So today was interesting. I always forget that is is typically better to not be too complacent in my job becase you never know, you just never know, when something is going to go drastically awry.
Today I had one of those moments. I was minding my own business in the office across the street when one of my customers comes rushing in breathlessly saying "Is Rachel in here?" even though I was the only person in the office. I said kind of nonchalantly "I'm right here," and went back to my work, expecting an series of reduntant questions regarding the trivialities of the day.
"Rachel! Kelly wants you! A horse is hurt!" I of course stood up, said "Who?" and started walking across the street to the barn. As we briskly crossed the parking lot, she explained that Scarlett, one of our newer horses I picked up at the beginning of September, had kicked out, cut her foot, and "blood was everywhere." She had asked Kelly what she could do to help and Kelly told her to go get me.
Sure enough, blood
was everywhere when I walked up. Scarlett is a dainty chestnut mare that everyone loves. She's young and still somewhat green, but she's got great manners and is fun to ride. We were pleasantly surprised needless to say when we acquired her as a new horse of ours.
Kelly was holding a rag up against Scarlett's front left lower ankle, also known as the "pasten," when I got over there, and a puddle of blood had already formed around her hoof. "She's
got to go to the vet," Kelly said. Duh.
I instructed someone to call our vet out in Elgin while I gathered the supplies to do a pressure bandage. A pressure bandage generally consists of thick sheet cotton wrapped smoothly around the leg, then held in place by tightly wrapped Elastikon (think of a disposable Ace bandage with adhesive). You can also put 4x4 sterile gauze pads on the wound directly but the main idea is just a firm, even pressure.
I walked back out of our office and pulled the now completely soaked bloody rag away from her leg. I could see through the massive amounts of blood that she had obviously cut at least one or two arterial branches.

The picture to the right shows in red where the cut was, extending along the back of her pastern near the bulb of her heel. If you compare it to the above picture, this is the location of the coronary venous plexus which I later found out is exactly what she managed to slice open. The slice was about 1 1/2 inches deep and about 2 inches wide.
I applied the pressure bandage and then heard from our vet in Elgin that Scarlett was probably better off going to a closer vet if she had cut an arteries in her leg. We were assuming that she had since I was at this point swimming in blood.
So we called Sunset Canyon, which is only 20 minutes away as opposed to and hour and a half away. We haven't been too thrilled with the results we've had with them before, but I didn't want her to lose any more blood. By that time Chuy had hooked up the trailer, I finished my pressure wrap (which I thought looked pretty damn good) and practically pushed her into the trailer.
Despite getting held back for a few minutes on RR 12 where they were doing construction (I actually had to follow a "Pilot Car" down the one lane that they had open at 30mph which drove me crazy), I made it to Sunset Canyon rather quickly.
Dr. Greg Pruitt was the attending, and did a pretty impressive job. They first put her in the stock and knocked her out with Rompum/Dorm or some magic drug that made her pretty woozy.
He also anaesthetized her locally from the ankle down. Then I began to watch the most disgusting display of him digging around and poking and snipping at her flesh. This thing was squirting blood every which way and for a minute I had to walk off. Then I came back and kind of got it through my head that she couldn't feel it anyway.
He started lygating the arteries. He would stick the sterilized scissors in the arteries to plug them up while he worked on the other ones. It was pretty damn stomach-turning. The UPS guy pulled up and came around the corner at one point and saw this giant pool of blood and I thought he was going to faint.
Once he got them all more or less bound off, he came and explained to me that she had cut herself in one of the worst possible places. If you look at the first picture, the artery comes down and then goes into tons of little branches (the coronary venous plexus). She sliced open all of those little branches as well as her lateral and medial digital arteries.
He said that by lygating the arteries, it would form some pressure in there, and then he began stitching up the actual wound which also helped keep the blood loss down. At this point, before he started the stitches for the wound, he had the technician clean up the stocks around her feet. She was standing in blood halfway up her hoof, and it had pooled and started clotting. They literally
shoveled her blood up--not just one scoop, but two shovels full of blood. I am guessing she lost from the time she cut herself to the time they got the blood to stop about 2 gallons of blood. Fortunately, that is only about 20% of the blood in her body assuming she weighs about 1000 pounds (horses have on average a gallon of blood per 100 lbs. of body weight).
He applied another pressure bandage at which point he stood up and said, "Did you do the pressure wrap that was on her earlier?" I said "Yeah..." wondering what he was going to say. "You did an excellent job. I don't think I've ever seen as good of a wrap done by someone who wasn't a vet." I told him "Thank you...I'm glad to hear that." "Well I mean it. Really, really good job."
So aside from that little glimmer on the positive side, I was completely emotionally drained from that. To top it off, I had a horrific sleep last night, didn't have anything other than iced coffee this morning and never ate lunch. By this time it was like 3:30 pm. And of course, I had no appetite whatsoever when it was done.
All in all, Scarlett should be okay. There's no telling how long it will take her to fully recover and what kind of soundness issues we'll run into now. She's staying at the vet until at least next week so they can keep her on antibiotics and keep changing the pressure bandage.
In honor of the horrific injuries I've had to see over the last couple of months, I'm posting my last emergency when one of our horses impaled himself on a fence and took a chunk out of his shoulder. I took these pictures at the vet two days after I took him in--they put a drain in it and basically sewed together all of his muscles and tendons.

First somehow he managed to scrape off the top few layers of skin on his chest. Then the fence post, which split in half when he ran into it and broke it, went in through the front of his shoulder and out the place where you see all the stitches. It is hard to tell in that picture, but there is a fist-sized hole just to the right of the skin that I could literally stick my arm through. The one stitch at the top of his shoulder is the stitch they put the drain in through, and the white thing coming out the bottom is the bottom of the drain. The picture below gives you an idea of where on his body the wound is (front right shoulder).


Here you have the fencepost which entered the horse's shoulder. Yes, those are chunks of flesh hanging off.

Our fence took a beating through that incident. Pepe wasn't exactly too excited about the repairs.
Whenever anything like this happens, I get filled with a huge overwhelming sense of guilt. I feel as though we ask so much of these horses and a lot of times put them in situations that make them prone to injury. I get very depressed by it all. I know that they are essentially "eggs on legs" and horses, when given the option, could hurt themselves in a padded room. There is just still this small feeling inside me that screams "This is wrong!"
I don't know. I guess just having been through the deaths of multiple horses over the last few years and seeing various injuries and illnesses, I feel as though they get hurt all the time no matter how careful we are. And through all that, having to rationalize them somehow as being "worthwhile" or "good for the horse" gets old.
I'm not going to find a conclusion. I'm tired.