3 critical updates in veterinary emergency medicine

3 critical updates in veterinary emergency medicine

Dr. Justine Lee lays out three important changes in protocol for your critical veterinary patients.
Jan 23, 2017

At a recent CVC, we asked Justine Lee, DVM, DACVECC, DABT, about new approaches in the area of emergency medicine. Her tips:

1. Don't use a shock fluid dose (60 to 90 ml/kg). Go with around 20 to 30 ml/kg and reassess frequently so you don't have to compensate for volume overload.

2. Use less steroids. What's needed in shocky patients is perfusion, which means fluid therapy in most cases. Steroids don't help.

3. Fine-tune your feline emesis protocol. "There is no safe emetic you can use at home for cats," says Dr. Lee. They're going to have to come see you, and a new study recommends giving dexmedetomidine intramuscularly (7 µg/kg).

Hear all the details:

Emetics and cats

The medical profession abandoned the use of emetics in poisoning almost 20 years ago (see J Toxicol Clin Toxicol. 1997;35(7):699-709.
Position statement: ipecac syrup. American Academy of Clinical Toxicology; European Association of Poisons Centres and Clinical Toxicologists. Krenzelok EP, McGuigan M, Lheur P.) because there is no evidence whatsoever that inducing emesis makes any difference to clinical outcome in poisoning. It is past time that the veterinary profession either produces such evidence, or follows suit and abandons the practice of inducing emesis, which may impress the client but is unlikely to make any positive difference to the outcome, and may be detrimental.