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The Veterinary clinics of North America. Equine practice2014; 30(2); 283-vii; doi: 10.1016/j.cveq.2014.05.001

Field triage of the neonatal foal.

Abstract: The purpose of this article is to provide a quick reference for field triage of the sick neonatal foal. Therefore, information is focused toward diagnostics and treatments that can be performed in the field. When evaluating a weak, recumbent, or lethargic foal on a farm, it is often difficult to make a definitive diagnosis. Therefore, the approach should be to treat what is treatable and prevent what is preventable. In many cases, the goal will be to stabilize a foal before referral to a tertiary care facility where more intensive and continuous treatment can be performed.
Publication Date: 2014-06-10 PubMed ID: 25016492PubMed Central: PMC7135403DOI: 10.1016/j.cveq.2014.05.001Google Scholar: Lookup
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Summary

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This research article provides a guide for initial, field-based diagnosis and treatment of neonatal foals presenting symptoms of illness, weakness, and lethargy. It recommends focusing on treatable and preventable conditions, with the ultimate goal of preparing the foal for transfer to a specialized facility for more comprehensive care.

Overview

  • This research article is primarily an informational guide for veterinary practitioners or farmers who may come into contact with a sick, weak, or lethargic newborn foal in a field setting. The main aim is to equip them with enough knowledge to carry out field triage, which is the initial point of contact in providing help and medical attention to the foal.

Triage and Treatment

  • The article focuses on diagnostics and treatments that can be performed in the field. This includes observable symptoms and immediate medical care that can be provided without specialized equipment that might not be readily accessible in a farmland environment.

Preventing and Treating the Treatable

  • Recognizing the difficulties in making a definitive diagnosis in the field, the approach recommended by this research is to “treat what is treatable and prevent what is preventable.” This pragmatic approach suggests managing symptoms and conditions that field-based healthcare providers are equipped to handle, while also taking preventive measures to avoid worsening the foal’s condition or triggering preventable diseases or adversities.

Stabilization and Referral

  • The ultimate goal in this field triage process is to stabilize the neonatal foal for referral to a tertiary care facility. These facilities are better equipped for continuous and intensive treatment, and offer the best chance for a positive outcome in the case of seriously ill foals. The article emphasizes the importance of this step, and advocates for practitioners to aim for it in every case where it’s required.

Cite This Article

APA
Carr EA. (2014). Field triage of the neonatal foal. Vet Clin North Am Equine Pract, 30(2), 283-vii. https://doi.org/10.1016/j.cveq.2014.05.001

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 30
Issue: 2
Pages: 283-vii
PII: S0749-0739(14)00036-4

Researcher Affiliations

Carr, Elizabeth A
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, 736 Wilson Road, East Lansing, MI 48824, USA. Electronic address: carreliz@cvm.msu.edu.

MeSH Terms

  • Animals
  • Animals, Newborn
  • Horse Diseases / diagnosis
  • Horse Diseases / therapy
  • Horses
  • Triage

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This article includes 10 references
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Citations

This article has been cited 3 times.
  1. Rivera Maza S, Bishop RC, Austin SM, Foreman JH, Wilkins PA. Characteristics of meconium impaction/retention in newborn foals: From 2006 to 2024. Equine Vet Educ 2025 Jan 29;.
    doi: 10.1111/eve.14109pubmed: 40810138google scholar: lookup
  2. Castelain DL, Dufourni A, Pas ML, Bokma J, de Bruijn E, Paulussen E, Lefère L, van Loon G, Pardon B. Retrospective cohort study on diseases and risk factors associated with death in hospitalized neonatal foals. J Vet Intern Med 2025 Jan-Feb;39(1):e17269.
    doi: 10.1111/jvim.17269pubmed: 39690128google scholar: lookup
  3. Laleye BOFV, Seye M, Chiavaccini L. Early recognition of pain: improving colic outcomes in horses in Senegal. Front Pain Res (Lausanne) 2024;5:1429849.
    doi: 10.3389/fpain.2024.1429849pubmed: 39301324google scholar: lookup