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Equine Emergency Medicine Dr. John Henton. Equine First Aid Kit As Suggested By Dr. John Henton.

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Presentation on theme: "Equine Emergency Medicine Dr. John Henton. Equine First Aid Kit As Suggested By Dr. John Henton."— Presentation transcript:

1 Equine Emergency Medicine Dr. John Henton

2 Equine First Aid Kit As Suggested By Dr. John Henton

3 Bandage Material Telfa Pads (non-stick bandages like band-aids) 4x4 Gauze Pads Elasticon Bandage 3 inch (adhesive stretch bandage: expensive) –Best available for may wounds and good for pressure over vessels Ace Bandage Clean leg wraps (Derby or Polo Wraps) Vet Wrap (only over adequate padding!!! NEVER DIRECTLY OVER LEG Telfa Pads (non-stick bandages like band-aids) 4x4 Gauze Pads Elasticon Bandage 3 inch (adhesive stretch bandage: expensive) –Best available for may wounds and good for pressure over vessels Ace Bandage Clean leg wraps (Derby or Polo Wraps) Vet Wrap (only over adequate padding!!! NEVER DIRECTLY OVER LEG

4 White tape (Many uses) 2-3" CAN MAKE 1-2" out of wider tape Sheet Cottons Clean leg quilts (Padding for wrapping legs over lacerations) Army Combine (Large clean bulky bandage) Roll gauze or Kling Wrap, (Hold bandages in place) Duct Tape (Bandage Foot, water proof leg bandages) White tape (Many uses) 2-3" CAN MAKE 1-2" out of wider tape Sheet Cottons Clean leg quilts (Padding for wrapping legs over lacerations) Army Combine (Large clean bulky bandage) Roll gauze or Kling Wrap, (Hold bandages in place) Duct Tape (Bandage Foot, water proof leg bandages) First Aid Kit

5 Medications Disinfectant Soap (Chlorohexadine, Povidone Iodine, etc.) Water Soluble antibiotic ointment Silver sulfadiazine Antibiotic powder Panalog Ointment (retards proud flesh) KY Jelly (protects wound while shaving edges) Eye Wash Flouro-strips (used to determine if eye has corneal ulcer) Disinfectant Soap (Chlorohexadine, Povidone Iodine, etc.) Water Soluble antibiotic ointment Silver sulfadiazine Antibiotic powder Panalog Ointment (retards proud flesh) KY Jelly (protects wound while shaving edges) Eye Wash Flouro-strips (used to determine if eye has corneal ulcer)

6 Non Steroid containing eye ointment Rompun* Pain relief for colic and tranquilizer for other times Banamine* Good injectable non-steroidal inflammatory agent, colic ?? Bute Paste Epsom Salts Safety razor & or clippers * only with veterinarians approval Non Steroid containing eye ointment Rompun* Pain relief for colic and tranquilizer for other times Banamine* Good injectable non-steroidal inflammatory agent, colic ?? Bute Paste Epsom Salts Safety razor & or clippers * only with veterinarians approval Medications

7 Equipment Digital thermometer (mercury type will break in hot weather) Scissors Humane Twitch Splint for leg (Plastic PVC pipe cut in ½)14-16" long & 28" long) Medi boot for hoof (especially good for horses that pulled shoes) Digital thermometer (mercury type will break in hot weather) Scissors Humane Twitch Splint for leg (Plastic PVC pipe cut in ½)14-16" long & 28" long) Medi boot for hoof (especially good for horses that pulled shoes)

8 What is a True Emergency? Definition: Veterinary Medical Emergency A medical condition which warrants medical treatment immediately Definition: Veterinary Medical Emergency A medical condition which warrants medical treatment immediately

9 What Can I Do?

10 True Emergencies Dystocia Laceration with blood loss Colic Laminitis Choke Long bone fractures Dystocia Laceration with blood loss Colic Laminitis Choke Long bone fractures

11 Dystocia

12 Determine presentation Correct presentation Immediate help is essential If can not correct position - walk to delay labor Determine presentation Correct presentation Immediate help is essential If can not correct position - walk to delay labor

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18 Laceration with Blood Loss

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23 Apply pressure directly on wound Clean compress Elasticon, ace bandage, etc. Keep horse quiet until help arrives don't walk to barn, it will increase bleeding Do not apply ointments or powders Do not try to clean prior to bandage will increase bleeding Apply pressure directly on wound Clean compress Elasticon, ace bandage, etc. Keep horse quiet until help arrives don't walk to barn, it will increase bleeding Do not apply ointments or powders Do not try to clean prior to bandage will increase bleeding

24 Laceration with Blood Loss

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26 If bleeding continues, put more bandage on top of first bandage Do not remove the first bandage!! If bleeding continues, put more bandage on top of first bandage Do not remove the first bandage!!

27 Laceration with Blood Loss Tourniquet –Pressure on vessels above or below the wound Tourniquet –Pressure on vessels above or below the wound

28 Colic

29 Prevent self injury Evaluate clinical signs –Temperature –Pulse –Respiration –Color of gums Prevent self injury Evaluate clinical signs –Temperature –Pulse –Respiration –Color of gums

30 Remove all feed Walk if necessary, only to prevent rolling Administer drugs only after talking with your Veterinarian –Rompun –Banamine-may mask clinical signs –Dipyrone Remove all feed Walk if necessary, only to prevent rolling Administer drugs only after talking with your Veterinarian –Rompun –Banamine-may mask clinical signs –Dipyrone Colic

31 Traditional Examination By Veterinarian Determine P.R. Assess cardiovascular output Determine intestinal sounds Rectal examinations if possible Pass stomach tube –Access gastric reflex Determine P.R. Assess cardiovascular output Determine intestinal sounds Rectal examinations if possible Pass stomach tube –Access gastric reflex

32 Traditional Treatment Mineral oil –if no gastric reflex Analgesics IV fluids Surgical correction Mineral oil –if no gastric reflex Analgesics IV fluids Surgical correction

33 Laminitis

34 Definition: An inflammatory process of the laminae of the hoof. Many times caused by endotoxin, fever, trauma etc. Separation of bony structures from hoof may occur.

35 Clinical Signs Reluctant to move, especially on turns Increased digital pulses –May involve all four feet Reluctant to move, especially on turns Increased digital pulses –May involve all four feet

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39 Early Treatment Do not force exercise Apply frog pressure Apply support to sole Stand in sand Do not force exercise Apply frog pressure Apply support to sole Stand in sand

40 Veterinary Treatment Frog pressure Mineral oil Anti-endotoxics –Banamine Analgesics –Bute –Banamine –DMSO Orally or IV Frog pressure Mineral oil Anti-endotoxics –Banamine Analgesics –Bute –Banamine –DMSO Orally or IV

41 Esophageal Choke

42 Clinical Signs Nervous Retching –Food material out of nose Nervous Retching –Food material out of nose

43 Early Treatment Keep head down –Decreases aspiration Walk Keep head down –Decreases aspiration Walk

44 Veterinary Therapy Tranquilize – Rompun –Lowers head Pass stomach tube –Flush out obstruction or move obstruction to stomach Muscle relaxants Antibiotics –Treat possible aspiration pneumonia Tranquilize – Rompun –Lowers head Pass stomach tube –Flush out obstruction or move obstruction to stomach Muscle relaxants Antibiotics –Treat possible aspiration pneumonia

45 Non Weight Bearing Lameness: Longbone Fracture

46 Do not move Stabilize –Splint –Robert Jones bandage –Very large protective bandage Prevent bone fragments from penetrating skin –Increases prognosis –Greatly decreases infection Do not move Stabilize –Splint –Robert Jones bandage –Very large protective bandage Prevent bone fragments from penetrating skin –Increases prognosis –Greatly decreases infection

47 Veterinary Therapy Radiograph Determine blood supply of distal extremity Determine if fracture repair practical or possible Radiograph Determine blood supply of distal extremity Determine if fracture repair practical or possible

48 Problems That Are Not A Veterinary Medical Emergency, But Do Require Veterinary Attention Within 2-4 Hours

49 Problems That Require Veterinary Attention, But Are Not Urgent Emergencies Laceration –Not bleeding Non weight bearing lameness Eye problems Retained placenta Sick foals Grain intoxication High fever Other Laceration –Not bleeding Non weight bearing lameness Eye problems Retained placenta Sick foals Grain intoxication High fever Other

50 Lacerations Without Significant Blood Loss

51 Clean area with mild soap Run cold water on wound Apply bandage if possible –Clean compress –NO ointments or lotions Wounds on legs need immediate care & bandage to allow potential suturing of the laceration –Swelling will occur quickly Clean area with mild soap Run cold water on wound Apply bandage if possible –Clean compress –NO ointments or lotions Wounds on legs need immediate care & bandage to allow potential suturing of the laceration –Swelling will occur quickly

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58 Non Weight Bearing Lameness

59 Usually involves one foot/ leg Most likely cause is subsolar abscess Usually involves one foot/ leg Most likely cause is subsolar abscess

60 Subsolar Abscess Clinical Signs Increased digital pulse Area of sensitivity in sole Check coronary band for lesion Increased digital pulse Area of sensitivity in sole Check coronary band for lesion

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66 Treatment Establish drainage Draw out infection Soak in Epsom salt water Drawing agents –Magnapaste –Ichthammol Keep Clean Bandage until defect closed Establish drainage Draw out infection Soak in Epsom salt water Drawing agents –Magnapaste –Ichthammol Keep Clean Bandage until defect closed

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69 Subsolar Abscess Drawing agents –Soaking in Epsom Salts Drawing agents –Soaking in Epsom Salts

70 Subsolar Abscess Bandage with drawing agents –Magna paste –Icthamol Bandage with drawing agents –Magna paste –Icthamol

71 Subsolar Abscess Quittor Bandage Wheat bran/ Epsom Salt Poultice Quittor Bandage Wheat bran/ Epsom Salt Poultice

72 Subsolar Abscess Keep foot covered until defect is closed

73 Eye Problems

74 Clinical Signs Squinting Tearing Swelling Squinting Tearing Swelling

75 Corneal Laceration/ Ulceration Painful Sensitive Graying of the cornea Painful Sensitive Graying of the cornea

76 Stain with Fluorescein Area of cornea injured will retain green stain

77 Treatment Early treatment essential Flush Antibiotic ointment No steroids –Retards healing –Increase possibility of fungal infections Early treatment essential Flush Antibiotic ointment No steroids –Retards healing –Increase possibility of fungal infections

78 Recurrent Uveitis (Moon Blindness) Painful eye Small pupil Eye may become swollen Painful eye Small pupil Eye may become swollen

79 Retained Placenta

80 Should be passed in 3 hours if retained greater then 3 hours call Veterinarian DAY OR NIGHT Treatment oxytocin –IM or as IV drip Uterine treatment Laminitis prevention Should be passed in 3 hours if retained greater then 3 hours call Veterinarian DAY OR NIGHT Treatment oxytocin –IM or as IV drip Uterine treatment Laminitis prevention

81 Sick Foals

82 Look at mare's udder –If foal off feed, mare will drip milk & have enlarged udder Normal temperature °F Swollen joints –Early - septicemia Diarrhea –Foal heat diarrhea is normal Rotavirus Status of foal may change quickly Look at mare's udder –If foal off feed, mare will drip milk & have enlarged udder Normal temperature °F Swollen joints –Early - septicemia Diarrhea –Foal heat diarrhea is normal Rotavirus Status of foal may change quickly

83 High Fever

84 Infection Need to determine cause May lead to laminitis Antipyretic drugs –Bute –Dipyrone –Banamine Infection Need to determine cause May lead to laminitis Antipyretic drugs –Bute –Dipyrone –Banamine

85 Grain Overload

86 Needs treatment soon Mineral oil Laminitis protection Anti-endotoxic drugs Colic - soon Laminitis days Needs treatment soon Mineral oil Laminitis protection Anti-endotoxic drugs Colic - soon Laminitis days

87 Injection Sites


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