News & Views
The latest wound management news for the Veterinary profession. Have news to share? Send it to us at: firstname.lastname@example.org
Wound Management - Topical Treatments In Small Animal Practice
Several topical solutions and preparations are available for the treatment of wounds in veterinary patients. Topical preparations can be used to help create a favourable healing environment, with some products having additional antimicrobial properties. With many products available, it can be difficult to decide which topical treatment is most appropriate for the individual wound. This article will discuss the most commonly used wound cleaning solutions and topical products currently available in veterinary practice. Joanna McCaghertyx, BVMS, PGcert Small Animal Surgery, MRCVS , Royal (Dick) School of Veterinary Studies, Division of Veterinary Clinical Sciences, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Roslin EH25 9RG Samantha Woods, BSc MA VetMB CertSAS DipECVS MRCVS , Royal (Dick) School of Veterinary Studies, Division of Veterinary Clinical Sciences, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Roslin EH25 9RG, email@example.com Key Words: wound｜topical｜honey｜hypochlorous acid｜silver｜healing｜antibiotic resistance Download the full article below.
Wednesday Wound Club - Episode 5
Episode 5 features the lovely Joanna and Chloe the cat. Chloe was an elderly, and somewhat chubby cat with excessive flexion of her left hind limb. Her gait was abormal meaning that she developed a pressure sore just below her hock which was non-healing. Joanne got involved in the case a few months into care and sought advice to help resolve the wound from Georgie Hollis, VWL Founder. Joanne was introduced to some new techniques using materials that enabled her to make a removable splint to help reduce the flexion and offload the hock. . This session is around 30 minutes long and is a great example of creativity in action and a great outcome after ongoing review and adaptation of ideas. To view the session click here
We've a lovely bundle of live sessions coming up for the Autumn months. For those in the UK it's time to snuggle up, hunker down and join us for some light hearted wednesday wound club discussion featuring some incredible cases and some great ideas. On the 18th of October and 2nd of November we have two sponsored sessions that will give you some great inside knowledge on the latest skin and wound care knowledge. To register visit our CPD Diary https://www.vetwoundlibrary.com/events
Saturday 1st of October 2022
Bandaging Blunders - We've all been there!
During our educational time training as veterinary professionals, whether that be a veterinary surgeon or veterinary nurse, we have very little time put towards teaching us the basics of bandaging and the science behind it; yet it is something that occurs multiple times per day in veterinary practices across the world. No wonder we see so many complications and bandaging injuries occur!
Thursday 22nd of September 2022
Wound dressing guide - Which product when?
Download this generic wound dressing guide to help you select the most appropriate dressings for your wounds. The sections that are blank are deliberately left as they are unlikely scenarios. Any questions or suggestions for improvement are welcome through our 'Ask the expert' member form or by e-mailing us direct at firstname.lastname@example.org If you'd like us to cover any new or favourite dressings that are not in our options in the guide let us know!
Monday 22nd of August 2022
Weds Wound Club. Episode 2 Fire Cat
Join us on the 7th of September for our second Wednesday Wound Club featuring 'Fire Cat'. This case study is a challenging one to view. Deeply emotive but incredibly insightful. The progress and outcome acheived by the team who took on the care of Fire Cat is a great demonstration of the steps involved with burn management. It also illustrates the secondary complications that may occur as a result of scarring and wound contraction and the future surgery that may be required to restore quality of life. We will also cover: Therapy discussion: Silver Sulphadiazine. Is it recommended for burn wounds? A question answered: What is the best immediate action for burn wounds? The session is FREE to join live: The session will be recorded and available to view for Vet Wound Library Members. If you are not already a member you can join here
Launching our NEW Wednesday Wound Club - Starting August 3rd 2022
We are very pleased to announce the launch of our NEW Wednesday Wound Club! Our club will run on the 1st wednesday of the month at 1pm for 6 consecutive months. Sessions will be hosted live and will feature: A challenging case - A real case from the Vet Wound Library featuring: Presentation, the clinical challenge, progress and outcome. We'll discuss what we all learned and what the case teaches us for similar situations in future. A therapy summary - We'll summarise a type of generic therapy or technology and it's role in wound management. A commonly asked question - we'll answer a single question in depth based upon VWL members requests. Live sessions are free to join for Vets, techs and nurses. If you miss the session we will be recording them and hosting them for access on demand in the VWL member area. If you are not already a member you can join for just £9.00 per month, unsubscribe at any time, and access all of our 30+ hours of specialist led wound management content. We are looking forward to seeing you at the Wound Club!
New monthly membership option - just £9 per month for Vets, Techs and Nurses
We are excited to announce that there is a brand new membership option at The Veterinary Wound Library. For £9.00 per month you can access all of our webinars on demand. Whenever you want. All in one go if you really fancy!!? The Veterinary Wound Library is the largest online wound care resource for Veterinary professionals with over 30+ hours of on demand, specialist led webinars that include: The physiology of wound healing The principles of dressing selection Factors of healing delay History of wound management Dressing types and technologies Bandaging techniques Skin preparation Wound Lavage and decontamination Wound bed preparation Surgical reconstruction principles & techniques Skin grafting Evidence based medicine Everything we do is driven to help YOU improve outcomes and to give you the knowledge and support to do your very best for your patients. We are continually working on new resources which your membership supports. By being a member you are part of a growing community that is actively researching the very best techniques for wound managemnt and the latest technologies and techniques to help you heal better. You can join as an individual or as a practice, monthly or yearly. You can unsubscribe at any time. Whether you have a passing interest for that challenging case, to a passion for wound management. We are here to support you.
Out of date dressings
In recent weeks we've had some really emotive and challenging requests from Vets, Nurses and pet owners. As is to be expected many are asking for support and donations of dressings and clinical resources for both human and Veterinary patients in the Ukraine. Please be vigilant when donating to animal causes and when responding to calls for help. Animal and human suffering are powerfully emotive subjects that can leave the best of us desperate to help. PLEASE don't fall for scams that are appealing for you to share with your network or donate money. Be vigilant and cross check the campaigns you follow. Find them through a search on google and if in doubt contact them and ask for more information and trust your gut! What about wound dressings? Well the fact is that most dressings for 'humans' have to be tested to ensure they meet regulatory standards for sale in europe. (That's a pre-Brexit thing - but likely to continue similarly in future). These standards mean that dressings need to meet requirements that they are sterile on the point of use and avoid any inadvertent tissue damage. It's not a lot to ask. But you may be surprised that many Veterinary products don't meet those standards! If you have stock to donate and it's human standard, has a CE mark and is out of date it may well be ok. We know you don't want to do any harm by donating it, but out of date doesn't really mean bad. It just means no-one has tested it past 3 years to see if it is still sterile 10 years later. So, the rules are that products intended for human use need an expiry date. They have to be tested to guarantee that the product will remain sterile up to 3 years and that the packaging provides the protection required to ensure the product is fit for purpose. This test is performed to cover time frames that are relevant to practice. No one tests past 3 years because.... if it lasts longer you keep it for longer and you won't buy any replacements!! Most products are tested for stabilty over 3 years and given an expiry date to reflect this. Very few, if any, products are tested beyond this range which does not mean that the products are not viable, but that there is no data to verify that they will be sterile after this point. That does not mean the products are not fit for purpose. When using for Veterinary purposes there is an important and valuable point to take into account. It is not a good point, but one which should reassure those who are participating in first aid and charitable work. Be reassured. To date there are no obligations for wound management products used in Veterinary practice to be sterile so the guarantees provided by the expiry date are not even on the radar. This is an abomination. BUT given the need and under current circumstances if the dressings are sealed and have been kept out of daylight (to avoid decay of plastic packaging) then the expiry date is probably not a big deal. It's unlikely to affect the contents enough to affect efficacy. More importantly, they are very very unlikely to be dangerous. So if you are looking at a bag of out of date dressings and wondering if you should take them with you. Don't waste time googling. Fill that bag and GO! When using dressings, remember you are using materials, not pharmaceuticals. These products do not tend to degrade and their function is mostly material. Using them at the correct time for the correct environmental outcome is more critical than a date stamp. Especially when it comes to animals in need.
Tuesday 29th of March 2022
Oxygen in wound healing. Will it make a difference to bring some more to the party? Will it make a difference? We'll be recording a range of sessions covering the role of Oxygen in wound heailng as well as some of the technologies that offer to deliver more of it to where it needs to be. The phrase that springs to mind - "you can take a horse to water, but you can't make it drink." Does a cell absorb oxygen just because you deliver it? What other uses does Oxygen have?
National Curry Week 4-10th October - let's spice it up!
How could we let the 23rd UK National Curry Week (4-10th of October) pass without a mention. The spices and anti-oxidants featured in your favourite curry are probably present somewhere in the latest wound care recipe! If you'd like us to share some science (or look into it) about any curry ingredient and it's role in wounds this week we'll share what we find here! Just e-mail Georgie at. email@example.com First up! TURMERIC: Turmeric has a colourful history in relation to wound healing. (sorry about the pun!). Many a Vet will have come across clients creating a version of turmeric paste (see later!) in the belief that it will cure a myriad of conditions from heart disease to arthritus and cancer. While desperation and curiousity can lead many down this path what we hear may not all be rumour. Turmeric is a popular spice, a member of the ginger family that adds colour and flavour to many of our favourite foods as well as having benefits in cosmetics. The component that is responsible for all of the medicinal benefits is curcumin, the powerfully anti-oxidant, polyphenolic chemical that gives it the vibrant yellow pigment. So we know about anti-oxidants right? Essentially they mop up the free radicals created by an inflammatory episode. I imagine a free radical as the ball on a squash court. Hit one hard in a confined space and you have to duck for cover as it hits all the walls around you until it loses momentum. Now imagine 100 balls at the same time, and you've basically got a storm of free-radicals. And you know that's going to hurt when they all hit you, well it's the same for the cells in your body. They get battered and damaged by these agressive free radicals that are left over from the body's defence system. The neutrophils that came in to save the day with their double bonded peroxides, threw out a barage of squash balls that helped to send any intruders packing. Yet some of these balls still keep bouncing around, especially when there is prolonged inflammation, such as with extensive trauma, infection, foreign body reaction, and chronic disease. Anything that causes an inflammatory response will create a flush of free radicals. When you have a lot of them, they start to damage more tissue than they are trying to protect. And that is why anti-oxidants are so valuable. They effectively mop them up, tidy them away and your inflammatory situation can begin to subside. Less stress and a much better environment for everyone. We know that chronic inflammation and persistant damage from free radicals can lead to cell damage, as cells remodel to fix themselves, when under pressure they may make mistakes (just like you and me!) and instead of being a normal cell they may become faulty, with a propensity for more tumour cells to form that forget to stop proliferating. So there you have the cancer theory, if you mop up anti-oxidants you are less likely to have the risk of cell damage and malfunction. Just about every claim associated with Turmeric is related to how the anti-oxidant effect can mitigate against the complications of a prolonged inflammatory state. There is no doubt there are benefits of antioxidants, but we need them in the blood stream to have any useful effect. That's where challenge number 1 begins. Turmeric (curcumin) is not water soluble. So it will not pass into the blood stream unless disolved in oil. Coconut oil being the oil of choice as a medium chain fatty acid it can be directly absorbed into the bloodstream without passing through the liver. However, curcumin will be metabolised and excreted by the liver once it passes through. That is, unless you combine your coconut paste with piperine, the active ingredient of black pepper. Ground black pepper in your turmeric paste is reputed to increase the systemic bioavailabitily by 2000%. While that sounds practical your challenge is going to be to ingest enough turmeric to hit an effective level of curcumin. That volume will is substantial, and significantly more than you'd find in your average chicken korma. The science appears to be pretty exciting none-the-less. Many health food shops now sell extracted curcumin in higher volume that you would be able to practically achieve through the raw turmeric itself. We should be respectful of the chemistry, but as with any natural product. Just because it is natural doesn't make it safe. Like all aromatic compounds and essential oils, curcumin is a phenolic compound. That means it is toxic to cats. Gastric upset in other species is also a common side effect where there have been a considerable number of reports of serious upset among dog and horse owners. complications horse and dog owners confessing that their animals did not tolerate the paste leading to serious gastric upsets, some requiring Veterinary intervention. We often find that it is not just Vets and Nurses that read these things, and although much of the science is promising and illustrates some great potential for curcumin in medicinal terms, please do consult your Vet if you are concerned about your pet rather than risking the unpleasant and potentially serious gastric complications that may occur with home made mixes. If you'd like to get involved with National Curry Week its a great initiative that is began in October 1988 with the purpose of of driving awareness and appreciation of the UK indian restaurant industry. It's aims are to honour and celebrate the Indian restaurant industry while raising money for poverty focused charities. Find out more at www.nationalcurryweek.co.uk
Monday 4th of October 2021
Use of acetic acid for resistant Pseudomonas. Is this a secret weapon from the past?
The use of acetic acid for wound management has preceeded modern wound care by centuries. Why is it not more commonly advocated? Quite possibly because acetic acid is not a compound that can be patented. Yet, it is one of the most deadly weapons against resistant species of Pseudomonas. While 'professionally' prepared products are probably more credible for the client, There could there be a sustainable argument to a home made solution! https://www.youtube.com/watch?v=dhUZfhi1k-Q
MicroLyte Evaluation - enrol here!
We featured a novel new product in our Burns month called MicroLyte Vet. Created by Imbed Biosciences it's Veterinary application is creating interest internationally. William Merrick, heads up the Veterinary business unit and offers an engaging introduction to the product and it's applications to date through a range of content on the MicroLyte Website. If you've watched the videos and would like to get involved in a wider evaluation of the product you can enrol here! The evaluations will make up a case series intended to help inform others of practical applications while gaining important feedback for product development and refinement. The product is not experimental and already available for Veterinary use meeting FDA and VMD standards. If you would like to arrange a product presentation for your team, or have a case that you think may be a candidate for product evaluation then please contact William directly on: WMerrick@imbedbio.com
Tuesday 7th of September 2021
New Practical Wound Management Online Course
How can an online course be practical? Because you'll learn lots of tips that you can put into practice! Georgie Hollis, Vet Wound Library Founder will host 4 sessions that cover the fundamentals of wound dressing selection and bandaging science. These will be made up of 2 lectures, followed by 2 interactive sessions that give delegates a chance to discuss dressing types, ask questions and share tips. Subjects covered in the course include: Physiology of wound healing Wound dressings - what you need to know Post op wound dressings Moist wound healing Antimicrobial wound dressings Matrix modulating dressings Bandaging techniques The science behind complications Use of layers Bandaging v immobilisation Offloading and 'do-nuts' Tie over dressings Top to tail challenges CPD Certificates will be provided to cover 5 hours of online learning. Notes and resources will be available for download and will include a generic dressing selection guide & problem wound 'troubleshooter' checklist. You can register to join us HERE