emergencies Flashcards
animal trauma triage scoring system
a way to assess the patients issues to determine if it’s an emergency or not
6 categories of the ATT
Perfusion
cardiac
respiratory
eye/muscle/skin
skeletal
neurologic
which categories do we place the most emphasis on in regards to urgency
respiratory, cardiac, neurologic - depending on severity: bleeding or broken limbs
5 levels of triage
Resuscitation
Emergent
Urgent
Semi-urgent
Routine
abnormal PE signs that can indicate emergencies
- severe bradycardia
- severe tachycardia
- Increased Respiratory effort
- MM color – any color other than pink
- CRT > 3 seconds
- Temperature - <98°F or > 105°F
cardiac failure
causes: Valvular heart disease, Caval syndrome of Heartworm
disease, DCM, HCM
treatment:
- Handle with care
- Struggling, anxiety & stress can worsen conditions
- Oxygen supplementation
- IV catheter if not too stressful
- Cautious about administering fluids
- Diuretics, heart medications
- More diagnostic tests
- Radiographs/ Ultrasonograpy (Echo)
severe hemorrhaging
causes:
- Severe wounds
- Blunt trauma, HBC, internal hemorrhage
- Post-surgical complication
- Rodenticide toxicity
treatment: (control bleeding)
- If wound on extremity, apply pressure bandage
- If wound on head of body, apply direct pressure
- Cover all chest & abdominal wounds
- IV catheter with aggressive fluid therapy
- Blood transfusion
- Shock medications
- O2 supplementation
nosebleeds
causes: Trauma, foreign body, neoplasia, violent sneezing,
thrombocytopenia, Fungal disorders, oronasal fistula, rodenticide poisoning
treatment:
- Ice packs
- Digital pressure on maxillary arteries
- Sedation
- Suction of blood
- Foley catheter
DIC
imbalance, excessive clot formation & bleeding
causes:
- Always secondary
- Burns, heatstroke, sepsis
- FIP, liver disease, snake bites
- Trauma, hemolysis, bacterial infection, neoplasia
treatment:
- Life-threatening, poor prognosis
- Treat Primary condition
- IV fluids – aggressive
- Colloids
- O2 supplementation
rapid, shallow breathing
pneumonia, pleural effusion, pulmonary edema
slow, deep breathing
asthma, laryngeal paralysis
wheezing, hacking, coughing
tracheal collapse, laryngeal paralysis
treatments to respiratory emergencies
- O2 supplementation
- Sedation
- Analgesics
- Antibiotics
- Cooling methods
- Intubation/Tracheostomy tube
pneumothorax/tension pneumothorax
air or gas in thoracic cavity/ that air gets trapped and can’t escape
thoracocentesis
surgical puncture and drainage of
fluid or air from the thoracic cavity