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Emergency Procedures for the Small Animal Veterinarian


Synopsis


Signe J. Plunkett

Summary

Chapter 1: Initial Assessment and Stabilization

* Objectives: Identify and prioritize life-threatening emergencies; perform a rapid physical exam; establish venous access and oxygen supplementation.
* Real example: A dog is presented in cardiac arrest. Immediate CPR and defibrillation are initiated while establishing intravenous access for medication administration.

Chapter 2: Basic Life Support

* Objectives: Perform cardiopulmonary resuscitation (CPR); manage airway patency; provide oxygen therapy.
* Real example: A cat is hit by a car and presents with respiratory distress. Oxygen is provided via a mask, and chest compressions are performed as needed.

Chapter 3: Cardiopulmonary Emergencies

* Objectives: Recognize and manage cardiac arrhythmias; treat cardiac tamponade; perform pericardiocentesis.
* Real example: A dog develops ventricular tachycardia. Antiarrhythmic medication is administered, and a defibrillator is on standby if necessary.

Chapter 4: Respiratory Emergencies

* Objectives: Diagnose and treat respiratory emergencies, such as upper airway obstruction, pneumothorax, and pleural effusion.
* Real example: A horse is diagnosed with pleural effusion. Thoracentesis is performed to remove the excess fluid and improve respiration.

Chapter 5: Neurological Emergencies

* Objectives: Recognize and manage neurological emergencies, such as seizures, head trauma, and spinal cord injury.
* Real example: A dog is presented with generalized seizures. Anticonvulsant medication is administered, and the underlying cause of the seizures is investigated.

Chapter 6: Gastrointestinal Emergencies

* Objectives: Diagnose and treat gastrointestinal emergencies, such as gastric dilatation-volvulus, intestinal obstruction, and pancreatitis.
* Real example: A dog presents with acute vomiting and abdominal distension. Gastric dilatation-volvulus is suspected, and immediate surgery is performed to decompress the stomach.

Chapter 7: Genitourinary Emergencies

* Objectives: Recognize and manage genitourinary emergencies, such as urinary tract obstruction, pyometra, and peritonitis.
* Real example: A female cat presents with an enlarged abdomen and straining to urinate. Urinary tract obstruction is confirmed and relieved with a urinary catheter.

Chapter 8: Metabolic and Endocrine Emergencies

* Objectives: Diagnose and treat metabolic and endocrine emergencies, such as diabetic ketoacidosis, hypoglycemia, and Addison's disease.
* Real example: A dog is presented with vomiting, lethargy, and weakness. Blood tests reveal severe hypoglycemia, which is treated with intravenous glucose.

Chapter 9: Toxicologic Emergencies

* Objectives: Identify and manage toxicologic emergencies, including chemical ingestion, snake bites, and plant poisoning.
* Real example: A dog ingests chocolate, which contains theobromine. Gastric lavage and activated charcoal are administered to absorb the toxin.

Chapter 10: Animal Bites and Trauma

* Objectives: Manage animal bites and traumatic injuries, including lacerations, fractures, and burns.
* Real example: A horse sustains a severe laceration on its leg. The wound is cleaned and sutured, and antibiotics are prescribed.