• Master the procedures and treatments you need to manage any equine emergency! Ideal for use in the clinic and in the field, Equine Emergencies, 5th Edition, is the only comprehensive, practical guide dedicated to managing and treating equine emergencies, helping you stabilize and care for equine patients with confidence. This edition includes an interactive eBook with customizable features, expanded chapters and pictorials on critical emergency techniques and conditions, and valuable appendices covering critical care monitoring, telemedicine, biosecurity, and electronic medical records for equine emergencies. From a team of expert contributors led by James Orsini and Nora Grenager, this book lets you triage your patient, finding information easily and by clinical complaint.

  • Part I: Emergency Procedures and Diagnostics
    Section I: Important Diagnostic and Therapeutic Procedures for Emergency Care
    1. Blood Collection
    2. Medication Administration – Traditional and Alternative Methods of Drug Administration
    3. IV Catheter Placement and Venous Access
    4. Regional Perfusion, Intraosseous, and Resuscitation Infusion Techniques
    5. Aspirate and Biopsy Techniques
    6. Technique of Negative Pressure Wound Treatment
    7. Abdominal Palpation Per Rectum
    Section II: Lab Diagnostics, Monitoring, and Emergency Imaging and Endoscopy
    8. Laboratory Diagnosis of Bacterial, Fungal, Viral, and Parasitic Pathogens
    9. Emergency Lab Tests and Point-of-Care Diagnostics
    10. Fluid Analysis and Cytology
    11. Emergency and Critical Care Monitoring
    12. Imaging Techniques and Indications for the Emergency Patient
    13. Emergency Diagnostic Endoscopy

    Part II: Differentials and Triage of Common Presentations
    Section I: Problem-based Differentials
    Section II: Triage and Stabilization of Most Common Emergencies
    14. Ataxia/Acute Neuro
    15. Colic
    16. Collapse
    17. Down Horse (adult)
    18. Dyspnea/Respiratory Distress
    19. Fever
    20. Nasal Discharge
    21. Reluctance to Move
    22. Shock
    23. Sick Neonatal Foal

    Part III: Emergency Conditions by Body System
    Section I: Cardiovascular
    24. Exam
    25. Arrhythmias
    26. Murmurs
    27. Myocarditis
    28. Congestive Heart Failure
    29. Pericardial Effusion
    Section II: Gastrointestinal
    30. Workup and Procedures
    31. Oral Cavity
    32. Esophagus
    33. Stomach
    34. Small Intestine
    35. Large Colon and Cecum
    36. Small Colon and Rectum
    37. Peritoneal Cavity
    38. Diarrhea
    Section III: Hemolymphatic
    39. Workup and Procedures
    40. Causes of Anemia
    41. Cause of External Hemorrhage
    42. Internal Hemorrhage
    43. Snake Bite
    44. Guttural Pouch Hemorrhage
    Section IV: Hepatic
    45. Workup and Procedures
    46. Causes of Acute Hepatic Disease
    47. Cause of Hepatic Failure
    Section V: Musculoskeletal
    48. Diagnostics and Therapeutics: Lameness Workup
    49. Adults
    50. Myopathies – Adults
    51. Pediatrics
    Section VI: Neonatology
    52. Workup and Procedures
    53. Newborn Foal Evaluation and Resuscitation
    54. Special Situations
    Section VII: Neurologic
    55. Workup and Procedures
    56. Acute Cranial Nerve Signs
    57. Acute Mental Change/Seizure/Cerebral
    58. Acute Ataxia
    59. Acute Peripheral Nerve
    Section VIII: Ophthalmic
    60. Workup and Procedures
    61. Trauma
    62. Causes of Uveitis/Keratitis
    63. Swollen Eye
    64. Miscellaneous – Neoplasia, Habronema, etc.
    Section IX: Renal
    65. Workup and Procedures
    66. Causes of Acute Renal Failure
    67. Causes of Discolored Urine
    68. Renal Tubular Acidosis
    69. Causes of Uroperitoneum or Uroretroperitoneum
    Section X: Reproductive
    70. Workup and Procedures
    71. Male Reproductive Issues
    72. Female Reproductive Issues
    Section XI: Respiratory
    73. Workup and Procedures
    74. Causes of Upper Airway Obstruction
    75. Causes of Nasal Discharge
    76. Causes of Epistaxis
    77. Causes of Dyspnea without URT Noise
    Section XII: Shock, SIRS, and MODS
    78. Workup and Procedures
    79. Therapies
    Section XIII: Skin and Wounds and Burns, Anaphylaxis, Heat Stroke
    80. Workup and Procedures
    81. Generalized or Regional Swellings
    82. Pruritus
    83. Miscellaneous Lumps and Bumps
    84. Wounds
    85. Miscellaneous Skin Conditions
    86. Heat Stroke

    Part IV: Toxicology
    Section I: Decontamination and Diagnostic Procedures
    Section II: Toxins Listed by Body System and a Table of Geography
    Section III: Specific Acute Adverse Drug Reactions and Recommended Treatments

    Part V: Additional Emergency Considerations
    Section I: CPR
    Section II: IV, Enteral, and Rectal Fluid Therapy and Blood Transfusion
    Section III: Field Anesthesia and Euthanasia
    87. Field Anesthesia
    88. Euthanasia
    Section IV: Analgesia
    Section V: Nutrition
    89. Medical Management of the Starved Horse
    90. Nutritional Guidelines for the Injured, Hospitalized, PostSurgical Patient
    Section VI: Biosecurity, Public Health Considerations, and Zoonoses
    91. Contagious and Zoonotic Diseases in North America
    92. Global Contagious Diseases
    93. Standard Precautions and Infectious Disease Management
    94. Public Health Considerations
    Section VII: Considerations in Specific Types of Horses
    95. Draft Horses
    96. Miniature Horses
    97. Donkeys
    98. Geriatric Horses
    Section VIII: Disaster Medicine and Technical Emergency Rescue
    99. Triage and Stabilization of Patients
    100. Basic Overview of How to Set up Emergency Site
    101. Technical Rescue

    Appendix
    1. Reference Values
    2. Equivalents and Calculations
    3. Caring for the Down Horse
    4. Critical Care Monitoring
    5. Drug Trade Name and Category Table
    6. Equine Emergency Drugs: Approximate Dosages and Adverse Drug Reactions
    7. Telemedicine
    8. Records and Electronic Medical Records (EMR) for the Equine Emergency

  • James A. Orsini, DVM, DACVS Associate Professor of Surgery (TT)

    Former Director, Laminitis Institute, New Bolton Center and Equi-Assist

    Dr. Orsini is an Associate Professor of Surgery, at the University of Pennsylvania School of Veterinary Medicine. Dr. Orsini received his DVM from Cornell University and completed his internship, surgery residency, and fellowship/lectureship training at the University of Pennsylvania’s New Bolton Center campus. He is board-certified in surgery by the American College of Veterinary Surgeons with a special interest and expertise in orthopedic and reconstructive surgery, and laminitis, amongst other surgery areas. He has published extensively on equine pediatric surgery, antimicrobials, laminitis, gastric ulcers, pain, and anti-inflammatory medications with several hundred publications. He is co-editor of Equine Emergencies 5th edition with Dr. Nora Grenager. Previous editions of Equine Emergencies, co-edited with Dr. Thomas Divers, are published in seven foreign languages. Comparative Veterinary Anatomy: A Clinical Approach is co-edited with Drs. Nora Grenager, and the late Alexander de Lahunta. Dr. Orsini’s current research interests are understanding the pathophysiology of laminitis, prevention, improved treatments, and newer generations of antimicrobials for prophylactic use in surgery.

    Nora S. Grenager VMD, DACVIM

    Director of Internal Medicine - Menlo Park

    Primary Clinic: Menlo Park

    Dr. Nora Grenager grew up on a small farm in central Pennsylvania and could always be found out in the barn with the horses. She knew she wanted to be an equine vet from a young age.

    Nora earned her BA from Amherst College, her veterinary degree from the University of Pennsylvania, and then did her internship and internal medicine residency at Steinbeck Equine. Nora’s professional interests include internal medicine (especially endocrine disease, respiratory disease, ultrasound, and cardiology), laminitis, and preventive herd health. She has written and edited numerous peer-reviewed veterinary articles, contributed to—or edited—several veterinary textbooks, is finishing up writing a clinical anatomy textbook, and is an active volunteer in many veterinary organizations.

    Nora loves spending time with her husband, David, daughter, Sally, and dog, Riley, and doing almost anything outside (running, hiking, snowboarding, kayaking) in beautiful California, as well as playing music.

Veterinary Clinics of North America
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