dr martha mischeff. - fei.org · 58 • safety for people and horse • experienced veterinarian...
TRANSCRIPT
![Page 1: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/1.jpg)
49
Dr Martha Mischeff.
![Page 2: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/2.jpg)
50
• Big, heavily muscled horses• High body condition score• Unused to the work • Cold to warmer climate • Dark or long hair coat • Maximal athletic effort• Dehydration
Risk factors for heat related illness
![Page 3: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/3.jpg)
51
• Less severe• Subtle
•More severe• Obvious
Heat Exhaustion vs Heat Stroke
![Page 4: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/4.jpg)
52
• Rapid breathing or panting,
• Increased heart rate• Elevated rectal
temperature >40°Celsius (104°Fahrenheit)
• Lethargic, depressed •
Signs- Heat Exhaustion:
![Page 5: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/5.jpg)
53
• Discontinue exercise• Allow horse to drink• Move to a shaded area
with good air movement
• Cold water to the entire body
Management of heat exhaustion
![Page 6: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/6.jpg)
54
• Altered mentation• Aggressive behaviour• Neurological signs• Rear• Strike• Run over people
Signs- Heat Stroke:
![Page 7: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/7.jpg)
55
• Uncontrollable• Rear and flip over backwards
Heat Stroke- extremely dangerous behavior
![Page 8: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/8.jpg)
56
• Keep the horse moving towards a shaded, grassy area
• Once stopped they may collapse • Repeatedly douse with ice water• Cool the largest amount of body
surface as rapidly as possible
Management of heat stroke:
![Page 9: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/9.jpg)
57
• Tranquilize the horse on the move
• Stabilize the horse • Avoid NSAIDS prior to
rehydration - kidney damage• Avoid steroids - risk of laminitis
Experienced veterinarians:
![Page 10: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/10.jpg)
58
• Safety for people and horse• Experienced veterinarian
should direct rescue efforts• Work from dorsal aspect, away
from the legs • Keep the horse down to avoid
repeated attempts to stand
Managing the recumbent horse: Safety first!
![Page 11: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/11.jpg)
59
• Apply pressure behind the poll with one knee
• Towels to protect eye and facial nerve
Managing the recumbent horse
![Page 12: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/12.jpg)
60
• Place iv catheter• Administer large volumes
of isotonic fluid iv
Cold water application is continued
Treating veterinarian may:
![Page 13: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/13.jpg)
61
Fast and effective cooling neededto avoid permanent damage to:• Kidneys• Heart • Lung• Brain• Muscles• GI Tract• Feet
Heat Stroke - a medical emergency
![Page 14: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/14.jpg)
62
• Heart rate < 50 within an hour• Respiratory rate 18-24 within
an hourEnsure normal • Temperature• Urination• Defecation• Water consumption• Appetite
Follow up monitoring:
![Page 15: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/15.jpg)
63
Complete blood count, biochemistry evaluation to check:• Kidney function• Hydration• Muscle enzyme levels• White blood cell values
Follow up monitoring:
![Page 16: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/16.jpg)
64
• Prompt, appropriate treatment• Good follow-up care
Most horses make a speedy and complete recovery
![Page 17: Dr Martha Mischeff. - FEI.org · 58 • Safety for people and horse • Experienced veterinarian should direct rescue efforts • Work from dorsal aspect, away from the legs • Keep](https://reader034.vdocument.in/reader034/viewer/2022042210/5eafa2c202ba7212b617d34d/html5/thumbnails/17.jpg)
65
Thank You!