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Compendium January 2011 (Vol 33, No 1)

Clinical Snapshot — A Warmblood Gelding With a Deep Neck Laceration

by Kristina Perry, BS, CVT, Eileen S. Hackett, DVM, MS, DACVS, DACVECC

    A 10-year-old Warmblood gelding was referred to our emergency hospital because of a deep laceration on the ventral neck. The referring veterinarian identified a large pool of blood near the injury. At presentation, the horse was lethargic and sweaty, with a heart rate of 60 bpm, poor pulse quality, and pale, tacky mucous membranes. The patient’s packed cell volume (PCV) was 36%, and total protein concentration was 4.6 g/dL. A 40-cm curved laceration was located on the caudal ventral aspect of the cervical region. (Figure A)

    There was subcutaneous emphysema along the left lateral neck, and the horse’s head had substantial vascular distention and edema along the left side.

    1. What anatomic structures could be involved?

    2. Does this patient require a blood transfusion?

    3. What is the best choice for venous access?

    To see the answers, download the PDF.

    NEXT: In Practice—When Not to Do It Yourself: Outsourcing in the Veterinary Practice