Chapter 61 Emergency Veterinary Medicine
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Wild Animal Encounters
Why and When Wild Animals are Dangerous
Few wild animals deliberately stalk humans, but they may stalk support animals. Most wild animals fear humans and, given an opportunity, avoid human contact. Injuries to humans caused by wild animals are usually the result of judgment errors (such as approaching too closely), ill-advised handling of diseased wild animals, or unlucky exposure to highly aggressive or protective animals (see Chapter 51). Such animals may be natural predators seeking food, prey species fearful for their lives or the lives of their young, or diseased and irrational animals (such as those with rabies). Attacks on support animals usually occur at night or when humans are absent.
Dealing with an Attack
Wild animal attacks on support animals usually occur when the animal is tied on a picket line or staked out for grazing. The animal may injure itself trying to escape the attack or may be bitten and mauled by its attacker. In one example, a frightened llama broke loose from a stake, but the lead rope suddenly caught between rocks and the animal’s cervical spine was fractured by the abrupt stop. Wounds inflicted on humans may be lacerations, contusions, punctures, or abrasions. Specific therapies are addressed in Chapter 21.
Support Animals
Pre-Trip Animal Health Considerations
Immature animals should not be taken on expeditions. Dogs should be at least 1 year old. Llamas and horses should be older than 3 years. Well-conditioned and trained horses, mules, burros, and dogs can carry approximately 30% of their body weight. Llamas usually carry only 25% of their body weight (Table 61-1).
Horses, Mules, and Donkeys
Selecting the breed of horse for a trek may depend on the experience and horsemanship of the trekkers. Horses for riding should be selected for gentleness, ease of mounting, and conformation that fosters a smooth gait and comfortable ride. Correct conformation includes angulation of the joints and a long, sloping pastern that provide good cushioning when a foot strikes the ground. Certain breeds are well known for this, including the Tennessee walking horse and the Missouri fox-trotter. Arabian horses are known for their stamina and endurance but may be high strung and require more expertise on the part of the rider than do other breeds. Thoroughbred or thoroughbred crosses are excellent if they are not flighty or too tall (16 hands or 1.6 meters [64 inches] or more). Quarter horses are also good trail horses unless they have short, upright pasterns that make for a jolting ride (Figure 61-1). Often, there are more differences within a given breed of horse than between breeds. Avoid typical riding-academy horses that have to be prodded to a gait faster than a slow walk.
Oxen, Yaks, and Water Buffalo
An ox is a castrated male of any breed of cattle that has been trained to work as part of a team, having been paired at a young age (Figure 61-2). Castrated males are more docile and grow larger than do intact males; thus they are able to carry or pull heavier loads. Oxen were the mainstay for agriculture and for transporting people and goods in North America before establishment of the transcontinental railroad in 1869. They are still used for these purposes in many places in the world where access to mechanized agriculture is limited.
The yak is the primary draft animal for native people living at high elevations in Central Asia and China (Figure 61-3). Yaks and their handlers are frequently employed by trekkers in these locales.
Elephants
Asian elephants have been used for carrying loads, harvesting timber, carrying people, and engaging in warfare since antiquity (Figure 61-4, online). They are also used as beasts of burden for wilderness treks in forested areas of Southeast Asia, India, and southern China. Elephants are often considered to be domestic animals, whereas in reality they are wild animals that respond to taming and training to produce reliable beasts of burden that are useful for many tasks. Elephants should only be used under the care and guidance of a skilled handler, called a mahut or ozzie.
Watering and Feeding
Emergency Restraint
It is assumed that one or (preferably) more persons on the trek are acquainted with the general care and handling of any domestic species involved in the expedition. Methods of haltering and leading are specific for each animal. Securing animals at night may require hobbling or tethering. Skill and experience are necessary to accomplish this without risking injury to the animal or handler. Animal handlers should be able to examine and clean the feet and hoofs of their charges. All people who deal with the animals should know how to create a halter tie (Figure 61-5) so that a safe and secure tie can be made at rest stops or whenever an animal is to be tethered. Knowledge of temporary rope halter construction is desirable in the event of loss or breakage of halters (Figure 61-6).11
Horses, Mules, and Burros
Large animals may inflict serious or lethal injuries on people. When in pain or panicked, they may not respond even to their customary handlers. If a horse is down and entangled in rope, wire, or bushes, it should be approached from its back and its head held down until it can be extricated. The handler should stay out of the reach of both fore and hind limbs.11
Additional restraint for painful procedures may be accomplished by grasping one or both ears of the horse. The method of “earing” a horse is as follows: Stand at the left shoulder and grasp the halter or lead rope with the left hand. Place the right hand palm-down with the fingers together and the thumb extended, on the top of the neck. Slide the hand up the neck until the thumb and fingers surround the base of the ear (Figure 61-7). Squeeze tightly, but do not twist the ear. The horse usually tries to pull away as the ear is grasped. Be prepared to move with the horse while maintaining a firm grip.
Llamas
Pack llamas are usually docile. Although most allow their feet to be lifted for inspection or treatment, some try to lie down. One or two people should stand on the side opposite the limb being lifted, or the llama should be placed next to a tree or large rock to prevent the animal from moving away. The limb should be firmly grasped. It may be necessary to provide semisupport to the body if the animal tries to lie down.12
Only rarely does a llama “spit” against an annoyance. The spit is actually stomach contents, the foul odor of which remains until thoroughly washed off. Spitting is usually directed toward other llamas to express displeasure, but handlers may be caught in the crossfire. If a llama becomes irritated during an examination or treatment procedure, spitting can be controlled by draping a cloth over the nose and tucking the top around the nose piece of the halter. Llamas also dislike the odor of stomach contents on their noses. Llamas can be “eared” in a manner similar to that used for horses.11
Oxen, Yaks, and Water Buffalos
These animals are usually docile and easy to handle. They should be trained (usually from the time they are juveniles) to respond to voice commands or touching with a goad (stick) on a specific area of the body or limbs. Oxen may be driven by a handler walking alongside or by leading. If two animals are yoked together to pull a cart or wagon, the handler walks beside the animal on the left. Oxen are not usually trained to allow a foot to be picked up as would be done with a horse. Any examination or treatment of the bottom of the hoof may necessitate casting the animal (forcing it to lie down). This may be easily accomplished by using a half-hitch method (Figure 61-8).
The animal is tied securely by the head to a solid structure (tree, post, fence or large rock) near the ground. The procedure requires the use of a rope 6 to 9 m (20 to 30 feet) long and 1.27 cm (0.5 inches) in diameter. Tie a loose bowline around the neck of the animal. Then place a half hitch behind the forelegs (see Figure 61-8). Place another half hitch over the caudal aspect of the rib cage. Take up all slack in the loops, so that when pulled from behind, the half hitches will not slip caudally but will tighten on the chest wall. One or two persons begin to exert a steady pull on the rope from behind the ox, and should be persistent. If the ox spreads its hind legs and refuses to go down, place a short rope hobble on the hind legs to prevent the straddle. Then renew the pressure. The pressure exerted on the chest will cause the ox to become recumbent. Tie the forelimbs together and the hindlimbs together; then stretch them forward and backward.
Dogs and Cats
Alternatively, a muzzle can be constructed from a nylon cord or even a shoelace. A loop should be formed with an overhand knot on one side. The loop is placed over the muzzle of the dog, with the knot on top, and tightened (Figure 61-9). The ends of the loop should be wrapped around the muzzle, crossed beneath the jaw, and tied behind the ears (Figure 61-10).
Conditions Common to All Species
Support animals may injure each other or their human handlers, or they may spread disease (such as ringworm or lice). Human injuries are discussed in Chapter 21.
Foot, Hoof, and Nail Problems
Foot injuries may incapacitate an animal and possibly the expedition.7,12 The hoof of the horse covers the distal extremity and the third phalanx (P-3). The specialized horn of the hoof and nail is roughly analogous to the human nail. Horses are digitigrade, walking on the tip of P-3 (see Figure 61-1). In llamas, P-2 and P-3 lie in a horizontal plane within the foot, with only P-1 in the vertical position. The nails of the llama and dog are inconsequential in weight bearing, but if torn or contused, become extremely painful.
Hyperthermia (Heat Stress, Heat Exhaustion)
Hyperthermia is elevation of the core body temperature above normal limits. Chapters 10 and 11 discuss hyperthermia in humans, and it is important to recognize that animals associated with a trek may become overheated as well.12,13
External Parasites
The order Diptera, class Insecta includes thousands of species that are annoying or parasitic to humans and domestic and wild animals (see Chapter 47). Trek animals suffer in much the same way as do their human companions. Certain destinations are notorious for insect swarms (flies in Australia, mosquitos and gnats in the Arctic summer). Dipterans are also important disseminators of infectious microorganisms. It is sometimes difficult to differentiate venomous from parasitic species. The saliva of hematogenous dipterans may contain a toxin that aids in altering the endothelium of capillaries to induce free flow of blood, which is then ingested by the fly. Many humans are extremely sensitive to bites from certain flies, and some are sensitive to the toxins in the saliva.
Animals may also be sensitive to the toxins in the saliva. Even nonbiting species, such as the housefly (Musca domestica) or the face fly (Musca autumnalis), if feeding on lacrimal secretions or open wounds, may produce a local reaction causing blepharitis, conjunctivitis, and keratitis. Biting flies (mosquitos, gnats, and midges) may produce local reactions in animals. An attack by immense numbers of simulid gnats may cause debility and even death in animals. In the Mississippi River Valley, horses and mules were killed by massive attacks of the buffalo gnat (Cnephia pecuarium). Swarms of biting insects may cause alarming behavioral responses in horses, including crowding together, head shaking, tail switching, and running. As a youngster, the author was mowing alfalfa hay using a team of horses. A cloud of simulid gnats descended on them. It was difficult to control the horses from bolting and at the same time protect oneself from the biting insects.9
Tick Bites
Members of the order Acarina, class Arachnida (ticks, mites, spiders, and scorpions) pose minimal risk for horses and llamas but may incapacitate dogs. Envenomation should be managed as for a human. Ticks are known to transmit a variety of infectious disease agents, including Borrelia burgdorferi (borreliosis, Lyme disease) and Ehrlichia risticii (Potomac horse fever, ehrlichiosis) in horses, but the biggest hazard of tick infestation in trek animals is tick paralysis.9 Tick paralysis occurs in horses, llamas, dogs, and many species of mammals and birds in North America, Europe, Africa, Australia, and Russia. Usually, only female ticks produce the neurotoxin, which localizes in saliva and is injected into the host when the tick takes a blood meal. Numerous species of ticks are known to produce the toxin.