EQUINE EMERGENCIES
“What to do until the vet gets there…”
Dr. Laura Carmel and Dr. Katrina Altmaier
Tufts University School of Veterinary Medicine
February 18, 1998
EMERGENCY KIT
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Stethoscope |
Card with emergency numbers |
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Thermometer |
911/EMT/Police |
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Clippers |
Veterinarian |
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Scissors |
Farrier |
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Flashlight |
Owner home/work |
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Water heater |
Another person who can make decisions if owner can not be reached |
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Pen & paper |
Insurance company (if horse is insured) |
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Long cotton rope |
Person with trailer willing to transport horse if needed |
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Blanket or sheet for the horse |
Health records with: |
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Quilts/sheet cottons |
Normal resting TPRs |
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Leg wraps/polos |
Vaccination history |
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Hoof pick |
Deworming history |
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Lead rope with chain |
General health notes |
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Clean bath towels |
Recent weight |
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Hot/cold pack |
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Roll Cotton |
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Dose syringe/empty paste wormer |
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Bandage Material: |
4 X 4 gauze pads roll gauze vetwrap duct tape
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Wound cleansers: |
betadine scrub/solution peroxide alcohol
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Topical medications: |
antibiotic ointment – nitrofuracin/neosprin triple antibiotic eye ointment eye wash – sterile saline poultice paste liniment/sweat furacin spray
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Oral medications: |
bute tabs or paste banamine paste mineral oil milk of magnesia/peptobismol/kaopectate electrolytes |
*DO NOT ADMINISTER ANY ORAL MEDICATIONS WITHOUT CONSULTING A VETERINARIAN FIRST*
WHAT ALL OWNERS SHOULD KNOW HOW TO DO:
Describe horse’s attitude – bright, depressed, anxious, uncomfortable
Take horse’s temperature
Determine horse’s heart rate by listening to the heart or feeling a pulse
Determine horse’s respiratory rate by looking at nostrils or flank area
Assess horse’s appetite and water consumption
Assess horse’s manure output – amount and consistency
Asses horse’s urine output – amount (wet spots install) and color
Listen for gut motility – be able to tell when there are no gut sounds
Look at mucous membranes – know normal color and texture (dry, tacky)
Feel digital pulses
Assess heat in legs and hooves
Grade lameness – mild, moderate, severe (non weight bearing)
Look for nasal and ocular discharge – noting color
As owners you should know your horses better than anyone, take the time to run your hands all over them feeling all their bumps and scars so that you will know what is normal or old and will be able to catch any new problems when they arise.
Heart rate 32-44/minute (horses that are in very good shape may have a resting rate of 28)
Respiratory rate 8-20/minute
Temperature 98-101 degrees Fahrenheit
EYE PROBLEMS
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Sumptoms: |
Increased tearing Discharge from eyes – white, yellow, green Holding eyelid partially to fully closed Swollen eye lids Reddened conjunctiva Cloudiness of the eye ball - hazy blue, white |
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First Aid: |
Move horse out of bright light – bring into barn, stall look at eye with flashlight and assess problem - eye lid laceration, corneal problem, foreign body on or in eye |
*do not do if there is a tear, puncture or foreign body protruding from the eye ball
*flush eye with sterile saline
*apply triple antibiotic ointment
*apply cold compress
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Call Veterinarian: |
Any time there is an eye problem, anterior uveitis (moon blindness) and corneal ulcers need quick attention in order to achieve the best results. Eyelid lacerations should always be sutured because leaving even the smallest defect in the eyelid can result in problems latter in life (dry eye, recurring corneal ulcers). |
FEVER
Temperature over 102 degrees
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Symptoms: |
feel warm to touch depression decreased appetite may be secondary to an infection or heat exhaustion
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First Aid: |
assess heart rate, respiratory rate, and temperature attempt to identify and address cause if apparent *infected wound – clean with betadine, apply ointment and wrap if possible *heat exhaustion – offer water with electrolytes, sponge down and hose legs give bute or banamine after veterinary recommendation
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Call Veterinarian: |
To help determine source of fever and institute proper therapy |
COLIC
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Symptoms: |
decreased or no appetite depression or anxiety pawing at ground looking at sides straining to urinate or defecate lying down at irregular times of the day excessive rolling no manure for over 12 hours
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First Aid: |
TAKE ALL FEED AWAY assess heart rate, respiratory rate, and temperature look at gum |
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Call Veterinarian: |
if heat rate, respiratory rate or temperature are above normal if there has not been any manure passed in12 hours if there are no gut sounds and horse looks bloated if signs worsen or do not improve
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*Once you call the veterinarian stay by the phone and stay off the line! |
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Be able to tell the Veterinarian: |
assessment of pain/attitude/appetite amount of manure passed in12 hours and consistency water consumption in last 12 hours heart rate, respiratory rate, and temperature any recent changes in feed, exercise, housing any recent deworming |
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GRAIN OVERLOAD
Over 2-3 times normal amount of grain is ingested
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Possible Complications: |
colic bloat laminates
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First Aid: |
assess heart rate, respiratory rate and temperature take away all available grain do no let gorge on water – offer small amounts at a time dose orally with mineral oil – as much as possible feel feet for heat and digital pulses walk if colicky
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Call Veterinarian |
if colic signs occur if feet are warm and/or there are bounding digital pulses
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Be able to tell the veterinarian how much gain was ingested and in what time frame it occurred. |
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CHOKE
Esophageal obstruction
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Symptoms: |
sudden loss of appetite extension of head and neck while attempting to swallow increased salivation feed and/or fluid coming out of the nostrils deep cough depression or anxiety
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First Aid: |
take all food away dose orally with warm water assess heart rate, respiratory rate, and temperature encourage to swallow by gently massaging neck
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Call Veterinarian |
if unfamiliar with choke if horse is very anxious if unable to relieve choke |
FOREIGN BODY IN THE FOOT
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Symptons: |
non weight bearing lame swelling in the lower limb heat in the hoof increased digital pulse
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First Aid: |
Examine leg and hoof to determine cause of pain/swelling if there is a foreign body do not pull it out, unless there is a possibility there will be deeper penetration into the hoof. This will allow the veterinarian to take radiographs of the hoof and be able to clearly see how deep and what structure may be affected by the foreign body. If the foreign body has fallen out or already been removed, clean out the hoof, scrub the bottom of the sole with betadine, and soak hoof in warm water with betadine and Epsom salts for a half an hour, then wrap the hoof.
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Call Veterinarian: |
if there is any foreign body in the hoof of unknown length and destination that Is causing the horse to be lame If the foreign body is removed or fell out there was blood from the hole
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LAMINITIS (FOUNDER)
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Symptons: |
Reluctance to move “saw horse” stance trying to keep weight back off of front feet Heat in hooves Increased digital pulses May appear lame in 1 – 4 legs
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First Aid: |
Assess heart rate, respiratory rate, and temperature Feel hooves for heat Assess digital pulses Put horse in heavily bedded stall Do not walk further than necessary, the laminae are fragile and any movement may enhance the amount of damage, i.e. rotation, that results Do not feed any grain Give bute after veterinary recommendation Give acepromazine/promazine granules after veterinary recommendation
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Call Veterinarian: |
It is important to call as soon as signs present, prognosis can be greatly influenced by speed of treatment. |
SEVERE LAMENESS
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Symptoms: |
Mild to non weight bearing lame Pointing forward or holding up lame leg when standing Reluctant to move Obvious displacement of limb Pain to touch or manipulation Heat and swelling in area of problem Increased heart rate, respiratory rate, and temperature Decreased appetite Depression or anxiety Sweating
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First Aid: |
DO NOT MOVE if non weight bearing lame if there is an obvious displacement if there is a fracture confine to stall
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Call Veterinarian: |
for any acute lameness |
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Be able to tell the veterinarian: |
the complete history of onset of injury which leg and how lame location and amount of swelling or heat if there is an open wound or bone exposed if there is bleeding, how much blood loss |
EDEMA AND HEMATOMA
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Symptoms: |
swelling
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First Aid: |
assess heart rate, respiratory rate, and temperature locate are of swelling – over bone, tendon, joint or muscle look for wound – scrape, laceration, puncture cold hose apply DMSO gel after veterinary give bute after veterinary recommendation if lower leg – poultice if there is heat sweat if there is no heat *do not put the poltice or the sweat directly on any wounds
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Call Veterinarian: |
if there is any doubt over assessment of area if there is a laceration or puncture, pronounced lameness
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TYING UP
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Symptoms: |
usually after increased exertion of energy or exercise increased stiffness reluctance to move hard, sore muscles may be localized or general increased heart rate, respiratory rate sweating anxiety dark urine (red/brown)
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First Aid: |
assess heart rate, respiratory rate, and temperature do not force to move, may cause more damage to muscles offer small amounts of water with electrolytes give bute after veterinary recommendation give acepromazine/promazine granules after veterinary recommendation
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Call Veterinarian: |
if mild symptoms, to do blood work to confirm diagnosis if severe symptoms if there is dark urine – it is important to run fluids to dilute the urine to reduce incidence of renal damage
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LACERATION AND PUNCTURE WOUNDS
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SYMPTONS: |
bleeding pus swelling pain, lameness
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First Aid: |
if excessive bleeding, apply pressure to stop assess heart rate, respiratory rate, and temperature asses lameness, soreness, swelling, discharge note location, size and depth clip wound to fully visualize wound (apply sterile KY jelly to exposed tissues to prevent hair from sticking to the wound gently hose and scrub with betadine, rinse well and dry area apply antibiotic ointment or spray to scrapes or abrasions if on the lower leg, wrap with clean quilts or sheet cotton to keep the dirt out
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Call Veterinarian |
if there is a puncture through the skin over joints, tendons sheaths and bone if the skin edges of the would can be separated if there is bone, muscle, tendon, joint capsule or tendon sheath exposed if there is any fresh or old wound with pronounced lameness, swelling or fever if there is any doubt over the assessment of the wound * a would that appears small on the surface of the skin could be just the opening to a very deep, long puncture wound
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Be able to tell the veterinary when your horse received their last Tetanus vaccine.
BLEEDING
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Symptoms: |
a continuous flow of blood
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First Aid |
apply pressure if attempting to bandage a lower leg, do not apply too tight, make sure bandage is well padded so as not to injure tendons assess heart rate, respiratory rate, and temperature try to keep horse calm
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Call Veterinarian: |
if wound continues to bleed if wound needs suturing |
HIVES
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Symptoms: |
raised welts itching
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First Aid: |
assess vital signs bathe with gentle shampoo to remove possible irritants bring into barn to get away from flies give bute or banamine after veterinary recommendation give antihistamines after veterinary recommendations give steroids after veterinary recommendation
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Call Veterinarian: |
if signs of distress, i.e. increased respiratory rate, or difficulty breathing if bumps are not regressing or increasing in size
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ACUTE EPISODE OF COPD
Heaves
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Symptoms: |
increased difficulty breathing flared nostrils increased respiratory rate abdominal effort in breathing extended neck anxious
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First Aid: |
if inside, bring out into the fresh air if outside, bring in to a cool, well ventilated area in summer, cool down with a sponge bath assess heart rate, respiratory rate, and temperature give antihistamines after veterinary recommendation give steroids after veterinary recommendation
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Call Veterinarian: |
At the appearance of clinical signs
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DYSTOCIA
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Symptoms: |
second state labor (delivery of foal) over 15 minutes
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First Aid: |
if fetal membranes appear first, tear them open so that the foal can be seen if you see two legs and a nose, you can apply gentle traction to the legs
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Call Veterinarian: |
if in labor over 15 minutes if you see just one leg two legs without a nose a nose without any legs one leg and a nose
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RETAINED PLACENTA
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Symptoms: |
unpassed fetal membranes (third stage labor) over 3 hours
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First Aid: |
take whatever tissues are exposed and tie them in a know if it hangs below the hocks so it will not be torn assess heart rate, respiratory rate, and temperature walk slowly jog the mare
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Call Veterinarian: |
if the placenta is still retained after a total of 3 hours if the mare’s heart rate, respiratory rate, and temperature are elevated if the mucous membranes are not normal pink if placenta tears or does not come out complete
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