It's a good idea to have a helper standing by. It usually takes two people to handle a big bird that may be fighting or panicked. One can restrain and comfort the bird while the other person takes care of the injury. You and your helper should remain as calm as possible in an emergency situation. The bird will pick up on your emotions if you are panicked. Make sure nobody's fingers are too close to the bird's beak or talons or injury might result.

Emergency Feeding
Every falconer should have an emergency feeding recipe on hand in case of emergencies. If a bird is sick, has fallen to too low of weight, has been injured, or for any other reason needs nutrition and is unable to get that from standard food, an emergency nutritional recipe should be made up for her.
Mix up equal parts of:

• Meat flavored baby food - or finely chopped meat or pureed meat (richer meat is better, include some fat, but include no bones, fur, or feathers - quail is easily digested by a sick bird; avoid pigeon)
• Karo syrup - this sugar can be digested by the body and absorbed with almost no effort. If you have no Karo on hand, Nutri-Cal can be used as can honey or Coke that has been boiled to remove carbonation and then allowed to cool. If the bird is extremely low, cut this back to only a very small amount as excess sugars will cause diarrhea and dehydration.
• Pedialyte - Lactated Ringer's solution is preferred, but not readily available. Gatorade can be used, but is a bit harsher on the bird's system.
• An egg yolk or two - highly nutritious to the bird and readily available.
• Very small pinch of salt - helps retain fluids.

Warm the slurry to body temperature (test the temperature on your wrist and make sure it is neither warm nor cold).
With a small syringe (no needle inserted), or eyedropper, you can pump a few CCs into the bird's mouth and let her swallow it.
You can also dip tiny pieces of meat in the mixture and feed that to the bird. Some birds will eat this straight off the plate or your hand.
You can tube this into the crop, but only if you know how to do this, otherwise you can end up passing the tube down the trachea instead of into the crop and end up drowning the bird, or at the very least allowing a tiny amount to enter the lungs and causing pneumonia. If you tube the bird, do not add more food in if a bird has not put over a crop and do not overfill the crop.
For a Kestrel sized bird feed her 2-3 CC of this mix every 3-4 hours and keep her warm. If the bird is not kept warm she will stop digesting.
Another solution for an emergency feeding is to get Canned Eukanuba prescription cat/dog food. As it is thick, thin it with water, Pedialyte, lactated Ringer's solution, fresh pigeon blood, or even the water off of washed meat and tube into the bird. Hill's a/d Canned Prescription cat/dog food can also be used, but it has fewer calories.
Always keep an emaciated bird warm and hydrated. Consider B-complex vitamins and antibiotics if necessary.
Avian Emaciation http://www.urbanwildlifesociety.org/WLR/Emaciation.html


Emergency First Aid
In any emergency, remain calm. Gently restrain your bird in a towel to examine it. Remember, it's extremely important to be careful when restraining the bird - don't put a lot of pressure on her chest or she may suffer breathing problems.

Pen - Suggested you write down a list of important phone numbers and tape them to the kit. Be sure to include your avian vet's phone number, emergency clinic phone number, animal poison control hotline number, contact number for a relative, and any other important numbers.

National Animal Poison Control Center Hotlines
1-800-548-2423 - $30 per case
Or 1-900-680-0000 - $20 first 5 minutes, plus $2.95 per additional minute
1-800-345-4735
1-800-222-1222 - National (human) Poison Hotline

Vet - Always have your vet's name, number, and address handy. If you're more paranoid and will be on a hunting trip far from home, sighting out potential vets in the location you will be is not a bad idea.

Extended Avian Kit - recommendations

Betadine or Hibitane (chlorhexidine) - A disinfectant. Do NOT use hydrogen peroxide since it can cause tissue injury.

Clotisol - Blood clotting gel, when applied to a minor wound, feather follicle, bleeding talon or beak, will quickly and safely stop bleeding. It is safer and less caustic than clotting powders or sticks, and may be applied with cotton-tipped applicators. Avoid getting on mucus membranes (eye or lid, mouth or cloaca).

Eye dropper

Goo Gone - Used to cut through grease or any substance that may be stuck to the bird's skin or feathers.

Kaopectate

Lactated Ringer's solution - Used for IV rehydrating of dehydrated avians and flushing wounds. Can give subcutaneous Lacated Ringer's solution if a bird is dehydrated or in shock. (Available from your Veterinarian)

Latex tubing - To be used as directed by your avian veterinarian, to insert into the crop to administer medication, fluids, hand-feeding formula, to flush out a crop that won't empty, to flush cool water into a crop immediately after a crop burn is discovered. If you are not familiar with these procedures, discuss them with your avian vet before you have an emergency so that you may learn the proper techniques.

Neck brace - Gray foam in a circle, to be used to keep a bird from chewing feathers or mutilating flesh, cut to length to prevent a bird from bending neck down to bite skin or feathers, then tape, make sure bird can access food and water with neck brace in place.

Ophthalmic ointment - For scratched eyes, minor conjunctivitis.

Povidone iodine swab - May be used to clean and treat a wound, as directed by your avian veterinarian.

Tegaderm - Excellent for covering certain types of open wounds. Helps healing for burns and certain open wounds. Encourages granulation (healing/scabbing).

Sterile lubricant - To be used as directed by your vet to cover an open wound (to keep it moist and prevent infection).

Sterile surgical blade - To be used as directed by your avian vet, can cut fibers tied around toes, etc.

Suturing materials (surgical needles and thread) - Use only if you know what you are doing, or to save a bird's life. Take to veterinarian ASAP.

Avian First Aid Instructions

Danger Signs and Emergencies
There are many problems which you should be prepared for. Any time a bird has any of the following symptoms: stops eating, sits fluffed on the floor, is bleeding from mouth or vent, has uncontrollable bleeding, has runny eyes, can't breathe, sneezes with discharge, has diarrhea, has constipation (straining to defecate), has loss of balance, depression, or lethargy, take your bird to the veterinarian.

Birds do not have much clotting agent in their blood. A broken blood feather, or a minor cut, can be life threatening. The bleeding must be stopped. If bleeding does not stop, apply pressure and rush the bird to the veterinarian.

In Emergencies
Keep an injured bird warm by transporting it on a heating pad, hot water bottle, or make-shift water bottle that is a latex glove filled with hot water. Transport it in a carrier, box, or plastic box covered with a towel, to minimize visual stimuli and make sure the bird is secured and cannot escape.

To safely transport your bird to the vet, remember these three things:

• Warmth
• Darkness
• Carrier

AIR SAC RUPTURE
Disinfect skin. Poke with sterile needle to allow air to escape. Repeat as necessary. Air sacs are located inside the neck, chest and belly. When ruptured, air will leak from the sac and accumulate under the bird's skin. If air is not released, the tear in the sac will enlarge. If there is no improvement within 48 hours, it will require surgical repair or antibiotic therapy.

ANOREXIA
Feed with a syringe only if you know what you are doing.

BLEEDING
Avian blood has very little clotting agents in comparison to mammal blood. A bird can literally bleed to death from a broken blood feather.

Cleanse the area gently with rubbing alcohol, Nolvasan or Betadine, but not with hydrogen peroxide. Stop any serious bleeding with pressure and a sterile gauze, or use clotting gel. Apply cornstarch, baking soda, or flour to stop the bleeding, but not Quik Stop (silver nitrate) as it causes tissue damage and can cause poisoning. Pack styptic on liberally to the site of the wound. If necessary, cover the wound with gauze pads and hold firm pressure on the wound for two minutes. Keep the bird quiet and warm. Leave the gauze on. Offer Pedialyte.

If cut is on leg or feet, apply antibiotic ointment, then bandage loosely. If cuts are on the body, cover with gauze and appropriate size stocking, (cut hole in toe for head and slide over body).

Bleeding in avians may be an emergency. It is important to recognize which situations can be managed at home and when veterinary care should be obtained as soon as possible.

Don't panic. Stay calm. Concentrate only on stopping the bleeding. Birds can loose up to 10% of their blood volume without becoming symptomatic.

When handling a bird to control bleeding, good restraint technique is important to ensure that the bird is not getting overheated. Holding the bird in a damp towel will help reduce the risk of heat stress.

Failure of bleeding to stop with appropriate first aid measures may indicate underlying liver disease. Transport the bird as soon as possible to a veterinarian. The bird may require treatment for shock.

Have the phone numbers of your avian veterinarian as well as an after-hours veterinarian readily available.

For Clotrisol as a styptic: Moisten the applicator and apply firm pressure to the bleeding for several seconds to stop bleeding. Reapply if necessary. Serious bleeding or deep wounds should be cared for by your avian veterinarian only. Until you can get to your vet, use a sterile dressing and apply direct pressure to the bleeding area. If a beak or talon is split, or broken far back, if clotting gel does not stop bleeding, apply ice to the talon or beak, and take the bird immediately to your avian veterinarian.

BROKEN BONES
If there are obvious fractures, wrap the bird in a stocking to prevent the wings from flapping, or apply a splint to keep broken bones from causing more tissue damage. Look for shock symptoms. If bone ends are exposed, gently slather on some KY Jelly (or Neosporin if you have nothing else). KY Jelly is water soluable and easily rinsed off, and may actually save the bone from amputation.

Call the vet and get there as soon as possible

BROKEN FEATHERS
A broken feather will most likely require imping. While a bent feather can be dipped in luke-warm or warm water and on removing from the water will start to straighten out, a broken feather is much more involved to fix. There's a good page on imping complete with pictures here http://www.scfalconry.com/imp.html

BROKEN TALON
Restrain bird, dab area with gauze, apply styptic (corn starch or soap bar are the safest styptic materials). Observe to make sure bleeding has stopped. If there is uncontrolled bleeding for more than a few minutes, call Vet.
If talon is split, or broken far back, if clotting gel does not stop bleeding, apply ice to the talon, and take the bird immediately to your avian veterinarian. A broken talon will grow back eventually.

BROKEN BEAK
Restrain bird, dab area with gauze, apply styptic (corn starch or soap bar are the safest styptic materials). Observe to make sure bleeding has stopped. If there is uncontrolled bleeding for more than a few minutes, call Vet.
If the beak is split, or broken far back, if clotting gel does not stop bleeding, apply ice and take the bird immediately to your avian veterinarian.
A great case from rehabilitator Sharron Montgomery of the Falcon Batchelor Bird of Prey Center: I suspect she broke her beak from the constant tugging on the bandages, weakening it slowly over time. She has been without them since the beak breakage and is doing well. [This shows] the progress after 2 months. It was really quite amazing how well she adapted. We only had to cut her food for a couple of weeks after [the after photo was taken].

           Peregrine with a broken beak (image on left) and same Peregrine after two months (picture on right)
           Photo courtesy of Sharron Montgomery of the Falcon Batchelor Bird of Prey Center

BURNS
Many creams and lotions are toxic to birds, so make sure that you use 100% pure Aloe Vera.
Spray or flush with cool water. Glaze burns twice daily with small amounts of antibiotic ointment.
BURN BY ACID: apply a thin coat of baking soda paste.
BURN BY BASE (like bleach): treat with vinegar to neutralize.
BURN BY GREASE: sprinkle with flour or cornstarch before rinsing with water. Be careful not to get any in eyes or nose.

BITES
Wash out with alcohol. If it is not deep, apply antibiotic ointment. Vet can administer injectable ampicillin.
Cats transmit a bacterium called pasteurella with their bites or scratches. In birds, this causes Pasteurella septicemia, which can mean death within 24 hours if not treated.

CHOKING
Sometimes birds' eyes are bigger than their crops or a small bone catches in the throat. If the bird is able to get air, allow her to try to work it down. If bird is not able to get air through, grab bird and tip her upside down with a short jolt to attempt to dislodge the blockage. If you can reach inside the beak and grab the food out, do so carefully. This is an urgent and very serious problem and even wild birds have suffered from this. This can be prevented for the most part by carefully cutting up the bird's food preventing such parts as ribs sticking out from vertebrae from catching in the throat.

CONVULSIONS
Place in a quiet, padded box. Can be caused by poisoning, nutritional deficiency, epilepsy, or infectious disease (bacterial, fungal, viral, or parasitic). If this is apoplexy, give bird Pedialyte, Gatorade, or a sugar-salt water solution to replace electrolytes.

CROP BURNS
If you realize in time, flush the crop with cold water. If crop appears swollen and discolored (many days after) apply vitamin A and D ointment and feed small meals.

CROP EMPTYING PROBLEMS
A few drops of Maalox or Digel, or a few drops of mineral oil (orally) and massage crop.

CROP TEAR
You will notice a drop of blood on the bird's feathers in some cases. Other times a bite of food will literally fall out of the bird's crop and onto the ground. Suturing is very difficult with this thin skin, however some tears are cleaned up and treated with tissue glue. Many times this tear will just heal on its own given rest and small meals.
Feed the bird small quantities of food at a time to prevent future tearing. A course of antibiotics should be given.

DIARRHEA
Feed a few drops of Pepto Bismol.

EGG BINDING
Put bird in steamy room (like bathroom with shower on) 85-90 degrees Fahrenheit, humidity 60%. Set bird on wet toweling. Give high calorie, high calcium food. Can also try coating finger in clean vegetable oil and reaching into the cloaca until your fingertip touches the egg. Rolling your oiled finger around against the egg and slowly pulling your finger out sometimes pulls the egg with it.

ELECTROCUTION
Keep bird confined and warm. Avoid giving any fluids. Immediately seek veterinary assistance for diuretics (Lasix (furosemide) or Azium (dexamethasone) dosed appropriately for raptors).

EYE PROBLEMS
Keep bird away from intense light. Flush eye with clean water using cotton ball or syringe.
OBJECT IN EYE: float it out with KY Jelly or Ophthalmic ointment. Do not try to remove it mechanically as it could scratch the eye.

FOOD FOR SICK BIRDS
Mix one pint of water, one pint of Gatorade, 1 teaspoon of honey or Karo syrup, 1 level teaspoon of baking soda, 1 level teaspoon table salt. Caution: Measure with care; inaccurate measurements can cause severe diarrhea.

HEATSTROKE
Spray feathers with cool water. Put feet in cool water. Place in cool, dark room. Watch bird for shock. Wrap loosely in towel to prevent chill.

HYDRATION FOR SICK BIRDS
Pedialyte, Gatorade, orange or cherry juice offered orally. Gavage (tube) only if you know what you are doing. Lactated Ringers subcutaneous if you know how to administer.

OIL CONTAMINATION OF FEATHERS
Dust bird with cornstarch or flour (keep away from eyes and nose). An easy way to do this is to fill a pillowcase with flour, cut a hole for the head, stick it through, gently shake it. Then fill sink with 3 or 4 inches of warm water and mild detergent (like Dawn) or Goo Gone. Work soap in directions of feather growth and rinse (sink spray attachment helpful). Dry and keep warm. Wait until next day to repeat (if necessary).

POISON
Call vet and follow directions. If vet is not accessible:
If by acid, alkalis, or petroleum product: make it swallow milk, mixed with Pepto Bismol or Kaopectate (1cc/100 grams body weight), eggwhite, or olive oil. DO NOT MAKE BIRD VOMIT!
If by other: induce vomiting. Use mustard and water solution and put at the back of the throat.

If known, call poison control center: 1-800-548-2423 - $30 per case
Or 1-900-680-0000 - $20 first 5 minutes, plus $2.95 per additional minute
Note: mushrooms, crayons, some fruit pits, nicotine, chocolate, and foil may be bird poisons.

PUNCTURES
This depends on what the source of the puncture is. In general, cleaning it with an antibiotic soap, treating it immediately with Nolvasan or Neosporin and getting her to a vet as soon as possible is the best course of action. Punctures can go deeper than you think, can have extensive internal damage, and can heal from the outside in, all of which are problematic to her health. Many punctures will become infected, and if Pasteurella septicemia is developed, this can mean death in as little as 24 hours.

SHOCK
Symptoms are fluffed feathers, not moving, rapid shallow breathing, head may be turned with eyes partly closed.
Place bird in warm (86-90 degrees F), secluded, dimly lit environment. If accompanied by life threatening injuries, treat injuries immediately. If head trauma is suspected, it may be better to keep the bird cooler to prevent brain damage.

SICK BIRD
Place in small darkened enclosure, keep warm. Offer favorite foods and Pedialyte or Gatorade. Call vet.

SPRANG WING
Keep the bird in a dark, stress-free area to allow her to rest.

STINGS
Bee stings are not uncommon as yellow jackets are attracted to the smell of meat. The largest danger is a sting in the throat as the bird could have trouble breathing. Keep the bird away from bees, and if she is stung externally, a paste of baking soda and water will help draw the venom out.

SWALLOWING STRANGE OBJECTS (Foreign body ingestion)
Observe bird and keep them quiet. Try to locate object to see if in fact they swallowed it. Palpate crop area carefully. Call Vet for advice

VOMITING
Treat with a few drops of Pepto Bismol.

• Wildlife Rehabilitation Database http://www.wpi.edu/Projects/Tufts/avian.html
• Raptor radiographs http://www.nahnyc.com/radiology.htm
• Wound Assessment in Avian Wildlife http://www.worldwidewounds.com/2003/august/Cousquer/Avian-Wound-Assessment.html
• Wound management in the avian wildlife casualty - Part 1 http://www.worldwidewounds.com/2003/november/Cousquer/Avian-Wound-Management-Part-2.html
• Wound management in the avian wildlife casualty - Part 2 http://www.worldwidewounds.com/2003/november/Cousquer/Avian-Wound-Management-Part-2.html