Emergency Medicine/Critical Care
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 and Sepsis, Part 1: Recognition and Diagnosis
Animals with evidence of a widespread systemic inflammatory condition should never be ignored; the deleterious consequences of excessive inflammation may include organ injury and death. Recognition and diagnosis of these emergent patients is the focus of Part 1 of this article series.
Heatstroke in Dogs
Brandy Tabor, CVT, VTS (ECC) This life-threatening condition can affect dogs of any age, breed, or gender. The author provides guidance on the types of heatstroke, risk factors, pathophysiology, diagnosis, treatment therapies, and prevention. Heatstroke is a common problem in pets during the summer months, especially in hot, humid climates. This life-threatening condition can affect …
Nursing Care & Triage for Head Trauma Patients
Oriana D. Scislowicz, BS, LVT This article covers the gamut from triage and emergency assessment, initial stabilization, physical examination, diagnosis, surgical and/or medical therapy, and monitoring of the patient. Although animals with head trauma are frequently presented to emergency hospitals, veterinary teams at general practices encounter these patients as well. Therefore, understanding triage and emergency …
Managing Patients with Temporary Tracheostomy Tubes
Lila K. Sierra, CVT, VTS (Emergency & Critical Care) A temporary tracheostomy tube (TT) is a device placed in the trachea, between the tracheal rings, through a surgical opening called a tracheotomy. It provides access to the lower airways, allowing: Airway protection Airway patency (if upper airway is obstructed) Access for airway hygiene Mechanical ventilation. …
Rodenticide Poisoning: What to Do After Exposure
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.
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 …