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Intas Polivet (2011) Vol.

12 (I): 185-186 Short Communication

Second Degree Burns and its Management


in a Cow
K. Mohd Arif Basha and B.R. Naveen
Veterinary Dispensary
Kantebennur
Taluk Huvinahadagali
District Bellary 583216 (Karnataka)

ABSTRACT
A cow met with accidental fire burn injury leading to second degree burns on about 1/3rd of the body. The animal
was treated for shock, hypovolemia and prevention of secondary bacterial infection in addition to wound
management. Care to prevent self mutilation, clean housing, meeting nutritional requirements was also done and
animal recovered uneventfully.
KEYWORDS: Accident; cow; emergency; second degree burns; treatment.
Introduction administered for 7 days to control secondary
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Burns are classified as first degree, superficial bacterial infection. Aloe vera gel and later Neem
and deep second degree, third degree and oil were also applied on the skin surface from
fourth degree depending upon the depth of second day up to recovery. Patient was housed
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thermal injury. Most severe burns will produce a in clean environment and was continuously
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local and a systemic response. The systemic monitored for any self mutilation and other
response is mainly characterized by hypo- complications. Free choice hay, additional grain
volemia, fluid and electrolyte loss, protein loss, with vegetable oil was fed to meet caloric
pulmonary edema, increased caloric require- requirement and to avoid debility. The cow was
ments and depressed immune responses. The evaluated for wound healing at weekly interval
local response is one of inflammation vasospasm (Fig. 3-10). Animal was followed up to 40 days
fluid accumulation and electrolyte shifts post trauma and recovered uneventfully.
depending upon the extent of the thermal injury
Discussion
(Geiser and Walker, 1984).
The treatment adopted should be multi-
History dimensional. These include restoration of fluid
A non descript cow aged about 5 years which and electrolyte loss, protection against
had calved three months back met with an mechanical injury, prevention of bacterial
accidental fire burn injury all over the body. On invasion and infection, maintenance of body
examination about 1/3rd of the body was burnt temperature and removal of non-viable tissue
involving entire epidermis with reddish bloody while leaving viable germinal tissue for healing
blisters. Lesions were more pronounced on right (Geiser and Walker, 1984). The main aim of
side especially on thighs, neck, back, face and managing burn injury is to control hypovolemia
abdominal region (Fig.1 and 2). Animal was and to obtain maximal tissue perfusion and
severely dehydrated and was in a state of shock. oxygen delivery to the burned tissues, as well as
Treatment to healthy organs. Adequate volume replacement
Animal was immediately infused with intravenous improves delivery of oxygen. Excessive heat
infusion of fluids with RL and 25% dextrose during burn injury results in denaturation of
solution 2 litres each and Inj. Dexamethasone cellular proteins and coagulation of blood
5ml was administered intravenously. Egg vessels. Failure to resuscitate burned patient in
albumin was applied on the burn wound surface. early after injury results in continued
Anti-histamines were administered to control hypoperfusion and tissue hypoxia which fosters
local reactions and pruritic symptoms and progression of inflammatory cascade and
Antibiotic Streptopenicillin 2.5g I/m bid was ultimately multiple organ failure and death (Pope,

185
Second Degree Burns in Cow

Fig. 1 and 2: Cow with second degree deep burns on the day of presentation Fig. 3: 7th Day
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Fig. 4: 14th Day Fig. 5-6: 21st Day


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Fig. 7-8: 28th Day Fig. 9: 35th Day

pain, decrease inflammation, stimulate cell


growth and kill bacteria and fungi. Aloe vera and
Silver sulphadiazine are good first choices in
antibiotic therapy for burns and are used
extensively in human medicine (Hanson, 2005).
In case of burn injuries care must be taken to
prevent further damage to the deeper tissues.
Fig.10: 35th Day Application of egg albumin on the burn wound
will cool down the skin and is helpful for this.
1993). Early and efficient management of
severely burned patients facilitates outcome References
improvement. Mechanical ventilation is indicated Geiser, D.R. and Walker, R.D. (1984). Management
in case of either a deep extensive burn over 60% of thermal injuries in large animals. Vet. Clin. North
of total body surface area. Early surgical Am. Large. Anim. Prac. 6:91-105.
treatment such as escharotomies, excision and Gueugniaud (1997). Management of severe burns
grafting, which cause significant pain as well as during 1st 72 hours. Ann. Fr. Anes. Reanim. 16:354-59.
blood loss and hydrotherapy, often require
general anaesthesia. Burn injury can modify the Hanson, R.R. (2005). Management of burn injuries in
the horse. Vet. Clin. Equine 21:105-23.
volume of distribution and the pharmacokinetics
of anaesthetic agents (Gueugniaud,1997). Aloe Pope, E.R. (1993). In: Text book of Small Animal
vera gel has good antithromboxane and Surgery. Slatter D.H., 2nd Edn., Saunders, Philadelphia,
antiprostaglandin properties. It is reported to relive p. 359.

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