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Small Animal Emergency and Critical Care Medicine

Overview

Emergency and critical care medicine is one of the fastest growing fields of veterinary practice. Virtually every life-threatening disease can present for emergency evaluation, requiring knowledge of internal medicine, neurology, cardiology, oncology, anesthesia, and much more. Rapid and effective application of this knowledge can mean the difference between life and death for the animal.

Critical care requires the recognition of subtle changes in the clinical course of animals,...

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Overview

Emergency and critical care medicine is one of the fastest growing fields of veterinary practice. Virtually every life-threatening disease can present for emergency evaluation, requiring knowledge of internal medicine, neurology, cardiology, oncology, anesthesia, and much more. Rapid and effective application of this knowledge can mean the difference between life and death for the animal.

Critical care requires the recognition of subtle changes in the clinical course of animals, and the ability to take corrective action before severe systemic disease becomes irreversible. Clinical decisions regarding seemingly small items, such as fluid therapy, antibiotics or analgesics, can have a profound impact on patient outcome

The main aim of this book is to focus on management of the more common emergency and critical care conditions encountered in clinical practice, collated in a concise manual. There are chapters on emergencies affecting each body system, on toxicology and other environmental causes, and on critical care techniques ranging from patient monitoring, anesthesia and analgesia to fluid therapy, transfusion medicine and nutritional support, plus a chapter describing clinical skills and procedures. The text is illustrated by top-quality color photos, imaging and diagrams, and key information is highlighted in tabular form.

The authors combine experience in teaching and in clinical practice, and provide a ready resource for all those actively engaged in the field practitioners and trainees, technicians and nurses.

Key features

  •     Vital topic coverage of all types of emergency and critical care
  •   Uses a body systems-based approach
  •     Superb colour illustrations
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Editorial Reviews

From the Publisher
"A welcome addition to the reference library of any emergency clinician."
JAVMA

Praise for the Previous Edition
"Extremely easy to read… well suited for dipping into a particular chapter to get an overview of a topic."
The Veterinary Record

Doody's Review Service
Reviewer: Maureen McMichael, DVM, DACVECC (University of Illinois College of Veterinary Medicine)
Description: This book is split into two convenient sections covering emergency medicine and critical care medicine for small animals.
Purpose: The purpose is to "complement comprehensive textbooks of emergency and critical care medicine" and to "bring this information into a small manual which might be a ready resource for clinicians actively engaged in the field." This is a much needed book and it meets the authors' objectives well.
Audience: It is intended for practitioners who routinely see emergency and critical care cases, according to the authors.
Features: Its best attribute is the way it comprehensively covers an overwhelming topic in such a small, easily accessible manual. The emergency section covers all of the important topics that practitioners are likely to encounter. The critical care section can be used as a reference manual for practitioners needing help with blood transfusions, nutritional support, fluid therapy decisions, etc.
Assessment: This book is of the highest quality, is comprehensive but usable and very portable. Its excellent illustrations, tables, and diagrams make it very useful in an emergency situation. It will be a very helpful addition to any emergency/critical care practitioner's practice.
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Product Details

  • ISBN-13: 9781840761856
  • Publisher: Taylor & Francis
  • Publication date: 6/13/2012
  • Series: Veterinary Color Handbook Series
  • Edition description: Updated
  • Edition number: 2
  • Pages: 330
  • Product dimensions: 6.10 (w) x 9.10 (h) x 0.60 (d)

Meet the Author


School of Veterinary Medicine, Tufts University, North Grafton, USA
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Table of Contents

Contributors     5
Abbreviations     6
Preface     8
Emergency medicine
Overview of emergency medicine     10
Shock
Hypovolemic shock     14
Sepsis/septic shock     17
Cardiogenic shock     19
Cardiac emergencies
Cardiopulmonary resuscitation     22
Congestive heart failure in the dog     28
Congestive heart failure in the cat     34
Cardiac arrhythmias     39
Pericardial effusion     52
Arterial thromboembolism     56
Syncope     60
Respiratory emergencies
Respiratory distress     66
Upper airway obstruction     68
Pneumonia     69
Feline asthma     71
Pulmonary thromboembolism     73
Noncardiogenic pulmonary edema     74
Pneumothorax     75
Pyothorax     77
Pulmonary neoplasia     78
Hematological emergencies
Blood loss anemia     80
Hemolytic anemia     84
Nonregenerative anemia     86
Thrombocytopenia/thrombocytopathia     87
Acquired coagulopathy     90
Toxicological emergencies
Overview     92
Poisonous plants     95
Ethylene glycol     96
Anticoagulant rodenticides     97
Acetaminophen (paracetamol)     99
Chocolate     100
Tremorgenic mycotoxicosis     100
Pyrethrin and pyrethroids     102
Gastrointestinal emergencies
Vomiting     104
Acute diarrhea     107
Gastrointestinal obstruction     109
Gastric dilatation-volvulus     111
Gastrointestinal hemorrhage     114
Pancreatitis     118
Renal emergencies
Acute renal failure     123
Dialysis     128
Chronic renal failure     130
Urethral obstruction     132
Neurological emergencies
Seizures     137
Traumatic brain injury     141
Paralysis and paresis     144
Vestibular syndrome     148
Mental alteration     151
Metabolic emergencies
Diabetic ketoacidosis     157
Hypoglycemia     161
Hypoadrenocorticism (Addison's disease)     164
Disorders of calcium     167
Trauma
Vehicular trauma     172
Degloving wounds     174
Bite wounds      175
Gunshot and stab wounds     178
Emergency fracture management     180
Reproductive emergencies
Dystocia     184
Pyometra     187
Neonatal emergencies     189
Male reproductive emergencies     191
Environmental emergencies
Bites and stings     194
Heatstroke     201
Hypothermia     205
Smoke inhalation     206
Burn injury     208
Critical care
Care of critically ill animals     212
Monitoring critical care patients
Monitoring of cardiac function     214
Monitoring of respiratory function     218
Anesthesia and analgesia for critical care patients
General anesthetic approach to the critically ill patient     222
Anesthetic and analgesic agents     227
Analgesia for critically ill patients     229
Summary     229
Fluid therapy
Determining the need for fluid therapy     232
Choosing the appropriate fluid type     233
Appropriate routes for fluid therapy     236
Determining the rate and duration of fluid therapy     236
Fluid additives     237
Monitoring and possible complications      238
Summary     238
Transfusion medicine for critical care patients
Blood products     240
Synthetic blood substitutes     242
Blood types     242
Administration     244
Nutritional support of the critically ill patient
Nutritional assessment     248
Goals of nutritional support     249
Nutritional plan     249
Enteral nutrition     250
Parenteral nutrition     251
Monitoring and reassessment     252
Special nutrients     256
Summary     256
Techniques
Vascular access     258
Urinary catheterization     262
Supplemental oxygen     263
Thoracocentesis     264
Thoracostomy tube placement     265
Pericardiocentesis     266
Abdominocentesis     267
Tracheostomy     268
Transtracheal aspirate     269
Epidural analgesia     271
Esophagostomy tube placement     272
Robert Jones bandage     275
Appendices
Conversion tables     277
Calculation of a continuous rate infusion     280
Intensive care unit drug formulary      282
Index     293
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