Dog Attacked My Cochin - Day 3 Green Skin? *WARNING - Pics*

Thanks guys! I realized in that pic it looks like we're giving her a treat, but she was just enjoying pecking hubby's ring. The only food I'm giving her is her regular feed with the occasional scrambled egg mixed in for protein. I don't want to deal with more chicken GI upset in my house than absolutely necessary!
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The cape is just to keep her from picking at her wounds. She wouldn't leave them alone, so I had to devise an inexpensive solution that kept her away from them but still allowed for airflow. I know any amount of "babying" I do beyond keeping her isolated in the house will just make her more uncomfortable.

So how often should I do the soak? I was really impressed with how well it opened and cleared things out.

Since I bought the Tylan, I'll follow through with the full course (1/2 cc initially followed by 1/2 cc in 48 hours?). If it still looks like she'll need antibiotics after that, I'll get the penicillin. I'm allergic to penicillin pretty severely, so I'd like to avoid having it around if possible.

Last night, I saw that thread you're referring to cowcreekgeek, and it's amazing! I am certainly learning more about chicken injury care than I ever thought I'd know. Thanks for all the advice. I get frustrated with all I don't know about poultry, but then I realize that 2 years ago I was still fuzzy on the difference between hen and rooster. :)

I'd like to keep updating this thread. Oh, and by the way, the day of the attack, hubby brought home a section of 8' tall chainlink from work, and reinforced our fence during the beginning of a blizzard.
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Angela

I leave the whole hen/rooster thing up to them to figure out on their own ...

Don't know why my last post's 'click to show' feature failed, so I'm gonna post the more detailed info directly below (it's gonna make for a very long post, which mine tend to most often be anyhow (I talk/type entirely too much ~'-)

If there's anything I can do to help out, be sure 'n let me know ...

As for the pain? Things like this don't hurt 'em in nearly the same way as it'd feel on our bodies, 'cause their nervous systems are made very different. So, fixin' her up yourself is just fine. I'm gonna repost a very long article, with apology to the original author, as their website is still under construction.

I've added my own superglue alternative to stitching, down at the bottom of Ms. Ross' excellent tutorial ...

Wound Care for Chickens, by Nathalie Ross

Here's my usual way of doing wounds. It's worked for some pretty extreme wounds, including one 2x1 wound that went all the way down to the silver covering of the spine of one bird.

First, gather materials:
VetWrap or similar self-adhesive wrap.
gauze wrapping type bandages or squares (depending on what you have to bandage)
non-stick pads (depending on what you have to wrap)
antibiotic ointment (neosporin, Swat for horses if you have flies around)
hydrogen peroxide (h202)
iodine
warm water
a needleless syringe - preferably a big one like 30 cc's
suture material if you need it (this ideally should be left to a vet)
a small pair of scissors like cuticle scissors are helpful
large scissors
(duct tape in some cases)
a good safe blood clotter. I prefer Clotisol as it's not poisonous and clots IMMEDIATELY even in high blood situations. You can even use it inside of beaks. It's water based, lasts ages for a small bottle. Seriously - ages. You can pretty much only get it online, but it's a must-have for a cabinet. Once you use it, you won't go back.
q-tips
papertowels
clean clothes that can be stained

DECIDING WHETHER OR NOT TO TREAT BY YOURSELF:
First, an important note. It would be ideal if, as poultry owners faced with an injured bird, that the bird be taken to a qualified veterinarian who can not only dress the wounds, access the damage, but also prescribe the correct antibiotics and follow up as necessary. This, first and foremost, is what I recommend for any wound situation that is more than minor. Please take that to heart.

If instead you decide to treat the wound yourself, here are some basic instructions on how to do so. Note that every wound, every case, is different. Use your common sense and imagination on determining when this protocol must be flexed to fit your situation.

PREPARATION:
First, examine the bird and find all wounds. Use your big and little scissors to trim feathers away from the area. Try to only take as many as could touch the wound, no more - they need feather protection and the feathers won't grow back til next moult. Also be careful, if wing feathers are near, not to cut the living flesh part inside feather quills.

If the wounds are under the wing, sometimes you can simply wrap the wing in a t-shirt to keep whatever touches the wing clean. Baby tshirts would be great for this. Neck part at the top of the wing, fitted with a little duct tape on the cloth (not tight please) and just tie the other end of the tshirt.

Make sure to look very carefully against the skin for puncture wounds. There might not be look, and puncture wounds are tricky and hard to find. Note the location and severity of all wounds.

Cleansing:
Take your syringe and fill with H202 (straight) or h202 slightly diluted with water. Use the syringe to vigously clean the wound area including in the wounds. If the wounds are puncture wounds, use diluted water/h202, not straight. You only use h202 the first time as it tends to burn tissues and keep them from healing if you continue. But it's great for bubbling out bits of dirt from inside the wound. Do this cleansing about three times per wound.

Follow up by rinsing out the h2o2 with a water/iodine mixture made to be just the color of slightly strong iced tea. You want it warm. Fill your same syringe that you used with the h2o2 and flush the wounds rather vigorously.

At this time, if there are any pieces of flesh that need to be removed, remove them. This is where I use a q-tip dipped in a bottle-cap full of clotisol (so you don't contaminate the original bottle).

Doing this on a table that's ok to stain is best. I've done this on my truck's tail gate as I can clean it afterwards. Place a lot of papertowels under the birds for these two cleansing phases to keep the drainoff from going everywhere.

Use another clean papertowel to dry the wound. You want to leave some iodine solution inside the wound - it doesn't have to be skin-dry. Just dry enough for some ointment to stick.

DRESSING:
Once the wound is well cleaned, then you'll want to dress it. I use Neosporin and q-tips most often for this job. If there are flies in the area at all, I will use Neosporin inside the wounds (ointment) and use Swat wound ointment for horses instead. (It has fly repellent that's safe for poultry in it.) I fill punctures with neosporin. If they're deep, I stick the top of the tube into the wound (and throw away the tube after I'm done with everything). Pack it. You usually want air in a wound, but puncture wounds can sometimes heal on top first and leave a pocket inside. The antibiotic ointment (not creme) is a little insurance against too much bacteria and thus abcesses.

If the wound is one that absolutely must be stitched, then pack it with the antibiotic ointment. If you're using a flyproof ointment, wipe the wound and then use the fly-proof on top. Otherwise just wipe slightly so there's a little antibiotic ointment on the important top part of the wound. You don't want to stray too far from just the wound, keep the bird dry.

On closing wounds with sutures. Puncture wounds shouldn't be sutured. Bad bacteria love a place where there's no oxygen. Suturing closes the wound and encourages festering within. As much air as you can get to a wound, the better, except that the interior of punctures should have some antibacterial action going on.

I've had some serious wounds in my flock before. The only time I've sutured was when a very large flap of skin was torn from the front of a neck (read as 3 inches by 10 inch flap). Another recent case involves a possible rather large hole in a crop which, should it leak food, should be sutured. Otherwise try to leave things open. Poultry can regrow an amazing amount of skin back if there's muscle underneath. New skin will granulate and grow in to fill in gaps that would surprise you.

On the areas that are just uncovered, I usually use antibiotic creme (versus ointment) because it's water based. Sometimes I'll just put a thin smear of antibiotic ointment, however, if that's what I have. Or fly-preventative ointment if there are flies in the area.

DRESSING WITH BANDAGES:
If at all possible, try not to cover with bandages. The average bandage keeps air out and moisture in and not in a good way. If you must bandage (a dirt floor area, extreme fly issues, etc) then try to keep the bandage to a minimum and very airy. That's why I'm not a big fan of nonstick bandages. They tend to trap moisture and cause a very warm airless area. But sometimes you have to use them. If so, cover the wound with the bandage. Wrap twice with very gauzey gauze wrap. Then put one layer only of VetWrap over. If you must secure (to keep the bandage from falling, for example) you can use very thin strips of duct tape like you would tape a birthday present. Using as little as possible, but a very strong tape like duct tape, helps let the air in.

Sometimes I've even used just one layer of a very clean paper towel rather than use a non-stick. Afterwards, if you have to remove it, you can soak with warm water and pick the bits out if it sticks. Gauze tends to embed in wound seepage.

Think out of the box when it comes to covering areas that are wounded. With my geese who had multiple puncture and surface wounds on their chest, and a high fly area, I used one white sheet that I formed into a sort of front-bib and tied behind their back. T-shirts are also awesome to cover a bird's body. Buy the appropriate size, slip the neck over their neck, their legs through the arm holes, cut two holes through which you slip their wings. Gather the bottom end (cut so that you don't cover their vent) at the top of their back and duct-tape the cloth to make it stay fitted. T-shirts are very airy, cheap, washable, and absorbent.

SUTURES: *
If your bird requires stitches, suture material with thread attached can be found at many feedstores or purchased online ahead of time. The size you want is for dogs and cats. Sutures aren't stitched like a pillow case, but each stitch is its own knot. The semi-circular needles of suture needles are ideal for going into and out of the skin. Note: stitching is not easy - skin is tough, usually the needle is slippery, and it's rather tough to do. Overestimate the amount of suture material you need as you'll make knots and cut off the excess bit sticking up.

MAINTENANCE:
Many wounds, if properly cleaned and dressed and left airy, do not need much maintenance. Oddly, one of the best ways of telling whether or not a wound is doing well is by using your nose. Smell the wound at the time of cleaning. Wounds have a particular almost sweet but not cloyingly sweet smell. Remember the smell. Then smell the wound daily to see if you smell rot. If you do, there's not enough air to the wound and possible infection going on.

Wounds will seep a little - that's natural and the body's way of dealing with wounds. Usually the seepage will be mostly clear and smell of wound. However, if there's any opaqueness to it, or clotted texture, that's infection. Also there will be some natural inflammation as the body tries to bully off the bad bacteria and bring in healing materials to the wound. However excessive inflammation, discoloration (especially black or green), should be noted.

If a wound needs cleaning or examining, take off what bandages you can gently. If they stick to the seepage from the wound, use warm water to soak the bandage parts remaining away from the drainage.

Then examine the wound, determine what needs to be done, and redress from the iodine stage onward.

ANTIBIOTICS:
Many wounds do not require additional antibiotics other than topical (on the skin) antibiotic dressings. However in the case of animal bites that weren't caught immediately, cat bites, and wounds that have been sitting or are particularly deep, it may be a good idea to treat with antibiotics. If you make this decision, please be sure to get one that is appropriate for wounds. The packages at the feedstore are not.

Penicillin G Procaine (Aqueous Pen-G) is commonly found at many feedstores in their fridge section. It's awesome to keep in your own fridge for a rainy day. It's a very thick antibiotic and requires a thicker gauge needle. I would use no thinner than a 22 gauge, preferably something more thick at a length of .75 to 1 inch. At many feedstores, you can buy 3 cc syringes that are together already with needles. These are nice to have on hand as well as that 30 cc syringe that you'll use to flush wounds.

Instructions on how to give an injection are available separately as well as how to treat with antibiotics. If you do choose to use injectable antibiotics, be prepared to go the entire recommended course. Penicillin G Procaine is a concentrated penicillin (they're not all created equally) and only is required to be given every other day. Based on the type of antibiotic you expect to use, buy that many syringes plus two.

HEALING:
Birds in healing mode need help being stabilized, nourished, and hydrated. We all know how delicate birds can be, but it's surprising how resilient they can be at times. However, wounds will often depress a bird or cause them to go into shock. A stressed or shocked bird may not be able to digest foods they're commonly given. For that reason, I recommend only giving easily dissolved feeds when a bird is in the first stages of recovery. Think crumbles, pellets, etc. You don't want to make a drastic change in their diet ever, much less when they're already stressed. If a bird is reluctant to eat, try wetting the pellets/crumbles. You can also add a boiled egg yolk (one per six cups of food) mashed into the crumbles. I like to also give probiotics (yogurt, Fastrack, Probiocs, acidophilus, or whatever I have available) during this time to combat a secondary intestinal disorder from stress and change of way of eating. Yogurt is simple. You can mix 1 tablespoon per two cups of feed.

The added protein in an egg yolk helps the bird to heal. Adding a capsule of vitamin E to that mash (one per 2 cups of mash) also helps healing. If the birds are stressy, or not able to eat normally, I'll use a vitamin/electrolyte mix in their water for the first few days. I never ever use an oral antibiotic for wound treatment. Period.

CONCLUSION:
It's unfortunately common that poultry are victims of predation and wounds. They are delicate and, with their ultra-fast metabolisms, can die readily if they decide to. Remember that an injured bird can often have internal injuries we never see. If you lose them, just remember you tried your best. However you might be surprised, with proper wound-care, how many of these birds recover to absolutely normal lives. Just be patient as healing takes a while. Usually separate the birds, but if they can be near their peers they take heart from it and will do better.

Good luck with your flock, and I hope this information has been helpful.
Nathalie Ross
(Please do not reproduce without permission of the author. The author is not a veterinarian and does not intend to dispense information that at all should replace the advice of a qualified avian vet.)


* Note that I am no doctor, but have stitched up a few animals (including myself) and thought I should add a few precautions:
  • avoid completely closing some puncture wounds, most esp. bite wounds, or anywhere that infection is present.
  • stitches should never hook skin to muscle -- treat each independently, if req'd.
  • hemostats and needle-nosed pliers are great (good ones, like old leatherman's ~'-)
  • everything must be completely sterile, of don't even consider doin' such a thing (best to leave such things to vets/doctors anyhow).

Another unapproved off-label thing that I've done is to use superglue to attach fabric or netting to prepared areas on either side of a wound, paying special attention not to allow it to enter any wounded tissue (it burns, and most probably ain't healthy). I usually attach strips to one side and/or the other, allowing them to set before gently tensioning to a drop applied on the other. It usually takes about 7-10 days to naturally release from the skin. It's been my 'super-butterfly-bandage' for years, but have never tried this on any bird.
 
Okay. Gave her another soak today, and opened up a few punctures. One was full of what looked like bumblefoot kernels...I'm assuming it was pus. I cleaned it out as best I could with sterilized tweezers. I packed it with neosporin. We'll keep a very close eye on this one.

Empty puncture:



What I pulled out:


She also has an about 1 1/2" tear on her back. The skin was growing into the wound. I loosened it up carefully all around the edges.

Before:


After:


Cleaned it out and then butterflied it slightly more closed, but not shut:



I then gave her her second injection of antibiotics.

However, I'm at a loss for what to do with this area...it's under her tail bump and above her vent. Ideas?



Thanks everyone, and Merry Christmas!
Angela
 
Excellent work there ... you've already learned that she doesn't really mind all that diggin' and pullin' and stretchin' on stuff (beyond whatever she'd normally allow, of course ~'-)

And, once you've dug out staph and rotting flesh? You're able to do just about anything any livin' creature requires ...

You can loop a stitch or two in clean tears to muscle, but I don't any real need for that ... but, you're gonna eventually have to loosen the skin from the underlying fascia that covers the muscles -- it's that stringy translucent stuff that makes preppin' chickens for dinner more difficult to do. In the post by hurricanaaran, from which the pictures were provided, this is what what done over time as the wound progressively healed.

Basically? You just work under the skin, for a sufficient distance so as to allow it to more freely stretch, 'n tug it more closely w/ each treatment. Finally, any scar tissue is trimmed back for a clean, fresh start at joining both sides to a become a fresher closed wound, once all muscles beneath have fully healed. But, that's your ultimate goal, rather than your immediate concern ... just helps to know where you want things to be, four or five steps down this road your travelin' on.

In case I didn't provide it earlier? There's an excellent online presentation on the anatomy of the chicken>> peck here << to open it's introduction in a new window. As you go through each interactive slide, you can become more familiar w/ what's near the wounds. Attempt, in your mind, to recreate the pressures generated to produce the wounds, and imagine what mighta been affected, and how -- there's no guide for this, beyond your own logic and gut instincts ... your best guesses as to what mighta been squished outta where, and whether the egg w/in may have been interrupted.

And, closest to the vent -- whether or not these punctures are in places, or deeply enough, that she'll have difficulties w/ the laying of eggs. You should become familiar w/ the symptoms and treatment of egg binding, as this may now become a possibility. But, otherwise? Do the same w/ these wounds as well ... again? It's all about stayin' ahead of the possibilities, so that you're armed w/ the knowledge of both how to deal w/ problems, and that you can, indeed, try 'n do whatever needs done ~'-)
 
Thanks! She's not at point of lay yet (she's just now 6 months). Will the stress keep her from laying for a bit? I'm kinda hoping it will. I hope to have time to more fully explore her lower half tomorrow. Today was all about the back.

Angela
 
Thanks! She's not at point of lay yet (she's just now 6 months). Will the stress keep her from laying for a bit? I'm kinda hoping it will. I hope to have time to more fully explore her lower half tomorrow. Today was all about the back.

Angela

You may be shocked by how little concern she shows, in that you've already controlled much of what her system'd be likely to respond to. Havin' a dog leave yesterday's dinner in your yard doesn't seem like so bad of a Christmas gift, after seein' what this one gave you for the morning ...

Take it in short steps, when possible, w/ periods of rest between. To soak, you can place a warm towel over that part of her, and continually drench it w/ solution. If there any puncture that you can't seem to get the gunk out of? Carefully heat up a glass bottle w/ a small neck, and gently press the opening over the puncture (provided it doesn't go completely through anything, or into anything too fragile). As the bottle cools (which you can carefully help along), the vaccuum formed with hopefully suck out this infection and debris (this works very well w/ splinters ~'-)

Hope you have a happy Christmas, despite the injuries ... will be checkin' back in from time to time, just to be sure she's doin' fine.
 
Update: It's a week since the dog attacked my cochin pullet. Yesterday we spent about 2 hours cleaning all her wounds thoroughly (again). She's really perking up today - eating and drinking well, moving around in her crate, and having much more solid poop. I don't know if it was getting out more infection from her wounds, or the second shot of antibiotics the day before, but I'm glad!

In the picture below you can see the damage on her back...there's a major puncture up high that was pretty dirty. I didn't see it the first day, and so didn't get it washed right away. I really worked at it yesterday, pulling out yellow bits and flushing it thoroughly. I didn't have iodine, and no stores were open (it being Christmas and all) but I did the best I could with what I had. There are also two smaller punctures to the right and lower down that are connected under the skin. I cleaned those well too. The gash, I left alone yesterday, since she'd already had enough messing with, but I will probably loosen the edges and fascia tomorrow, and bring them closer together. The other wounds are superficial. I cleaned them and applied neosporin.




Here's a view from the back. There was about a 2" square section of skin pulled off (with feather still attached) and I think this is where it came from. Do I loosen the edges of the skin here, since there's no way I can close it, or do I leave it as-is?


I picked up some Penicillin G Procaine today, but should I give it to her? She's had two doses of Tylan 200, and seems to be doing well.

Thanks all!
Angela
 
Keep up the good work, I say ... and, I'd skip on th eantibiotic 'til you're absolutely sure (I'm really not ~'-)

You might consider loosening the skin from around the wound at some point, so as to more fully close it (as in the pictures previously provided), but you're doin' what is the most important -- keepin' it clean, and promoting healing.
 
After a day's rest, we worked on getting her tear to close. I loosened up the fascia and edges of the wound:



...and then tried to butterfly it shut. Stupid bandages did NOT want to stick. I don't know if the skin was still too tight, but I had a dickens of a time getting them to stay put. I ended up using strips of duct tape (Hello Kitty duct tape was all we had in the house!) to get the edges to stay down. I hope I don't regret it when it comes to removal time.



Any advice on making this an easier process?

Angela
 
After a day's rest, we worked on getting her tear to close. I loosened up the fascia and edges of the wound:



...and then tried to butterfly it shut. Stupid bandages did NOT want to stick. I don't know if the skin was still too tight, but I had a dickens of a time getting them to stay put. I ended up using strips of duct tape (Hello Kitty duct tape was all we had in the house!) to get the edges to stay down. I hope I don't regret it when it comes to removal time.



Any advice on making this an easier process?

Angela

As cute as the peace signs 'n such are, I'm guessin' products like Hy-Tape, Hypafix and 3M's "steri-strips" are gonna frustrate you far less ... check medical supply stores, or the internet, as most pharmacies carry stuff like johnson & johnson's and bandaids. The suture strips have spared me quite a few trips to the ER or Urgent Care for stitches, and they have reinforced ones, and slightly elastic ones as well (but, it's a good idea to apply a strip of really tight tape on either side of the wound, so as to really hold down the ends of the strip, sorta like you've done w/ the really cute stuff ~'-)








:: edit :: You're doin' great, but I figured I'd suggest pickin' up the biggest/cheapest contact lense saline solution you can get your hands on ... it's great for squirting a focused stream to rinse stuff out (wear glasses). Also, don't be afraid you're gonna hurt the bird, which I'm sure you've figured out by now ... she ain't gonna care one bit that you're pushing the handles of forceps under her skin, or stretchin' it over her head for that matter. A good scrub, followed by a wiping of the skin *outside* of the would w/ vodka is a good way to make sure you get the best adhesion of the steri-strips/tape. And, remember: Scrub up pre/post-op (keeps both the patient and the care-giver(s) free of infection/disease ~'-) :: /edit ::
 
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