Evaluation Summary:
The RTD wound dressing/blue pad controlled the proud flesh, resulted in less exudate, enhanced healing and was easy to use (in the way that I used it, leaving the pad on for 3 days but changing the bandage every day. And the type of bandages, the layers.)
Introduction:
A 13 year old registered quarter horse mare came to my place for layup April 23, 2017. The horse had been turned out on a ranch and was injured but the injury wasn't discovered when it happened. By the looks of the injury, it may have happened a week or two prior to discovery.
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April 23, 2017: Day 1
photo of wound when the horse arrived.
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I put vaseline on a generic pamper and wrapped it around the 'meat', then I bandaged it. Photo shows the wound the next day when the veterinarian came.
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Day 2: 
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Photo shows the cleaned wound before the veterinarian removed some of the proud flesh and put some sutures in.
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Day 2
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Two days after the surgery, I changed the bandage and continued to change the bandage once per day. The horse was also treated with SMZ per os/by mouth for 10 days. For the first week, NFZ powder was used on the wound: a Telfa pad, brown gauze roll, then the generic pamper (gp), then 3M Vetrap, then a standing wrap. The 'gp' was soaked through from the exudate each day, in addition to the gauze (except when using the RTD pad).
One week later, on Monday, May 1, the veterinarian removed part of the sutures and said to use Silver cream (SSD 1% Silver Sulfadiazine Cream) and Wonder Dust/Blue powder for two days (on a Telfa pad) and then try a new product: the RTD wound dressing pad. At first I was skeptical after I looked it up online because I didn't see any claims or acknowledgment of its affect on proud flesh on horses but there was a photo that showed it had been used on a horse. So I tried it and was surprised at how it calmed down the proud flesh, enhanced healing , the amount of exudate was significantly reduced and the pad produced consistent results. The results were phenomenal. When switching back to the traditional way, the exudate returned and the proud flesh looked active.
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May 3rd, before use of RTD wound dressing pad
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May 3rd, photo before use of RTD wound dressing pad.
On May 3, (the course of SMZ finished up), I put the RTD pad on the wound, then the gauze roll (1/2), then the gp, then the Vetwrap (1/2 to ¾) then the standing wrap. The direction was to leave the RTD pad on for 3 days which I did but I changed the bandages each day: the gauze, gp, vetrap. I left the RTD in place and didn't remove it during the 3 days and the pad didn't move around nor shift in position.
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May 6: RTD wound dressing pad about to be removed.
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May 6th, after 3 days use of RTD wound dressing pad. (The photo was enhanced to make it brighter; the proud flesh didn't look bright red in real-life.)
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May 6 (also shows less swelling in the fetlock compared with May 3rd.)
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May 15 - RTD maxed out, had to switch back to using the silver ointment and blue powder because the order of the RTD pads hadn't come in. The exudate returned. For the next 2 days, I made my own pad to try to get back to the good results experienced with the RTD pad. I used a foam sponge and put the silver directly on the wound and sprayed the yellow foam sponge (not a regular type of sponge but a foam rubber type of sponge) with blue kote (used a new foam sponge the second day). Next two days, switched back to silver and blue powder. Not good results. So May 20 (see chart next page) I used a new foam sponge. May 21, Sunday - looked great again like when using the RTD pad. May 22 - used the yellow foam sponge. Vet appt. May 23 and the order of RTD pads had come in so I was able to continue with the RTD pads.
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May 23, Vet appointment. The blue around the edge is from the foam sponge that was sprayed with Blue kote. Between May 3 and May 23, 2 RTD pads were used for a total of 8 days with 3 days between the two RTD pads during this time frame and the foam sponge was used a total of 5 days. If we had known about the RTD pad and how good it works on proud flesh, we would have used it from the start. The first two pads were free samples. Although there were gaps between the use of the RTD pads, those gaps showed that when switching off the RTD pad, the exudate increased significantly and the proud flesh was active.
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May 23rd, after sponge/foam rubber pad
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3 weeks between photos (21 days); began RTD wound pad on May 3rd Vet appt., next photo was taken on May 23rd - Vet appt.
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