Littleton Equine Medical Center

8025 S Santa Fe Dr. Littleton, CO. 80120

303-794-6359- Fax 303-794-9466

www.littletonequL11e.com

Emergency First Aid:

What to Do Until Your Veterinarian Arrives

The most important part of being prepared for an emergency is having a plan before it happens. Have your veterinarian’s number by your phone and have a transportation plan for your horse in place BEFORE there is an emergency. If you own horses long enough, you will confront a medical emergency sooner or later.

Know Your Horse’s Normal Vital Parameters:

Pulse: 30-42 beats per minute (bpm) for an adult and 60-100 bpm for a foal. This can be taken with a stethoscope behind the left elbow or can be palpated as the artery runs under the jawbone. Respiratory rate: 12-20 breaths per minute for an adult and 25-60 bpm for a foal. Rectal temperature: 99.5°- lOl.5(F) for an adult and 99.5 o -102.0° (F) for a foal. Capillary refill time: Press on your horses gums and hold down until white. Remove your finger and time in seconds until the color returns. It should be less than or equal to three seconds. Record the gum color. They should be a uniform pink color.

In addition to observing the vital parameters, also note the amount/consistency of manure and urine, signs of distress, sweating, pain, lethargy, depression and appetite. Note the presence or absence of gut sounds. Look for evidence of lameness (head-bobbing, reluctance to move, unwillingness to stand) and bleeding or swelling.

Colic:

If mild to moderate pain and IF SAFE, attain a heart rate, respiratory rate and temperature, then call your veterinarian. If in severe pain (up and down, rolling, sweating), call your veterinarian immediately. Walk in an open area with soft footing if possible. Remove food, watch for manure/passing gas.

Acute lameness:

Do not move the horse. Look for heat/ swelling in the leg. Clean out the foot and look for nails or other foreign bodies (do not remove before contacting your veterinarian). Call your veterinarian

Laceration/Emergency wound first aid:

Evaluate the wound and call your veterinarian if there is significant bleeding, the wound is near a joint, if underlying structures are visible, a puncture is present, or if the wound is contaminated. Consult your veterinarian before cleaning the wound. Apply pressure over the wound with a clean wrap or cloth and hold in place with a wrap. Leave in place until the veterinarian arrives. Check tetanus vaccine history.

Eye problems:

If your horse has swollen eyelids, excessive tearing, squinting or a cloudy eye, call your veterinarian immediately. Cold compress if swollen, and remove the horse from sunlight.

Have a First Aid Kit:

Bandage material including (gauze pads, cling wrap, sheet cotton, gauze wrap, vet wrap, adhesive wrap such as Elastikon)
- Sharp scissors
- Surgical scrub and antiseptic solution
- Latex gloves
- Flashlight
- Water soluble antibacterial ointment

Discuss appropriate medication choices with your veterinarian.

Some medications could include:

Oral antibiotics such as SMZ-TMS or Uniprim
- Phenylbutazone (Bute) and or Banamine paste
- Antibacterial ophthalmic ointment

Equine First Aid Kit

3-inch 3M vet wrap
nonstick absorbent pads (telfa)
4-inch elastic gauze
gauze rolls, sponges and assorted dressings
bandaging cotton rolls
elastic adhesive tape
2- to 3-inch porous tape
bandage scissors for cutting gauze
pliers
wire cutters
providine solution
providine scrub (soap)
pint of hydrogen peroxide and pint of rubbing alcohol
KY Jelly for sheath cleaning
Cotton tipped swabs and wood applicators
Ear plugs/balls
baby Vick’s vapor rub for soothing scent
antibiotics from your veterinarian
scarlet oil for wounds
hydrocortizone
triple antibiotic ointment
stethoscope
a plastic easy boot to protect an injured foot or diapers and duct tap
eye wash
eye ointments
phenylbutazone
flunixin meglumine
Banamine and Ace. Consult a veterinarian about other specific medications you should keep in your first aid kit, including anti-inflammatory drugs. Assorted syringes for IM and IV shots of the above medications, consult your veterinarian Banamine is usually a 10-12 cc injection for normal horse. If you give Acepromazine it’s more like 1 cc for mild sedation in a 5 cc syringe.
lead line
twitch
thermometer and thermometer sheaths
14. tampons or maxi pads. They are very absorbent, they are sterile, very inexpensive and, best of all, they work!
Hemostats
scapel
needle nose pliers or curved hemostats for removing cactus
wire cutters
best emergency vet horse book?
Digital thermometer
Clean Stable wraps
Cling wrap
Flashlight and spare batteries
Furoazone

6” diameter PVC tubing cut in (gutter like) 1.5-2 feet in length for splinting
Hoof pick
Latex gloves
staple gun (they are around $16) and are very convenient for holding skin in place until vet is there in large lacerations or for minor lacerations.
Large instant cold packs
Emergency blankets
Large first aid kit box for humans tucked neatly inside vet duffle bag

After Care-Bute for Pain Management vs Equioxx (Both NSAIDs)

Bute Pros:

Much more effective pain control (side note: I’ve heard the same from others)
Significantly more rapid action – both to start & finish. The latter can be especially important if you need to take a lame horse to the vet the next morning & you need the pain unmasked for an exam.
Relatively cheap
Easy to give — even picky Solo will usually eat it on his food. If they start refusing it after multiple days, I just dump it in a syringe with a little water & shoot it in their mouth.

Bute Cons:

Blocking both COX-1 & 2 is what brings about the higher incidence of GI issues with bute. So for long term and milder things like arthritis or ligament woes on an older horse, Equioxx might work with less issues and it’s easier to fee as it’s a small pill.

It’s also helpful to have xylazine or torb/dorm for farrier problems to sedate for shoeing.