1. Calm yourself - gather your wits about you and proceed in a slow calm manner. If you are in a panic it helps no one, least of all an injured horse who is no doubt also excited and scared.

2. Assess the horse's attitude. Can you safely approach and work on the horse. If not - do not. Wait for help.

3. Get the horse to a quiet familiar area if possible and work on calming him/her. Reassure the horse by rubbing the neck and talking to it. Move quietly and slow.

4. Safely assess the wound.

5. Seek veterinary advice if the wound is large or if you are not comfortable in treating the wounded horse yourself.

Allow at least 30-60 minutes for fresh wounds to stop bleeding. Large fresh wounds usually need sutured to promote healing and minimize scarring. Contact your veterinarian. Early attention improves the chances of uncomplicated healing.

If wound has severe bleeding apply a pressure bandage directly over the wound to slow it down until the vet arrives. Apply pressure to the wound with a thick pad of gauze or cloth folded several times to create a thick pad and apply Vet Wrap firmly over the padding. If location of bleeding prevents your being able to wrap it, hold it in place until bleeding stops. If the pad becomes blood soaked don't remove it, just add another pad and continue to apply pressure.
Having a first aid kit readily available at home and when traveling is your first step in providing emergency care for your injured horse. You need items in your kit to provide both emergency care and for treating minor cuts and scrapes.
Kits will vary according to personal preference, but there are certain supplies which should be incorporated into every kit.
Metal or plastic toolboxes make great moisture-proof containers for your kit. Bright colored ones are easier to locate in an emergency. Mark FIRST AID KIT on the top and sides. Place the kit in a handy spot in the barn or stable, familiarize yourself with the contents and know how to use them.
You may also want to have a more portable version, as it is a good idea to carry a kit with you when you are out on trail rides, horse camping, or are otherwise in a situation where veterinary attention is not readily available. A waterproof bag with zipper and a covering flap works well as a travel kit. Make sure there is a way to attach the kit to your belt or saddle. This kit would contain primarily emergency items that could help in the event of a cut or wound.
Recommended items for your first aid kit:

*Thermometer - Normal temperature should be between 99.0 and 101.5 degrees F.
*Stethoscope - To monitor heart rate. Your horse's heartbeat can be heard most clearly just behind the left elbow. It is also useful for listening for gut sounds.
*Electrolytes,powder and paste for dehydration.
*Neosporin - This should be applied twice daily to minor abrasions and in wounds that are superficial wounds (the skin edges cannot be moved separately).
*Diluted iodine solution - To flush out any full thickness wounds (the skin edges can be moved separately). Any wound that will be seen by a veterinarian within 4 hours of injury (8 hours for head injuries) should not have any other medications applied, but should simply be flushed with clear water or dilute iodine solution and covered to prevent drying.
*Nolvasan, Furacin, Corona, Wound Powder - These antiseptic ointments or powders are to be applied to full thickness wounds (the skin edges can be moved separately) that will not be seen by a veterinarian within the first 4 to 8 hours.
*Hydrogen peroxide - Avoid use of peroxide in wounds as it will kill healthy tissue. The one exception would be contaminated sole wounds. Peroxide can be used to clean these out initially. It should not be placed into any other type of wound.
*Knife for making splints, cutting bandaging materials, cutting your horse free from a tangled rope, etc. Use extreme care when using a knife around your horse.
*Wire cutters - In the event a horse has gotten tangled up in fence or wire.
*Twitch This tool can help calm and restrain your horse during painful procedures.
*Hoof pick To clean out the bottom of the foot to search for punctures, bruising, or other foot problems.
*Fly lotion - This can be used to keep flies and other insects from irritating and contaminating open wounds that cannot be bandaged. Apply the lotion directly around but not inside the wound.
*Ophthalmic Polysporin - For eye injuries.
*Bandaging Materials Cotton Padding, Telfas (non-stick gauze) Vetrap
Duct Tape, Diapers, Large & Small Sterile Gauze or Vetrap
Elastoplast ,1-inch and 2 inch White Adhesive Tape, Saran Wrap, Cotton Leg Wraps
6-inch brown roll gauze, Med-Rip bandage tape

Additional items:
Latex gloves
4-5 1 1/2"x18 ga needles
Irrigating syringe
Antibiotic spray
Safety pins
Zip Lock Bags
Epsom Salt
Betadine Solution
Catheter tip syringe
Betadine Scrub
Physiological Saline
Petroleum Jelly
Blunt-nosed scissors

In the refrigerator:
Tetanus Antitoxin
Tetanus Toxoid booster
Be sure to check expiration date and replace as necessary.

It is also good to keep on hand, frozen cooling packs, ice cubes and Styrofoam cups filled with water and frozen.
These work great for applying cold therapy to areas which cannot easily be bandaged.
*Deep Cut in Skin Versus a Full Skin Thickness Cut
Cuts which do not penetrate the skin all the way cannot have the edges of the wound separated. You cannot pull the edges of the wound apart because the skin is still connected at the base of the wound.
How deep can a partial thickness be? If the skin is thick it may be 1/4 to 3/8's inch deep. In areas where the skin is thin it may be less.

Clean the wound with soap and water and apply a nitrofurazone based spray twice a day. Ointments are okay but will not last as long. A bandage may be applied to areas like the leg where the wound would be subjected to dirt. These wounds do not require suturing, but should be examined carefully to be sure there are no punctures.

Suturing of this type of wound depends on several factors. Age of the wound, location, contamination, blunt trauma. Contaminated or blunt trauma wounds are often safer left open and cared for properly than when sutured.

Open wounds which will not receive medical attention for several hours should be flushed out with clean water and bandaged using an antibacterial cream such as Neosporin. If suturing is required flushing and bandaging the wound will help minimize infection.

Puncture wounds can be deceiving. Frequently they appear to be minor wounds. Depending on the depth and contamination they can rapidly become infected. Pain and swelling within the first 24 to 72 hours after the accident are good indicators that there is a problem. Punctures seal up rapidly so the infection has no place to go and spreads to surrounding tissue. Have your Vet examine the wound if you have any doubt as to how deep the puncture is or if it is draining well.

A hard blow that does not break the skin can be treated with ice compresses for a minimum of 30 minutes and oral bute (consult your Vet before using) to limit swelling and pain.


Normal body temperature of a mature horse at rest is 99 to 101 degrees F.

Heart and Pulse Rate:
Normal mature horses - 28 to 40 beats per minute.  Newborn foals  - 80 to per minute
Weanlings - 60 to 80 beats per minute
Yearlings - 40 to 60 beats per minute

Determine Pulse Rate:
Horse should be calm, rested and relaxed to obtain an accurate heart rate.
Press your fingers against an artery.  There are several locations where an artery can be felt.
1. back edge of lower jaw
2. inner surface of the groove under the jaw
3. inside the elbow, up and forward against the
   chest wall.
4. under the tail, close to the body
5. the inside or outside pastern.

Check skin pliability for dehydration.  Pinch a fold of skin on the neck and release it.  It should quickly return to its original position. If the horse is dehydrated, the skin returns slowly and tends to stay in a fold.

Mucous Membranes:
Gums, inside lips of a mare's vulva and nostrils should be pink.  A fire engine red color usually denotes illness.  Anemia causes a pale color.  Lack of circulation causes a bluish-purple color.

Quantity and Condition of Circulating Blood:
Rate of capillary refill (the rate blood returns to an area) indicates the quantity and condition of the circulating blood.  Capillary refill can suggest anemia, colic, congestion and shock.  You can determine capillary refill time by pressing your thumb on the horse's gum and releasing it.  It should take about two seconds for the blood and normal color to return to the area.  Longer capillary refill times can be indicators of dehydration or a circulatory problem.    
First Aid for the horse
3321 lupine lane
stevensville, mt 59870


First Aid for Horses can be broken into two types:

1. Treatment of the injury which does not require medical attention.

2. A temporary measure until your veterinarian arrives.

Either way, first aid can have a remarkable effect on the outcome of the horse's recovery.
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