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Disaster Working Dog Management and Health  266.e3


             profiles, infectious disease titers, cultures,   (i.e.,  N-96  particulate  respirators),   ○   Hydration, electrolytes, hematocrit/total
             heavy metals, cholinesterase, polychlorinated   and durable clothing. Training ahead   solids, blood glucose, blood urea nitrogen,
  VetBooks.ir  poisoning), anticoagulants, pharmaceutical   assessment of safety risks to modify the   •  For all working dogs: baseline (yearly or bian-  Diseases and   Disorders
                                                                                      urine production and serial urinalyses
                                                    of time and continual monitoring and
             biphenyls (PCBs), carboxyhemoglobin (CO
                                                                                    ○   Pain
             and illicit drugs, mycotoxins
                                                    PPE as appropriate are paramount for
                                                    human and canine safety.
           •  Necropsy for unexplained death, and consider
             for any working dog                  ■   Powders: use care brushing because may   nually), CBC, serum biochemistry profile,
                                                                                    heartworm antigen test, urinalysis, and
                                                    aerosolize; wipe only           thyroid profile. Consider infectious disease
            TREATMENT                             ■   CAUTION: some  hazardous  materials   screening as appropriate for location, such
                                                    become reactive when exposed to water.   as Lyme disease, ehrlichiosis, bartonellosis,
           Treatment Overview                       Alternate decontamination methods   leishmaniasis, foreign animal diseases
           Treatment consists of appropriate therapy for   include application of baking powder or   •  Necropsy is advised for working animals to
           the signs presented in the field and referral to a   flour, then physical removal by wiping,   aid in monitoring and for future health and
           veterinary hospital as appropriate and as available   brushing, or combing.  prevention strategies for other working dogs.
           (on-site veterinary team, local practitioner, or   ■   Caked-on contamination: may need to
           24-hour emergency and/or specialty hospital).   scrape off or break down with mineral    PROGNOSIS & OUTCOME
           Therapeutic  goals  are  to  stabilize  the  patient,   oil (for petroleum-based products) or
           decontamination, decrease ongoing exposure and   mechanics’ handwashing products.  Variable;  prognosis  improves  with  proper
           absorption, and the institution of appropriate   ■   Eye ointments: avoid because they may   prevention, awareness, and monitoring work
           specific or supportive care. During decontami-  absorb contaminant and worsen corneal   site for potential concerns.
           nation, there is risk of hazard exposure to the   damage
           veterinary team; use precautions.      ■   Bleach: 0.5% hypochlorite rinse followed    PEARLS & CONSIDERATIONS
                                                    by routine soap-and-water decontamina-
           Acute General Treatment                  tion protocol for blister agents (vesicants)   Comments
           •  Stabilize the patient.                or floodwater exposure        •  Important resources
             ○   General emergency medicine: stabilization   ■   Phenol exposure: human PPE is a must;   ○   Centers for Disease Control and Preven-
               of vital signs and specific derangements   use paper/disposable towels to blot fur   tion: www.cdc.gov
               with appropriate  cardiovascular and   and skin before washing.      ○   National  Veterinary  Response  Teams
               respiratory support                ■   Eye  flush:  15  minutes  required  for   (NVRT),  part of the National  Disaster
             ○   Control hemorrhage, shock          exposure to blister agents, blood, or   Medical System (NDMS),  Department
             ○   Control dyspnea, give oxygen therapy,   metabolic agents (0.9% saline or tepid   of Health and Human Services: https://
               move to fresh air                    clean water)                      www.phe.gov/preparedness/responders/
             ○   Control seizures, tremors     •  Supportive care                     ndms/ndms-teams/pages/nvrt.aspx
             ○   Control pain                   ○   Fluid therapy: diuresis to help promote   ○   American Veterinary Medical Association:
           •  Decrease ongoing exposure and absorption   removal of agents with renal excretion   www.avma.org or http://www.vmat.org/
             of toxins.                           and to address shock, dehydration, and   ○   American  Society  for  the  Prevention
             ○   Induce vomiting, gastric lavage (exceptions   metabolic derangements  of  Cruelty  to  Animals,  Animal  Poison
               include corrosive agents, hydrocarbons,   ○   Treat dehydration, hypothermia/hyperther-  Control   Center:   www.ASPCA.org;
               PCBs, soaps and detergents [cationic   mia, stress colitis, hemorrhagic gastroen-  1-888-426-4435
               agents], acids and alkalis, phenol) (p. 1087)  teritis, and hemorrhagic cystitis. Recognize   ○   Safety Data Sheets (SDSs)
             ○   Administer water or milk orally for dilu-  metabolic differences between human and   ○   Emergency Response Guidebook (U.S.
               tion (useful  for corrosive agents,  soaps,   canine  sensitivity  to  contaminants  (can   Department of  Transportation):  www.
               detergents,  acids  and  alkalis,  explosives   be  more,  the  same,  or  less).  Sensitivity   labelmaster.com/
               [C-4, nitrates, nitromethane]).    also depends on factors such as health,   •  Most common problems are conjunctival irri-
             ○   Activated charcoal  ± saline cathartic or   conditioning, age, and concentration and   tation, respiratory tract problems, decreased
               sorbitol  for  noncorrosive  agents  (mini-  length of exposure.  Treat appropriately   appetite, dehydration, exhaustion, cuts, and
               mally effective for some heavy metals or   based on the patient’s signs, test results,   foot/pad disorders.
               short-chain solvents, hydrocarbons, soaps   and response to treatment.  •  Health  problems  should  be  treated  with
               and detergents, acids and alkalis, ethylene                          the highest standards of veterinary care.
               glycol)                         Behavior/Exercise                    Chronic diseases (e.g., allergies, degenera-
             ○   Gastrointestinal protectants  •  Kenneling (housing, husbandry, transporta-  tive joint disease, gastrointestinal diseases)
             ○   External decontamination of patient  tion) influences physical and psychological   may benefit from treatment by a specialist
                 Use copious amounts of water (see   welfare.  Long-term  stress  can  result  in   and/or by complementary therapies such
               ■
                 caution  below)  and  liquid  dish   poor  training  and  working  ability  and  in   as acupuncture, physical rehabilitation,
                 detergent or shampoo (rinse, wash,   behavioral and physiologic changes.  supplements, and nutrition.
                 rinse; cycle three times); ocular and   •  Caretakers  should  take  positive  steps  to   •  Proper  nutrition,  housing,  welfare,  and
                 nasal flushing using water or saline   provide for all the animal needs, including   adequate exercise/training are extremely
                 (consider teaching working canine to   environmental  enrichment (e.g., feeding   important for working dogs and can affect
                 sneeze when young); washing, brushing,   devices, play).           behavior, willingness to work, scent-detecting
                 or clipping hair in feet if buildup of   •  Fitness  and  conditioning  programs  help   ability, and ability to work long hours. Keep
                 debris or concrete dust. Clip affected   minimize  the  risk  of  injury  and  improve   in mind safety of food and water sources.
                 haired areas to facilitate removal. Body   adaptation to environmental stresses.  •  Handler physical and mental health must be
                 temperature must be monitored to                                   appropriate to complement the teamwork
                 avoid hypothermia.            Recommended Monitoring               needed.
                 Human safety and personal protective   •  As indicated           •  Training  should  include  obedience,  crate
               ■
                 equipment  (PPE):  basic  guidelines   ○   Temperature: during decontamination   training, restraint, and muzzling to aid in
                 include gloves, protective eyewear   procedures and/or shock, to help prevent   situations where a working dog is injured,
                 and footwear, respiratory protection   hypothermia                 contaminated, or needs veterinary care. Also

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