https://veterinaryevidence.org/index.php/ve/issue/feed Veterinary Evidence 2020-04-03T10:39:05+00:00 Jennifer Morris Jennifer@rcvsknowledge.org Open Journal Systems Veterinary Evidence is an online only, open access, peer-reviewed journal owned and published by RCVS Knowledge. It publishes content relating to evidence-based veterinary medicine (EBVM) and its application in veterinary practice to enhance the quality of care provided to patients. https://veterinaryevidence.org/index.php/ve/article/view/255 Healing of equine heel bulb lacerations: Evidence behind casting compared to bandaging alone 2020-04-03T10:39:05+00:00 Julia Dubuc julia.dubuc@nottingham.ac.uk Jonny Ruiz jonnyruiz777@gmail.com <p><strong>PICO question</strong></p> <p>In horses with heel bulb lacerations, does casting the distal limb compared to bandaging result in increased speed of healing and functional outcome?</p> <p>&nbsp;</p> <p><strong>Clinical bottom line</strong></p> <p><strong><strong>Category of research question</strong></strong></p> <p>Treatment</p> <p><strong>The number and type of study designs reviewed</strong></p> <p>A single retrospective study was found to be relevant to the topic along with one case report and two case series, including one tutorial article</p> <p><strong>Strength of evidence</strong></p> <p>The majority of the current recommendations come from expert opinions, making the level of evidence low</p> <p><strong>Outcomes reported</strong></p> <p>There are currently insufficient data to compare the effect of foot/slipper casts versus bandaging alone on the rate of healing of equine heel bulb lacerations</p> <p><strong>Conclusion</strong></p> <p>Based on the information from these three publications, it is not possible to recommend the use of a foot cast over a bandage alone at this time</p> <p>&nbsp;</p> <p><span style="color: #0000ff;"><a style="color: #0000ff;" href="http://www.ebvmlearning.org/apply/" target="_blank" rel="noopener">How to apply this evidence in practice</a></span></p> <p>The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.</p> <p>Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.</p> <p>&nbsp;</p> <p><img src="https://www.veterinaryevidence.org/rcvskmod/icons/oa-icon.jpg" alt="Open Access"> <img src="https://www.veterinaryevidence.org/rcvskmod/icons/pr-icon.jpg" alt="Peer Reviewed"></p> 2020-04-03T10:09:26+00:00 Copyright (c) 2020 Julia Dubuc, Jonny Ruiz