- Scrub above the water line with gentle soap (Simple Green). Consider where the contaminated water is going. The decontamination process may need to be repeated again the next day
- Pick out and clean the feet
- Lavage/clean the eyes
Exam – Contact a veterinarian to help, but collecting the following information is helpful to determine what is an emergency and what can be scheduled as an appointment
- Eye exam
- STAIN ________________________________________________
- Physical Exam
- GI- ___________________________________________________
- Microchip _______________________________________
The veterinarian will likely do some or all of the following depending on the case.
- Ultrasound the chest for pleural fluid or early pneumonia
- Collect blood for a Coggins test
- Administer a tetanus containing vaccine
- Potentially administer a pythium vaccine. This is an experimental vaccine and supplies may not be available
- Prescribe antibiotics, antifungals, and pain medication
Daily management will depend on the severity of the case. Many will include
- Antibiotics given at appropriate doses
- Oral anti-fungals
- Monitor appetite, lameness, and fecal output
- Topical shampoo (MiconaHex + Triz) that has antifungal and antibacterial properties.
- Decontaminate again the second day, but frequent bathing is not necessary
- Stain the eyes
- No bandage as a rule of thumb
- Expect skin to slough. Watch for laminitis and pneumonia.
Wound Care if needed.
- Clean with dilute iodine
- Topical SSD
- +/- bandage although consider topical honey or the silver impregnated socks. The more bandaging you do the more debridement occurs. This is a chemical burn, but it usually is not full thickness. Large or deep wounds need to be seen by a vet to close and/or drain.
- Limit grain the first few days, but provide forage. This is important as the excess sugar and calories create a metabolic problem that can make starved skinny horses unable to stand.
- Make sure the staff understands that this is important. The volunteers overfeeding horses is a frequent issue.
- After several days of forage, slowly introducing a high fiber pellet can be done.
Submitted by Dr. Ben Buchanan, Brazos Valley Equine Hospital, Navasota