
07/10/2025
Wounds are one of the most common emergencies we receive and care for. This young horse made a questionable choice to jump a fence with a wood pole top rail a few months ago, and didn't quite make it over. He sustained a laceration to his chest region, with a thin flap of skin and some damage to his underlying pectoral muscles.
The laceration was repaired that night by Drs. Sarbry and Jensen, and he was hospitalized for observation, which ended up being a smart choice; over the next several hours, his heart rate increased and he started to show more discomfort than would be expected for this type of wound. He was re-evaluated, and an ultrasound of his thorax showed that he was hemorrhaging into his chest cavity (hemothorax) and had also developed a cardiac arrhythmia. Both are thought to have been a result of the degree of blunt trauma to his chest. Fortunately no fractures of his ribs or sternum were evident.
He was maintained on pain medications, a low rate of IV fluids with lidocaine to treat his cardiac arrhythmia, antibiotics to prevent infection of his wound or his thorax, and wound care was provided. We monitored his hemothorax frequently to ensure it did not require a chest drain.
Fortunately his hemothorax and arrhythmia resolved with this treatment plan. His skin flap did not survive, leaving a relatively large open wound that was managed with a tie over bandage.
As you can see, he healed beautifully and follow up care with Dr. Hunter Greer, who has a special interest in cardiology, showed that his heart has also returned to normal so he has a great prognosis to continue his path towards being an equine athlete!