Transport of an equine colic patient to a referral clinic

Abstract

The primary care at the stable, the preparations for the transport to a referral clinic and the management of the patient during transport can significantly affect the prognosis of a horse with severe colic. Placement of a stomach tube and an indwelling intravenous catheter, caecocentesis and the administration of fluids, non-steroidal anti-inflammatory and spasmolytic drugs or sedatives are carried out first, depending on the severity of the colic, to ensure safe transport. Administration of fluids and analgesics, checking of the respiratory and heart rate, as well as monitoring spontaneous gastric reflux can be continued during transport. In contrast to horses with less severe colic, which can safely be transported in a conventional horse trailer and despite the additional expenses, transportation in a specialised equine ambulance, as used by the large animal rescue service CH/FL, should be considered for horses with severe colic or recumbent patients. Ensuring road safety and the safety of staff is not only part of the veterinarian's responsibility but is also mandated by law. This review article deals with therapeutic measures applied before and during transport of horses with colic to a referral facility.