Emergency Medicine/Critical Care

Moist Wound Healing: The New Standard of Care

Bonnie Grambow Campbell, DVM, PhD, Diplomate ACVS Washington State University The needs of wounds differ as they progress through the healing process, and all wounds benefit from a properly moist environment that supports normal cell function. With just a few different moisture-retentive dressings (MRDs), the clinician can work synergistically with the cells to support microscopically …

Today’s Technician:
Epileptic Emergencies:
Status Epilepticus in Canine Patients

Oriana D. Scislowicz, BS, LVT CVCA Cardiac Care for Pets, Richmond, Virginia Status epilepticus (SE) is characterized by epileptic seizures that continue for more than 5 minutes, or the occurrence of more than 1 seizure within a 5-minute period in which the human or animal does not return to “normal” in between seizures. Some seizures …

Systemic Inflammatory Response Syndrome & Sepsis Part 2: Stabilization & Treatment

Erin McGowan, VMD, and Deborah Silverstein, DVM, Diplomate ACVECC University of Pennsylvania Early recognition of patients with systemic inflammatory response syndrome (SIRS) and sepsis is imperative in order to optimize the chance of patient survival. Early intervention is then necessary to minimize further tissue ischemia, cellular damage, and organ injury. Part 1 of this series—Systemic …

Systemic Inflammatory Response Syndrome & Sepsis
Part 1: Recognition & Diagnosis

Deborah Silverstein, DVM, Diplomate ACVECC Small animals frequently present to veterinarians with vague signs of illness. The decision whether to treat dogs or cats symptomatically as outpatients or immediately perform diagnostics and recommend hospitalization requires an astute clinician and logical approach to: Patient history Physical examination Preliminary diagnostic findings. Animals with evidence of a widespread …

Therapeutic Updates in Veterinary Toxicology

Justine A. Lee, DVM, Diplomate ACVECC & ABT Dr. Lee presents recent updates to therapeutic approaches for treating poisoned pets, including use of correct emetic agents, indications for gastric lavage, monitoring for hypernatremia, and the role of intravenous lipid emulsion. A number of new or improved therapeutic approaches are being applied in the field of …

Helpful Tips For Managing Wounds In Veterinary Patients

David Dycus, DVM, MS, & Jennifer Wardlaw, DVM, MS, Diplomate ACVS Successful wound management depends on taking the correct approach to the lesion, including deciding whether to close it or manage it as an open wound. This article reviews this critical decision-making process and offers tip and techniques for wound management.   Successful wound management …

Today’s Technician
Colloid Therapy for Critically Ill Patients

David Liss, BA, RVT, VTS (Emergency & Critical Care, Small Animal Internal Medicine) Options for fluid therapy in critically ill patients have become more varied as market growth has added several products in the veterinary field. Not only do several crystalloid products, such as Plasma-Lyte A pH 7.4 (abbottanimalhealth.com) and lactated Ringer’s, exist but there …

Rodenticide Poisoning: What to Do After Exposure

Camille DeClementi, VMD, Diplomate ABT & ABVT While anticoagulant rodenticide poisoning is dangerous to the patient and frightening for the owner, there are many positives when managing exposure to this pest control chemical. Since clinical signs do not develop for 3 to 5 days, the clinician often has adequate time to initiate treatment before signs …

Patient 911
Resuscitative Fluid Therapy for Circulatory Shock

Deborah Silverstein, DVM, Diplomate ACVECC Resuscitative fluid therapy commonly refers to the treatment of circulatory shock and utilizes intravenous fluids to help restore circulating blood volume.1,2  Shock is best defined as inadequate cellular energy production.3 When oxygen delivery (DO2) to the tissues is insufficient relative to tissue oxygen consumption (VO2), an energy deficit occurs. The …

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