Dog First Aid 1 Flashcards
How to deal with Haemorrhage
The main objective is to apply pressure to temporarily control blood flow until professional help can be sought.
This can be achieved by:
Placing firm pressure over pressure points (without totally cutting off the blood supply).
This helps to temporarily slow the blood flow down by placing the fingers directly on to the site of blood loss.
To help prevent infection, where possible, wear disposable gloves.
Pressure Points
BRACHIAL ARTERY: This vessel supplies blood to the fore-limbs.
FEMORAL ARTERY: This vessel supplies blood to the hind-limbs.
COCCYGEAL ARTERY: This vessel supplies blood to the tail.
Haemorrhage:
What to do if blood seeps through the bandage?
DO NOT remove it. Reapply another layer on top because removing it can disturb a blood clot.
Applying a pressure bandage:
What care is needed for limb bandages?
For limb bandages try and include the whole foot as this helps with circulation.
Always start at the foot and roll the bandage up the limb including the joint above the area to be bandaged.
Cover each “throw” of bandage by ½ to 2/3rds of the previous “throw”(refer to diagrams and video demonstrations).
Leaving a bandage in place, that is too tight, can act like a _________ and cause ___________!
Remember that leaving a bandage in place, that is too tight, can act like a tourniquet and cause death of tissue!
Hypovolaemic shock
Hypovolaemic shock 低血容量休克 –
A lowering of the circulating blood volume due to haemorrhage or a significant loss of body fluid due to severe vomiting and diarrhoea.
Shock
- definition?
- signs?
- treatments?
Definition:
Shock -
A state of serious (and usually sudden) circulatory collapse where the circulation is unable to deliver sufficient oxygen to meet the body’s requirements.
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Signs:
- Rapid breathing.
- Rapid and weak pulse rate (up to 220 beats per minute in the dog).
- Low body temperature.
- Pale mucous membranes (e.g. evident in the gums).
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Treatment:
Immediate first aid intervention for the underlying cause of shock is important but the following basic steps should be followed whilst waiting for veterinary attention:
- Keep the patient warm (blankets or foil life covers).
- Prevent further stress.
- Observe your patient and monitor closely.
- Record all your findings and report them to the veterinary surgeon.
General wounds:
In the absence of shock, blood loss or evidence of damage to underlying tissues:
- Remove any contaminating material.
- Gently clip away any hair using CURVED, BLUNT ENDED scissors, preventing the hairs from entering the wound where possible.
- Flush the wound copiously with sterile saline.
- Cover the wound with a sterile dressing and bandage it in place.
- Seek veterinary attention.
- Puncture wounds may be caused by teeth embedding the skin during a dog fight or by a sharp object piercing the skin. Although they may not look serious these types of wound will often become infected.
Puncture wounds can be potentially serious (especially over the chest and abdomen) so veterinary attention is always necessary.
Debris
noun [ U ]
UK /ˈdeb.riː/ /ˈdeɪ.briː/
broken or torn pieces of something larger
Debris from the aircraft was scattered over a large area.
saline
noun [ U ] /ˈseɪ.laɪn/
a liquid mixture of salt and pure water, used to kill bacteria or to replace liquid lost from the body:
a saline flush
What to do with Wounds with Foreign Bodies?
A foreign body (FB) can enter a wound. A FB could be anything from grit, dirt or shards of glass to larger objects like large sticks or debris from a vehicle following a road traffic accident.
- A saline flush can help to remove the FB from the wound prior to covering it with a sterile dressing, held in place with a simple bandage.
- Splinters
For splinters that are clearly visible and not deeply embedded in the wound, you can grasp the end. Use sterile tweezers to pull it out making sure it is in the reverse direction that it went in. Flush with saline and cover and bandage as necessary.
- Larger Foreign Bodies
If a wound has evidence of a larger foreign body, driven deep or impaled inside the wound it is usually better to leave it there.
This is because:
- It may cause more tissue damage when being taken out.
- The pressure exerted by the foreign body may be compressing a large vessel and therefore preventing blood loss.
In these cases, LEAVE IT IN PLACE but cover it over with a sterile dressing.
For wounds that require a bandage, it is important to place, or fashion, a ring-pad (see pictures 1 – 3) on top of and around the circumference of the wound.
This helps to prevent the FB being driven further into the wound, causing pain and potential complications.
- In all cases, seek prompt veterinary advice and attention.
dew claws
the claws that grow on the lower limbs that do not make contact with the ground
What to do with Broken/Damaged Claws?
In many dogs, dew claws tend to protrude which can make them more vulnerable.
When a nail is badly damaged, like human fingernails, the damaged nail will not regrow so it will need removing. However, once removed, a new nail will grow. Sometimes the new nail can be slightly deformed.
What to do?
If the nail is hanging off, it will need removing (see pictures). Because this is likely to be painful and bleed, this should be done by the vet so contact the surgery for an appointment.
Removal of the nail may or may not require surgery. This is dependent upon the extent of damage to the joint and the surrounding tissue.
First Aid Care
These injuries are not usually life-threatening. However, they can bleed quite a lot so immediate first aid requires that you cover the nail with a light dressing and bandage.
If the nail is hanging off at an awkward angle, use a ring-pad dressing over the top of it to prevent pain and discomfort.
*Seek veterinary advice and attention.
Examples of poisonous agents:
- Antifreeze (Ethylene Glycol)
- Rat poison
- Some plants including – Daffodil bulbs, fox gloves
- Slug pellets (Metaldehyde)
- Wood preservatives
- Some Disinfectants
- Over the counter drugs such as Paracetamol and Ibuprofen
- Some Weed killers
- Engine oil
- Chocolate – the higher the cocoa content the worse intoxication, including cocoa mulch used in the garden landscaping
- Onions
- Raisins & Grapes
- Carbon monoxide
- Nicotine – e- cigarettes
- Xylitol (an artificial sweetener used in some cakes, sweets and a range of other human low calorie foodstuffs) Listed as E967
- Essential oils (when concentrated but note that certain oils, can be harmful even when diluted)
Common effects of poisoning:
There are a range of symptoms vary depending on the individual and on the amount of poison ingested. However some common signs include:
- Vomiting – observe the colour as some rat poisons are commonly dyed blue or green.
- Diarrhoea.
- Excessive salivation.
- Seizures and other neurological changes affecting behaviour.
- Bleeding internally and externally.
- Collapse and coma.
- Unconsciousness.
- Salivating.
- Depression.
- Hypothermia –low body temperature.
- Respiratory abnormalities.
- Changes to pulse.
What to do if you suspect poisoning?
- Identify the poison – look at the ingredients on the label.
- Contact the vet.
- Take as much information about the poison to the vets or relay over the telephone.
- Observe the vomit – rat poisons are commonly dyed blue or green.
- Smell the breath and check for any residual poison around the mouth.
- Try and estimate the amount of poison that has been ingested.
- Follow any advice on the manufacturer’s label.
- Remove the source of poison by the recommended method (e.g. if contaminating the coat).
- Making the animal vomit is generally not recommended.
- Induce vomiting ONLY under veterinary direction.
*Emetic an emetic is an agent used to induce vomiting.
*Although some text books suggest using sodium chloride (salt) and powdered mustard, these should not be used.
Essential Oil Poisoning
- Signs?
*Signs of poisoning can occur within 2–8 hours and typically less than 24 hours but can initially be mild and easily overlooked.
Signs of ingestion can include:
- Hypersalivation
- Depression and lethargy
- Weakness and tremors
- Partial paralysis (hind limbs usually)
- Abdominal discomfort
- Vomiting
- Hypothermia
- In severe cases there may be collapse, coma and convulsions
- The breath, vomitus, urine and faeces may smell strongly of the oil.
Essential oils are also irritant to the skin and may cause redness, dermatitis, itchiness, rash, hair loss, or burns.
Treatment for ingestion of Essential Oil:
*Prompt veterinary treatment is important.
Veterinary treatment depends on the symptoms and the amount ingested but may include:
- Fluid therapy (a drip)
- Close observations
- Sometimes activated charcoal is given which helps absorb the toxin
- A blood sample may be taken to check for liver and kidney damage
- Drugs to help with neurological signs
*NEVER induce vomiting because there is a risk of aspiration pneumonia.
Treatment for skin/coat contamination from Essential Oil:
- Prompt removal is essential using soapy water (but don’t let the dog drink the water)
- Tea tree oil has a strong odour, so this can be used as a guide to determine the effectiveness of removal
- Make sure you concentrate on the area rather than wetting the dog all over as this can lead to hypothermia.
- Prevent further self-grooming by using an Elizabethan collar.
- The dog should be examined by the vet promptly for any signs of skin irritation or evidence of aspiration, e.g. coughing, noisy breathing (which could occur following ingestion or possibly from grooming)
Seawater Poisoning
Signs and Treatment:
Although seawater isn’t in itself a poison, under the definition of poisoning, and if enough is ingested, it can be categorised as such.
Seawater contains a great deal of salt (sodium chloride). As the body fluids have a fine balance of this in the cells, excessive amounts can alter the composition leading to dehydration and organ failure.
Signs include:
- Diarrhoea
- Vomiting
- Lethargy
- Tremors and fits
- Drinking excessive amounts of water
- Dehydration
- Death (in some cases and without prompt treatment)
Treatment:
- This is an emergency so veterinary attention must be sought as soon as possible.
- During transportation to the veterinary surgery follow the treatment for shock
The aim of veterinary treatment is to replace water and electrolytes through an intra-venous-infusion.
Anaphylactic shock
Signs and Treatment:
noun [ U ] /æn.ə.fɪlˌæk.tɪk ˈʃɒk/
a rare, immediate allergic reaction to something eaten or entering the bloodstream via a vaccine, certain medications or stings and bites. It causes an abnormal distribution of body-fluids due to dilation (widening) of the blood vessels.
*Anaphylactic shock can be life threatening so immediate veterinary attention is required.
Signs:
- Increased pulse rate.
- Poor pulse quality.
- Respiratory distress
- Sometimes facial swelling can be seen
- Red mucous membranes
- Initially a rapid capillary refill time (CRT) but progressively decreasing.
- Seizures (fits).
- Collapse.
Treatment:
Adrenaline (also known as Epinephrine) should be given by your vet as soon as possible – we are talking within a few minutes. Other treatments include intra-venous fluids, oxygen therapy, and other medications as needed.
If a dog has already had a reaction, such as anaphylaxis, or hives/ swellings after being given a substance, the substance should be avoided.
Adder bites
Signs and Treatment
The European adder is a venomous snake found in certain parts of the UK. They are more likely to be active in the summer months.
Common sites for bite injuries include the limbs and around the muzzle. fortunately fatalities are very rare.
Signs:
- Rapid swelling and inflammation.
- Pain (lameness or pawing at mouth and muzzle).
- Evidence of fang marks may be seen.
- Lethargy.
- Anaphylactic shock is a possibility and can be fatal (although it is rare).
- We will be looking at anaphylactic shock in a later module.
Treatment:
Whilst waiting for veterinary attention.
- Apply a cold compress/ ice packs.
- An anti-venom for adder bites is available (Zagreb) from your veterinary surgeon.
- Bandage the limb to prevent movement and further swelling.
- Treat for shock.
Stings (Bees & Wasps)
Signs and Treatment
Signs:
- Intense pawing at mouth / biting limb.
- Swelling and inflammation.
- Pain.
- Difficulty breathing (if the sting is in the mouth or throat).
- Anaphylactic shock (rare).
Treatment:
- Apply a cold compress/ apply ice pack
- Bee stings – bathe in a solution of 1 teaspoon of bicarbonate of soda in 250mls water.
- Wasp stings –bathe in a solution of vinegar & water (50:50 solution).
- Treat for shock.
- If the swelling does not reduce contact vet
Jellyfish Stings
Signs and Treatment
Signs:
- Vomiting or retching
- Swelling around the throat/ difficulty swallowing/ choking
- Coughing
- Hypersalivation
- Irritation around the mouth (or feet if pawed)
- Licking parts of the skin that have been stung
- Twitching and tremors
Treatment:
- Because of the possibility of swelling in the throat which could occlude the airway – prompt veterinary attention should be sought.
- Treatment varies depending on the species of jellyfish and severity of the signs. If possible take a photo of the jellyfish to aid identification.
- During transportation to the veterinary surgery treat for shock and apply ice packs to the affected areas to reduce swelling (this includes around the outside of the throat to prevent occlusion of the airway).
How much water should a dog drink per day?
As a rule of thumb, they should drink around 50 to 60ml of water per kilogramme of body weight each day.
Is my dog dehydrated?
The signs of dehydration in dogs include:
- Sunken eyes
- Dry gums
- Lethargy
- Weakness
- Collapse
- Loss of skin elasticity