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Emergency Medicine/Critical Care

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 …

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 …

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. …

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 …

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 …