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Equine Emergency Medicine

Equine Emergency Medicine. Dr. John Henton. Equine First Aid Kit As Suggested By Dr. John Henton. Bandage Material. Telfa Pads (non-stick bandages like band-aids) 4x4 Gauze Pads Elasticon Bandage 3 inch (adhesive stretch bandage: expensive)

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Equine Emergency Medicine

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  1. Equine Emergency Medicine Dr. John Henton

  2. Equine First Aid KitAs SuggestedBy 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

  4. First Aid Kit • 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)

  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)

  6. Medications • 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

  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)

  8. What is aTrue Emergency? 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

  11. Dystocia

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

  13. Laceration with Blood Loss

  14. Laceration with Blood Loss

  15. Laceration with Blood Loss • Apply pressure directly on wound • Clean compress • Elasticon, ace bandage, etc. • Keep horse quiet until help arrivesdon'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

  16. Laceration with Blood Loss

  17. Laceration with Blood Loss

  18. Laceration with Blood Loss • If bleeding continues, put more bandage on top of first bandage • Do not removethe first bandage!!

  19. Laceration with Blood Loss • Tourniquet • Pressure on vessels above or below the wound

  20. Colic

  21. Colic • Prevent self injury • Evaluate clinical signs • Temperature • Pulse • Respiration • Color of gums

  22. Colic • 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

  23. Traditional ExaminationBy Veterinarian • Determine P.R. • Assess cardiovascular output • Determine intestinal sounds • Rectal examinations if possible • Pass stomach tube • Access gastric reflex

  24. Traditional Treatment • Mineral oil • if no gastric reflex • Analgesics • IV fluids • Surgical correction

  25. Laminitis

  26. Laminitis • 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.

  27. Clinical Signs • Reluctant to move, especially on turns • Increased digital pulses • May involve all four feet

  28. Early Treatment • Do not force exercise • Apply frog pressure • Apply support to sole • Stand in sand

  29. Veterinary Treatment • Frog pressure • Mineral oil • Anti-endotoxics • Banamine • Analgesics • Bute • Banamine • DMSO • Orally or IV

  30. Esophageal Choke

  31. Clinical Signs • Nervous • Retching • Food material out of nose

  32. Early Treatment • Keep head down • Decreases aspiration • Walk

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

  34. Non Weight Bearing Lameness:Longbone Fracture

  35. Non Weight Bearing Lameness:Longbone Fracture • Do not move • Stabilize • Splint • Robert Jones bandage • Very large protective bandage • Prevent bone fragments from penetrating skin • Increases prognosis • Greatly decreases infection

  36. Veterinary Therapy • Radiograph • Determine blood supply of distal extremity • Determine if fracture repair practical or possible

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

  38. 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

  39. Lacerations Without Significant Blood Loss

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