the injury is discovered early, and pus has not yet commenced to
form--our first duties are to give the wound free drainage, and to maintain
it in an aseptic condition. The first of these objects is to be arrived at
by paring down the horn in a funnel-shaped fashion over the seat of the
prick. It is, perhaps, even better to thin the horn down to the sensitive
structures for some little distance round the injury. By this latter method
pressure from inflammatory exudate is lessened, and the after-formation of
pus, if unfortunate enough to occur, the more readily detected, and the
less likely to spread upwards. The matter of asepsis may then be attended
to.
When the puncture is sufficiently large to admit of it, the antiseptic
dressing is best applied by means of the probe. This instrument is thinly
wrapped with tow, or other absorbent material, so as to form a small swab.
Dipped in a suitable solution (as, for example, Zinc Chloride, Spts.
Hydrarg. Perchlor., Carbolic Acid, or any other that suggests itself), the
swab is inserted into the prick, and the wound conveniently mopped clean.
A further portion of the medicated tow is then pushed partially into the
wound, and allowed to remain in position. The foot is subsequently wrapped
in a clean bag, and kept free from dirt. This dressing should be repeated
twice daily.
If the prick is in a dangerous position, and deep enough to occasion alarm,
our precautions to prevent the formation of septic matters within it may be
more elaborate. The thinning of the horn and the swabbing of the wound
may, as before, be proceeded with. In addition, the whole foot may then be
immersed for some hours daily in a cold bath, which bath should be strongly
impregnated with one or other of the following salts: Iron Sulphate, Zinc
Sulphate, Copper Sulphate, Aluminium Sulphate, Lead Acetate, or Sodium
Chloride--better still, a mixture of the various sulphates here mentioned.
If preferred, one of the more commonly accepted antiseptics--such as
Carbolic Acid, Lysol, Boracic Acid, or Perchloride of Mercury--may be
substituted.
By the cold of the bath inflammatory phenomena are held in check, while its
added antiseptic prevents the formation of septic discharges. The lameness
gradually diminishes, and resolution is rapid. In this way deep and
serious, wounds are sometimes easily and successfully treated.
_When suppuration has occurred_--and this, by-the-by, is by far the most
frequent condition
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