WOUNDS AND ICHORINGAny abnormal disruption of Dragon hide or surrounding the body surfaces is known as a wound. Most wounds can be classified as open -- with a break in the hide through which ichor and other body fluids may escape. This also permits the subsequent entry of germs, which may in turn cause infection. A closed wound allows ichor to escape from the circulatory system, but not the body and is known as internal ichoring. The nature of the force creating the wound determines the type of wound and influences the treatment given.
Types of Ichoring:Arterial - the ichor is under pressure from the pumping hearts. Therefore, ichor is spurted from the wound in time with the hearts beat. A severed artery may produce a jet of ichor several feet high and can rapidly empty the circulation of ichor.
Venous - the ichor is under less pressure than arterial ichor, but since the vein walls are capable of great distention, ichor may pool. Thus, ichor from a severed major vein may gush profusely.
Capillary - can be characterized as oozing and occurs at the site of all wounds. Although capillary ichoring may at first be brisk, ichor loss is generally negligible.
External Ichoring:Slight - Slight ichoring is not a danger and will eventually stop on its own, the flow of ichor helping to cleanse the wound.
Moderate - More moderate ichoring is often stopped by the sealing action of Numbweed once applied to the wound. If the ichoring still does not stop, a pressure bandage should be applied. A pad of bandaging material should be applied to the wound and held tightly in place. If this soaks through, it should not be removed; instead, a second bandage should be applied on top of the first. In most cases, this will be enough to stop ichoring.
Severe - If ichoring is severe and does not respond to a pressure bandage, or if ichor is spurting from a wound, stronger measures are needed. Apply pressure to the artery feeding ichor to the area. The easiest way on a dragon to do this is to find the severed vessel and clamp it. Stitches then need to be used to repair the damaged vessel. If pieces have to be cut away from the vessel do not worry, the vessels are flexible and will adjust.
nd dragons likely to be distressed to some degree.
Treatment: Treat the same as scorings, paying more attention to cleaning out the wound with a redwort solution.
Recovery: As Threadscore, in that it depends on the severity.
Minor Wounds:Cause: Generally mating flights/fights.
Symptoms: Lacerations, likely to be dirty and differing in severity. Rider and dragons likely to be distressed to some degree.
Treatment: Treat the same as scorings, paying more attention to cleaning out the wound with a redwort solution.
Recovery: As Threadscore, in that it depends on the severity.
Major Wounds:Cause: Threadfall, broken bones, flights/fights.
Symptoms: Ichor may be pooling from severed arteries/veins (usually veins - arteries are too deep). Rider and dragon will be distressed to varying degrees. Silvery muscle will be easily visible.
Treatment:1. If wound has become dirty, clean throughly, but quickly with redwort solution.
2. Cover wound with numbweed.
3. Use surgical clamps on either side of any severed vessels to restrict the flow/loss of ichor. This will also make your work easier.
4. Suture the vessel as quickly as possible. The longer you leave tissue without ichor the less healthy it will become. However, this is no excuse for rushing and making mistakes.
5. Remove the clamps.
6. Clean out the wound with redwort. Check for any formation of ichor around the vessel. It may be necessary to clean away some of the numbweed with oil-soaked pads. This is an important phase, so be sure to check carefully. You may need to reapply numbweed to the area after this step.
7. Stitch any muscle together and then the hide.
8. Apply numbweed.
Recovery: Severe, deep wounds such as this, are likely to keep the dragon out of the air for a sevenday or more. It is important during recovery time that the dragon replaces lost fluid. It may be necessary to replace some ichor if the dragon has lost a great amount. See 'Transfusions' for more details.
Transfusions:In some cases it may be necessary to withdraw blood from another, healthy, dragon, usually with a syringe. The essential components for a syringe are needlethorns, wax and the glass body of the syringe. Needlethorns need to be long enough to get through dragon hide, tissues and muscle to get to the veins - 3 inches or longer. They're strong enough to be used with a syringe for injections and drawing blood. The larger the aperture of the needle, the faster ichor can be drawn, and given, the maximum should always be used where possible. The wax, from a tree, is used to attach the needlethorn to the syringe. If it is kneaded, it becomes a soft gel, which allows it to seal the syringe as it hardens.
Everything needs to be sterilised. Sterilisation is achieved by boiling the syringe for approximately an hour in water, washing it in redwort and then rinsing it in clean boiling water (excess redwort dilutes the medication, interferes with the action of numbweed and tends to sting).The needlethorns are sterilised in redwort and rinsed in water (boiling them tends to make them soggy and therefore useless!) Finally, the wax is moulded around the entrance of the syringe, and the needlethorn is secured into position, the wax sealing the junction between the thorn and the syringe. Needlethorns should never be reused since this risks infection, but the syringes can be re-sterilized.
Cause: Threadscore, wound, infection
Symptoms: Dragon and Rider may both complain of unslakeable thirst. Dragon hide will be grey, and he/she will be lethargic.
Treatment: 1. Check, and treat, any wound complication.
2. Remove ichor from a healthy dragon, and use this to treat the sick dragon. Clean the hide of the healthy dragon with redwort, usually over a bone, and then palpate the hide for a vein. Then, using a syringe, puncture that vein, and remove ichor from the dragon. Carefully remove the needle from the vein, and hold the redwort-soaked pad over the needle entry for a few moments .
3. Infuse into the area that is being drained of ichor. Even dropping the ichor on externally can aid greatly.
Recovery: Can take anywhere between 1 month, and 1 turn, depending on severity of the injury and other complications.
Dried Out Cartilages: Cause: Poor ichor supply, usually to wing after scoring.
Symptoms: The dragon will be distressed, dehydrated and parched, the hide tone greyish.
Treatment :1. Suture vessels that are ichoring (see 'Deep Threadscoring').
2. Remove ichor from a healthy dragon, and use this to treat the sick dragon. Clean the hide of the healthy dragon with redwort, usually over a bone, and then palpate the hide for a vein. Then, using a syringe, puncture that vein, and remove ichor from the dragon. Carefully remove the needle from the vein, and hold the redwort-soaked pad over the needle entry for a few moments .
3. Apply ichor directly to the dried out cartilages and joints as necessary.
Recovery: A few months.
Notes: Dehydration should be treated as quickly as possible.
Stitching:Stitches should be taken in any wound that is deep or gaping and in which the the edges of the wound seem unlikely to stay together without some sort of assistance. Stitches help provide a barrier to prevent infection of the underlying tissues. Care should be taken to draw the edges of the wound together neatly, so there is no puckering of the surrounding skin and to take as few stitches as possible, so the scar is as small as possible. A stitched wound should be kept moist, to further avoid scarring. Stitches should be removed by a Dragonhealer approximately a sevenday after insertion, but this may be adjusted on a case-by-case basis. In general, when a dragon begins to complain of itching, sufficient healing has taken place to allow the removal of the stitches.
Applying Stitches to a Wound: Follow the normal procedure for washing up and cleansing a wound. Apply a thin coat of numbweed, using just enough to deaden the area. Do not forget to oil your hands so that you can perform the dexterous movements required.
Caution the rider not to look at what you're doing. Many people are distressed by the sight of stitches being put into hide.
Using a sterile needlethorn, or one of the steel needles produced by the Smithcraft, and treated thread, take small neat stitches. First stitch in one side of the wound and then in the other with the same piece of thread. Loop one end twice over the other and tighten, this will form a knot. Clip the excess and start of the next stitch. Continue until the wound does not gape.
Apply a thicker coat of numbweed. Explain the signs of infection to the rider and warn them to see a Dragonhealer if they notice any of them. You should check on them as well. In a sevenday remove the stitches.
Removing Stitches from a Wound:Wash up and cleanse the area as usual. Apply a light coat of numbweed. Ask the rider to look away, so they will not be upset by the sight of you withdrawing the threads from their lifemates hide. Clip the threads with scissors, or cut them with a sharp knife, being careful not to cut the hide. Using small tongs, remove each of the threads from the hide. Apply a light coat of numbweed over the punctures left by the threads to seal them.
Most Dragonhealers utilize one method of stitching which can cause substantial scarring of the tissue, leave the wound unsightly. The removal can be unpleasant for the dragon as scar tissue can form around the knots. However, some higher qualified Dragonhealers now utilize another technique (it being harder to learn). This method consists of starting at one end and not at any point tying off. This means there are no knots for scar tissue to form around and thus, when removing the stitches by simply cutting one end and pulling on the other, causes less pain to the patients. Wounds are less puckered with these 'running' stitches than having been previously observed with regular stitches.