustules on the wound, and wash the wound repeatedly with normal saline or antiseptic solution until it is clean.

③Debridement surgery removes all devitalized tissues in the wound, removes visible foreign bodies, eliminates the wound capsule and concave wall, expands the wound, and ensures smooth drainage.

④Wound medication can prevent wound infection, accelerate inflammation purification, and promote granulation tissue nuclear epithelial regeneration.

⑤ Wound suture

⑥ Wound drainage When the wound cavity is deep, the wound tract is long, there is necrotic tissue in the wound, or there is low retained exudate, etc., drainage strips can be used to promote drainage.

⑦Wound dressing to keep the wound quiet.

⑧ Systemic therapy should use antibiotics to control inflammation and prevent secondary infection.