EQUINE EMERGENCIES
“Your vet is on the way, what do you do now?”


           KENA & KHC Meeting
            Dr. Ernie Martinez II
             @emartinezdvm
ERNIE MARTINEZ II, DVM
• 1999-   Penn State BS Animal Science

• 2003-   Oklahoma State DVM

• 2003-2004-   Field Intern at Hagyard Equine Medical Institute

• 2004-   now- Field Associate at Hagyard Equine Medical Institute
A DAY IN THE LIFE...
• Herd    Health

• Mare    & Stallion Repro

• Neonates

• Sales

• Dentistry

• Emergencies

• Industry
YOU
                         MAP
          ARE
          HERE

  Intro           Prep   Normal   Eyes




Wounds           Lame!    Colic   Foals & Foaling
YOU
                            MAP
          ARE
          HERE

  Intro           Prep        Normal   Eyes




Wounds           Lame!         Colic   Foals & Foaling




                         READY!!!
BE PREPARED
• Veterinary-Client-Patient   Relationship

  • Horse    Health Care Team

  • Clinic   Location

  • Veterinarians

  • Emergency     Supplies

  • Emergency     Planning
SUPPLIES

• First Aid   Kit

  • General

• Medications

• Lead   Shank & Halter
EQUINE FIRST AID KIT
•   Gauze                         •   Thermometer

•   Roll Cotton                   •   Hoof Pick

•   Brown Gauze                   •   Surgical Soap
•   Vet Wrap                      •   Saline Eye Wash
•   Cotton Wraps                  •   Antiseptic Solution
•   Sterile Bandages              •   Latex Gloves
•   Scissors
                                  •   Flashlight
•   White Tape
                                  •   Needles
•   Duct Tape
                                  •   Syringes
•   Stethoscope
MEDICATIONS
•   TQs

    •   Acepromazine

    •   Xylazine or Detomidine

•   Anti-Inflammatories (NSAIDS)

    •   Banamine

    •   Phenylbutazone (Bute)

•   Eye Medications

    •   Neo-Poly-Bac (NOT DEX!!)

    •   Eye Lubrication
PHONE NUMBERS

• Clinic   (Hagyards -859-255-8741)


• Vet   Cell Phone

• Vet   2 Cell Phone

• Transportation

• Neighbors
KNOW NORMAL
•   Must be able to know NORMAL so you can recognize ABNORMAL.

•   Recognize distress and be able to relay information to your vet.

•   Know your horses habits and routines
NORMAL ADULT HORSE
   PHYSICAL EXAM
• Temperature-    99.5-101.5 F

• Heart   Rate- 28-44 bpm

• Respiratory   Rate- 12-16 bpm

• Mucous   Membranes- Pink, moist

• Capillary   Refill time- <2 secs

• Gut   Sounds - All quadrants
PRACTICE NORMAL
•   Physical Exam

•   Medication Admin

•   Emergency Van Run

•   Oxygen Setup and Admin

•   Financial Considerations

      •   Surgery an option?

      •   Long hospital stay an option?
EMERGENCY!!!!
                WHAT DO I DO??
• Stay   Calm, Evaluate Situation

• Safety   - Horses & Humans

• Secure   horse - Halter, Stall, Pen

• Assess   animal - PE if possible

• CALL VET--    Relay situation (Colic, dystocia, wound, eye, foal, etc)

  •   Hx, PE, severity of situation, #s involved, duration
MAP               YOU
                                       ARE
                                       HERE

  Intro    Prep        Normal   Eyes




Wounds    Lame!         Colic   Foals & Foaling




                  READY!!!
THE NORMAL - EQUINE EYE
       Upper Eyelid




      Lower Eyelid
THE NORMAL - EQUINE EYE
       Upper Eyelid




      Lower Eyelid
THE NORMAL - EQUINE EYE
       Upper Eyelid




      Lower Eyelid
EYE EMERGENCIES
                          ★“Long-term  prognosis for
• Blunt    head trauma
                           vision and maintaining the
• Orbital   inflammation    globe may depend on quick
                           diagnosis and treatment”
• Eyelid   Lacerations

• Corneal    Ulcers

• Acute    Blindness

• Traumatic    Injury
SWOLLEN SHUT & GOOPY EYE
           •   “I’ve called the vet. Now What?”

               •   Banamine

               •   Clean mucus with warm cloth

               •   Cold compress

               •   Gentle lavage with Saline/Eye Wash

               •   +/- Artificial Tears, Neopolybac

               •   Fly Mask
EYELID LACERATIONS
• “My   horse cut its eye doc!?

 • Cleangently, saline/eyewash,
   fly mask

 • EMERGENCY

 • DO     NOT CUT/PULL TISSUE

 • No substitute for eyelid
   margin
EYELID LACERATIONS
• “My   horse cut its eye doc!?

 • Cleangently, saline/eyewash,
   fly mask

 • EMERGENCY

 • DO     NOT CUT/PULL TISSUE

 • No substitute for eyelid
   margin

Equine Emergencies Part 1

  • 1.
    EQUINE EMERGENCIES “Your vetis on the way, what do you do now?” KENA & KHC Meeting Dr. Ernie Martinez II @emartinezdvm
  • 2.
    ERNIE MARTINEZ II,DVM • 1999- Penn State BS Animal Science • 2003- Oklahoma State DVM • 2003-2004- Field Intern at Hagyard Equine Medical Institute • 2004- now- Field Associate at Hagyard Equine Medical Institute
  • 3.
    A DAY INTHE LIFE... • Herd Health • Mare & Stallion Repro • Neonates • Sales • Dentistry • Emergencies • Industry
  • 4.
    YOU MAP ARE HERE Intro Prep Normal Eyes Wounds Lame! Colic Foals & Foaling
  • 5.
    YOU MAP ARE HERE Intro Prep Normal Eyes Wounds Lame! Colic Foals & Foaling READY!!!
  • 6.
    BE PREPARED • Veterinary-Client-Patient Relationship • Horse Health Care Team • Clinic Location • Veterinarians • Emergency Supplies • Emergency Planning
  • 7.
    SUPPLIES • First Aid Kit • General • Medications • Lead Shank & Halter
  • 8.
    EQUINE FIRST AIDKIT • Gauze • Thermometer • Roll Cotton • Hoof Pick • Brown Gauze • Surgical Soap • Vet Wrap • Saline Eye Wash • Cotton Wraps • Antiseptic Solution • Sterile Bandages • Latex Gloves • Scissors • Flashlight • White Tape • Needles • Duct Tape • Syringes • Stethoscope
  • 9.
    MEDICATIONS • TQs • Acepromazine • Xylazine or Detomidine • Anti-Inflammatories (NSAIDS) • Banamine • Phenylbutazone (Bute) • Eye Medications • Neo-Poly-Bac (NOT DEX!!) • Eye Lubrication
  • 10.
    PHONE NUMBERS • Clinic (Hagyards -859-255-8741) • Vet Cell Phone • Vet 2 Cell Phone • Transportation • Neighbors
  • 11.
    KNOW NORMAL • Must be able to know NORMAL so you can recognize ABNORMAL. • Recognize distress and be able to relay information to your vet. • Know your horses habits and routines
  • 12.
    NORMAL ADULT HORSE PHYSICAL EXAM • Temperature- 99.5-101.5 F • Heart Rate- 28-44 bpm • Respiratory Rate- 12-16 bpm • Mucous Membranes- Pink, moist • Capillary Refill time- <2 secs • Gut Sounds - All quadrants
  • 13.
    PRACTICE NORMAL • Physical Exam • Medication Admin • Emergency Van Run • Oxygen Setup and Admin • Financial Considerations • Surgery an option? • Long hospital stay an option?
  • 14.
    EMERGENCY!!!! WHAT DO I DO?? • Stay Calm, Evaluate Situation • Safety - Horses & Humans • Secure horse - Halter, Stall, Pen • Assess animal - PE if possible • CALL VET-- Relay situation (Colic, dystocia, wound, eye, foal, etc) • Hx, PE, severity of situation, #s involved, duration
  • 15.
    MAP YOU ARE HERE Intro Prep Normal Eyes Wounds Lame! Colic Foals & Foaling READY!!!
  • 16.
    THE NORMAL -EQUINE EYE Upper Eyelid Lower Eyelid
  • 17.
    THE NORMAL -EQUINE EYE Upper Eyelid Lower Eyelid
  • 18.
    THE NORMAL -EQUINE EYE Upper Eyelid Lower Eyelid
  • 19.
    EYE EMERGENCIES ★“Long-term prognosis for • Blunt head trauma vision and maintaining the • Orbital inflammation globe may depend on quick diagnosis and treatment” • Eyelid Lacerations • Corneal Ulcers • Acute Blindness • Traumatic Injury
  • 20.
    SWOLLEN SHUT &GOOPY EYE • “I’ve called the vet. Now What?” • Banamine • Clean mucus with warm cloth • Cold compress • Gentle lavage with Saline/Eye Wash • +/- Artificial Tears, Neopolybac • Fly Mask
  • 21.
    EYELID LACERATIONS • “My horse cut its eye doc!? • Cleangently, saline/eyewash, fly mask • EMERGENCY • DO NOT CUT/PULL TISSUE • No substitute for eyelid margin
  • 22.
    EYELID LACERATIONS • “My horse cut its eye doc!? • Cleangently, saline/eyewash, fly mask • EMERGENCY • DO NOT CUT/PULL TISSUE • No substitute for eyelid margin