Raptor Medicine, Surgery, and Rehabilitation
By David Scott
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About this ebook
With plenty of new 'raptor tips' and questions, Raptor Medicine, Surgery, and Rehabilitation, 3rd Edition, includes handy hints, clinical pearls and retains its emphasis on practical procedures throughout. Forming a complete and approachable guide to raptor veterinary care, this book also features numerous rapid reference charts and appendices.
David Scott
DAVID T. SCOTT has served as a top-tier marketing executive for Fortune 500 companies and billion-dollar enterprises. He is currently the CEO and founder of Marketfish, a lead-generation marketing company with offices in Seattle and New York.
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Raptor Medicine, Surgery, and Rehabilitation - David Scott
Raptor
Medicine,
Surgery, and
Rehabilitation
3rd Edition
Raptor Medicine,
Surgery, and
Rehabilitation
3rd Edition
David E. Scott, DVM
Staff Veterinarian, Carolina Raptor Center, Charlotte,
North Carolina, USA
CABI is a trading name of CAB International
© David E. Scott 2021. All rights reserved. No part of this publication may be reproduced in any form or by any means, electronically, mechanically, by photocopying, recording or otherwise, without the prior permission of the copyright owners.
A catalogue record for this book is available from the British Library, London, UK.
Library of Congress Cataloging-in-Publication Data
Names: Scott, David E., 1966- author.
Title: Raptor medicine, surgery, and rehabilitation / David E. Scott, DVM, Staff Veterinarian, Carolina Raptor Center, Charlotte, North Carolina, USA.
Description: Third edition. | Wallingford, Oxfordshire ; Boston, MA : CAB International, [2020] | Includes bibliographical references and index. | Summary: Comprehensive and extensively illustrated, this book accumulates years of practical knowledge when dealing with injured birds of prey. It outlines everything from handling and the intake examination through to practical procedures and the treatment of a range of conditions and injuries, as well as advice on housing, rehabilitation and release
-- Provided by publisher.
Identifiers: LCCN 2020023974 (print) | LCCN 2020023975 (ebook) | ISBN 9781789246100 (hardback) | ISBN 9781789246117 (ebook) | ISBN 9781789246124 (epub)
Subjects: LCSH: Birds of prey--Diseases. | Birds of prey--Surgery.
Classification: LCC SF994.5 .S36 2020 (print) | LCC SF994.5 (ebook) | DDC 639.97/89--dc23
LC record available at https://lccn.loc.gov/2020023974
LC ebook record available at https://lccn.loc.gov/2020023975
References to Internet websites (URLs) were accurate at the time of writing.
ISBN-13:
9781789246100 (hardback)
9781789246117 (ePDF)
9781789246124 (ePub)
Commissioning Editor: Alex Lainsbury
Editorial Assistant: Lauren Davies/Emma McCann
Production Editor: Shankari Wilford
Typeset by SPi, Pondicherry, India
Printed and bound in the UK by Bell & Bain Ltd, Glasgow
Contents
About the Author
Foreword
Acknowledgments
Abbreviations
1Handling and Physical Examination
Learning Objectives
Handling and Restraint
Physical Examination
Physical Exam Checklist
Radiographic Restraint and Positioning
Intake Protocols
Bibliography
2Anatomy and Physiology
Learning Objectives
Shoulder
Thoracic Limb
Ulna
Wrist/Carpal Joint
Propatagium or Wing Web
Spine, Sternum, and Pelvis
Legs
Respiratory System
Gastrointestinal System
Liver
Nitrogenous Wastes
Clinical Pathology
Spleen
Urogenital System
Reproductive Tract
The Cloaca
Bibliography
3Species Overview
Africa
Asia
Australia
Europe
North America
South/Central America
Bibliography
Online Sources
4Fluid Therapy and Treatments
Learning Objectives
Fluid Therapy: Routes of Administration
Oral Fluids and Formula
Oral Medications
Subcutaneous Fluids
Intravenous Fluids
Intraosseous Fluids
Fluid Therapy: What and How Much to Give?
Blood Collection
Blood Transfusions
Intramuscular Injections
Air Sac Tube Placement
Bandages
Leg Splint
Foot Wraps and Shoes
Tail Wrap
Carpal Bandages
Temporary Identification Bands
Oxygen Chambers
Euthanasia
Bibliography
5Ophthalmology
Learning Objectives
Anatomy and Physiology
Retina
Common Problems
Evisceration
Releasing One-eyed Birds
Bibliography
6Infectious Diseases
Learning Objectives
Aspergillosis
Avian Influenza (AI)
Avian Vacuolar Myelinopathy (AVM)
Blood Parasites
Candida
Capillaria
Chlamydia/Chlamydophila
Coccidia
Gapeworm
Herpes Virus
Mycobacterium avium Complex (MAC)
Paramyxovirus-1 (PMV-1)
Pox Virus
Trichomoniasis
West Nile Virus (WNV)
Summary
Bibliography
7Miscellaneous Conditions
Learning Objectives
Air Sac Rupture/Subcutaneous Air
Anticoagulant Toxicity
Bumblefoot
Cloacal Prolapse
Ectoparasites
Egg Binding
Electrocution
Emaciation
Head Trauma
Lead Toxicosis
Metabolic and Nutritional Disorders
Paraparesis and Spinal Trauma
Pesticide/Insecticide Toxicities
Soiled Feathers
Sour Crop
Talon Trauma
Wrist/Carpal Wounds
Bibliography
8Anesthesia
Learning Objectives
Monitoring
Heart Rate
Respiratory Rate
Temperature
Blood Pressure
Maintenance of Anesthesia
Theory and Practice
Bibliography
9Soft Tissue Surgery
Learning Objectives
Preparing the Surgical Field
Suture and Instruments
General Wound Care
Barbed-wire Injuries
Celiotomy
Ocular Evisceration
Proventriculotomy/Ventriculotomy
Ruptured Crop
Toe Amputation
Tracheotomy
Bibliography
10 Orthopedics
Learning Objectives
Triage and Stabilization
Radiographic Views
Prognostic Factors
Typical Timeline and Protocol
Supplies and Instruments
Techniques
Fractures of the Wing
Fractures of the Leg
Coracoid, Clavicle, and Scapula
Pelvic Fractures
Fractures of the Beak
Luxation of the Elbow
Fractures in Young Birds
The Healing Process
Complications
Conclusion
Bibliography
11 Endoscopy
Learning Objectives
Equipment
Approaches
Examination of the Trachea and Syrinx
Bibliography
12 Caring for Nestlings and Hatchlings
Learning Objectives
Orphan Season
Identification of Species
Handling
Physical Exam
Habituation and Imprinting
Typical Orphan Protocol
Timeline for Growth
Exercise and Live-prey School
Eggs
Renesting
Decision Key: Rescue or Let it Be?
Bibliography
13 Feathers and Aging
Learning Objectives
Anatomy and Numbering
Development
The Molting Process
Feather Checks
Aging
Determining Sex in Accipiters
Imping Feathers
Bibliography
14 Clinical Pathology
Learning Objectives
Hematology and the Complete Blood Count
Biochemistries
Bibliography
15 Housing and Husbandry
Learning Objectives
Indoor Housing
Outdoor Cage Construction
Resident Bird Care
Bibliography
16 Capturing Trapped Birds
Learning Objectives
Birds Trapped in Chimneys
Birds Trapped in Warehouses
Bibliography
17 Time for Release!
Learning Objectives
Pre-release Checks
Release Site, Season, and Time of Day
Releases Requiring Special Attention
Criteria for Non-releasability
Identification Bands
Bibliography
Appendix A: Feeding Guide
Roadkill
Energy Requirement Calculations
Calcium:Phosphorus Ratio
Bibliography
Appendix B: Formulary
Bibliography
Appendix C: Anesthetic Record
Appendix D: Wrapper Patterns
Materials
Patterns and Dimensions
Appendix E: Laws and Regulations
USA
UK
International
Appendix F: Body Weights during Development
Appendix G: Building a Nest
Appendix H: Feeding Puppets
Appendix I: Resources
Books
Web Links
Suppliers and Products
Index
About the Author
David Scott is the staff veterinarian at the Carolina Raptor Center in Charlotte, North Carolina, USA.
He received his BS Electrical Engineering from the University of Illinois in 1988 and DVM from the University of Illinois in 1997, and has worked with many wildlife rehabilitation groups since then.
He is also a software engineer and has developed the RaptorMed™ medical records software (www.raptormed.com) specifically designed for the medical management and husbandry of all types of animals. It is used at rehabilitation centers, in aquariums, and for permanent collections all over the world.
Foreword
This book is not intended to be a complete reference for avian practice or for the rehabilitation of birds of prey. Instead, it has been written by a practicing veterinarian as a helpful and concise, day-to-day, clinical handbook. The intended audience is anyone new to raptor rehabilitation as well as the seasoned veterinarian, technician, or rehabilitator who needs a refresher or a quick reference.
There are many great references listed in this book. I used many of them extensively when researching this book and I continue to use them regularly in my practice.
rap•tor |raptr|
noun
a bird of prey, e.g. an eagle, hawk, falcon, or owl.
ORIGIN late Middle English: from Latin, literally plunderer
, from rapt- "seized", from the verb rapere.¹
¹Dictionary, Mac OSX version 2.2.1 (accessed February 2016).
Acknowledgments
To Carolina Raptor Center and the many volunteers—for providing me with an incredible place to work and learn.
To Dr Michelle Hawkins (Veterinary Ophthalmology Service, University of California, Davis, CA) and Dr Ralph Hamor (Comparative Ophthalmology Service, University of Illinois, Urbana, IL)—for supplying some great images of retinas.
To Carly Smith, Katie Kissel, and Ashley Whitesell, DVM—for assisting in the laborious research that went into producing the Species Overview in Chapter 3.
To Mathias and Carly—the most amazing, caring, and hard-working people I have ever met. This book would not have been possible without your daily support and friendship.
Abbreviations
1Handling and Physical Examination
Birds of prey are actually quite easy to work with if you have the proper training and a little experience. On the other hand, they can be incredibly dangerous if handled improperly. As with all wild animals, it is important to work fast and to minimize stress whenever working with birds of prey. Proper handling techniques and being prepared can go a long way to help create a safe and stress-free interaction.
Learning Objectives
1. Proper handling techniques.
2. Performing a physical exam.
3. Intake protocols for common problems.
Handling and Restraint
Proper restraint is important for the patient’s well-being and for staff safety. Always remember that the talons are in most cases the most dangerous part of the bird and, as such, should be restrained at all times.
Appropriately sized leather gloves should always be worn. They must be thick enough to protect the wearer but not too thick as they can make handling cumbersome.
The legs should be held with the index finger between them. This is more comfortable for the bird (the legs will not rub) and the grip is much more secure (see arrowhead in Fig. 1.1).
Fig. 1.1. Proper handling for transport.
The legs should always be grabbed as close to the body as is possible (i.e. above the stifle joints) to avoid iatrogenic fractures. This is especially important in birds with long, thin legs such as Cooper’s hawks. Once the bird is adequately restrained, the grip should be moved closer to the feet for better control of the talons.
When transporting a bird, secure the legs with an underhanded grip, cover the bird’s head with a towel and place the bird’s back to your chest (Fig. 1.1). With your other hand, gently place the towel across the chest (be careful not to interfere with respiration) and hold the beak up. This protects the bird’s face from its talons and also restrains both wings.
The eyes and head should be covered with a light towel whenever possible since this will have a calming effect on birds of prey.
Remember to protect your face with one hand when grabbing a bird from a kennel.
To decrease stress, consider using isoflurane anesthesia when doing examinations or treatments.
Vultures use their beak for defense so their head must be gently restrained at all times. This can be done by covering the head with a towel and loosely encircling the neck with your fingers just under the mandible.
Young birds should be handled with extreme caution. In most cases these birds should be handled as little as possible, should not be manipulated onto their back unless absolutely necessary and should be transported in a box, rather than hand-carried. Young birds/hatchlings should never be grabbed by the legs. Always use a body grab from behind with the wings carefully folded up against the body (see Chapter 12).
Long-handled nets are very useful when capturing birds, but they need to be constructed and used properly to avoid injury. The actual net should be made from solid, lightweight cloth and not from fenestrated net material since the strands can cause serious damage to the feathers. The rim of the net should be padded with foam. Plumbing pipe insulation foam works very well.
Different-sized nets are needed to safely capture all the common species. Nets should range in size from an 18ʺ (45 cm) net with a 2′ (0.6 m) handle to a 36″ (90 cm) net with a 5′ (1.5 m) handle.
Birds in flight should be netted cleanly
without allowing their wings to touch the hoop. This can take some practice but is easy once you become accustomed to using the net.
Never swing a net at a bird to capture as this will almost certainly result in injury. Instead, place the net in the bird’s path and let it fly into the net.
Physical Examination
Most of the physical exam can be achieved with the bird restrained on its back and a complete exam can be done in less than 10 min. Most procedures involving birds of prey, including examinations, require two people. This allows you to be most efficient, keep staff safe and, most importantly, minimize stress to the patient.
Have all supplies and expected treatments ready before beginning the exam or treatment. Be as quiet as possible. This is a general rule that applies whenever working with wildlife, especially for birds of prey. Give butorphanol or midazolam, if needed, at the beginning of your exam for analgesia and as a mild sedative (see Appendix B, Formulary, for dosage). Have a physical exam checklist available to refer to (see Table 1.1).
Table 1.1. Physical examination checklist.
Try to collect a minimum database as quickly as possible but never try to do too much if the bird is stressed or severely compromised. In many cases it is safer to simply stabilize your patient on admission and stage your workup. Your minimum database may include blood work and/or radiographs.
Raptor Tip
Don’t forget to roll the bird over on its sternum to examine the spine and dorsal pelvis.
Although a detailed history is rarely available with wildlife, try to collect as much information regarding where and how the bird was found. If it was transferred from another facility, ask about previous treatments and medications received.
Always record a keel score with the weight (measured in grams) (Fig. 1.2). The keel score, or body condition score, is a measure of the amount of pectoral muscle mass present and is a good indication of the general health status. Keel scores range from 1 to 5. A healthy bird has a score of 3–4. The determination of a keel score requires palpation and a visual assessment. Using alcohol to clear the feathers from the pectoral muscle helps to determine an accurate score.
Fig. 1.2. Keel scores.
With a score of 1 or 2, the muscle mass is clearly concave (or non-existent) and the keel bone is extremely prominent. This is an emaciated bird.
With a score of 3, the muscle mass bulges ventrally and is convex.
With a score of 4, the muscle mass comes out almost horizontally from the keel bone.
With a score of 5, the muscle mass rises above the edge of the keel bone.
Note that the keel score measures muscle mass and is relatively independent of the fat that overlies the pectoral muscle. For this reason, it is important to assess the pectoral muscle mass as well as the amount of fat, especially in an overweight bird.
Fat is deposited externally in several places in a bird. Three sites that are easy to check are: over the pectoral muscle/sternum, on the abdomen, and in the furcular hollow formed by the clavicle bones. All three areas should be evaluated.
It is important to realize that the edge of the keel bone will be visible and palpable in all but the most obese birds.
Raptor Tip
Intranasal midazolam can provide mild sedation for exams and procedures.
Do not forget to examine the eyes carefully. Both anterior and posterior chamber damage is quite common. In a recent study, 40% of admitted wild raptors had significant damage in at least one posterior chamber (Scott, 2015). It takes practice to become proficient at fundic exams, and recognizing a normal retina is the first step to being able to properly evaluate a traumatized retina. Euthanasia should be considered in any bird that has serious injury to one or both eyes (see Chapter 5).
Blood in the mouth or ears is usually associated with head trauma.
Apply a small amount of alcohol along the ventral side of the wing including the elbows and wrists. This helps clear feathers away and makes visualization of bruises much easier. Make sure there are no open wounds first since the application of alcohol is very painful.
Avian bruises can be quite alarming in both color and extent. As will be discussed later, biliverdin is an important pigment in birds and their bruises will, after a few days, turn green. Do not worry; this is normal (Fig. 1.3).
Fig. 1.3. Avian bruises can be very bright green. The right image shows a bruise in the ear of a barred owl (Strix varia).
Physical Exam Checklist
The checklist in Table 1.1 serves as a reminder so that important parts of the examination are not easily forgotten. In addition, always doing your examination in the same order will help ensure that important areas are not forgotten. This checklist can be laminated and used with an erasable marker. Findings can be quickly circled or written in while the exam is being completed.
Radiographic Restraint and Positioning
Both lateral and ventral–dorsal (VD) views are helpful. However, a VD view may be adequate for many cases. General anesthesia is recommended but VD radiographs can oftentimes be done with just simple restraint. The exceptions are very large or powerful birds such as vultures and eagles for which general anesthesia is typically required. The head should be covered with a light towel to decrease stress.
Manual restraint can be achieved with a simple device as shown in Figs 1.4 and 1.5. It uses a frame that allows the tarsometatarsi to be restrained under a padded sliding bar and the abdomen and thorax to be secured by nylon strips. The wings can then be secured with masking tape.
Fig. 1.4. Radiographic restraint device.
Fig. 1.5. Hawk positioned for radiograph.
To get a good VD radiograph (Fig. 1.6):
Fig. 1.6. A good ventral–dorsal (VD) radiograph.
•The keel must overlie the spine.
•The legs are pulled down symmetrically.
•The wings are pulled out symmetrically.
•The elbows and stifles should not overlap.
Raptor Tip
On the VD radiograph, make sure the keel and spine are overlapped.
Lateral radiographs almost always require anesthesia as the positioning is very uncomfortable for the bird. To get a good lateral radiograph (Fig. 1.7):
Fig. 1.7. A good lateral radiograph.
•The acetabulae should overlap.
•The coracoids should overlap.
•The wings should be extended dorsally.
•The legs should be pulled back caudally if you are interested in the abdomen. They should be spread if you are interested in the actual femur bones themselves.
A gauze ball wrapped in elastic bandage material can be useful when taking radiographs of the feet since it helps spread the digits and eliminates superposition problems (Fig. 1.8). Anesthesia is usually required to get good results.
Fig. 1.8. Use of a gauze ball to assist in taking radiographs of the foot.
Intake Protocols
Table 1.2 is a quick-reference guide for treating some commonly seen problems. Refer to the Formulary for dosages.
Table 1.2. Intake protocols.