Triage of the veterinary patient

Donnelly, Emma; Lewis, Daniel H.

doi:10.1136/inp.i5803

Cited by 8 publications

(5 citation statements)

References 10 publications

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“…The 'golden hour' is the period of time in which damage can be minimized, and basic and advanced life support can be provided, which will directly influence the prognosis. 16 Although this is an interesting finding, the absence of records of cats that were victims of trauma and that were euthanized or died during previous first aid or during transport to the referral center is recognized as a limitation. For this, further studies would be necessary in order to confirm the impact of first aid on an animal's prognosis.…”

Section: Discussionmentioning

confidence: 99%

Clinicoepidemiological profile and risk factors associated with mortality in traumatized cats admitted to a veterinary teaching hospital in Brazil

Nascimento

Neto

Solcà

et al. 2021

Journal of Feline Medicine and Surgery

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Objectives The aim of this study was to evaluate possible risk factors for death in traumatized cats based on the clinicoepidemiological profile, the Animal Trauma Triage (ATT) scale score and the Modified Glasgow Coma Scale (MGCS) score at the time of presentation to the hospital. Methods This was a cross-sectional study involving cats admitted to the emergency sector (ES) and the surgical clinic sector (SCS) of a veterinary teaching hospital (VTH) in northeastern Brazil over a 12-month period (2018–2019). Probable risk factors associated with non-survival after trauma were analyzed by calculating the prevalence ratio. The prediction of non-survival was evaluated by analyzing the receiver operating characteristic (ROC) curve employing the ATT scale score, MGCS score and rectal temperature. Results In 1 year, 89 traumatized cats were admitted to the VTH, of which 90% (n = 80) were young, 54% (n = 48) were male, 79% (n = 70) were intact, 59% (n = 53) were indoor cats and 92% (n = 82) were considered as mixed breed. Blunt trauma was the most prevalent cause of injuries, reported in 76% (n = 68) of the cats. Accidents involving falls (30%; n = 27) that affected the pelvic limbs (50.6%) were the most commonly reported. The prevalence of death among cats admitted to the ES was 9.44 times higher than that of animals treated at the SCS. Trauma as result of being run over and chest trauma were associated with a higher probability of death. Most of the animals that died had a lower rectal temperature than those that survived. The ATT scale score, MGCS score and rectal temperature were predictive of mortality. Conclusions and relevance Rectal temperature, ATT scale score and MGCS score were effective predictors of an unfavorable prognosis and point to the need for emergency procedures. Hypothermia, being run over and chest trauma were associated with a higher risk of mortality. Our findings highlight the importance of prompt and effective care for these conditions.

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Section: Discussionmentioning

confidence: 99%

Clinicoepidemiological profile and risk factors associated with mortality in traumatized cats admitted to a veterinary teaching hospital in Brazil

Nascimento

Neto

Solcà

et al. 2021

Journal of Feline Medicine and Surgery

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“…Respondents rated minimizing negative experiences nearly 20% more important than promoting positive experiences. This finding is unsurprising given the pragmatic triage-based approach used in veterinary medicine ( 50 , 51 ) and focus on physical health of dairy cattle ( 26 – 28 ). Many participants highlighted ethical and professional responsibilities, which were noted to focus ideally on all aspects of an animal’s welfare.…”

Section: Discussionmentioning

confidence: 99%

Perceived role of the veterinarian in promoting dairy cattle welfare

Brunt,

Haley,

LeBlanc

et al. 2023

Front. Vet. Sci.

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Improving the lives of animals in agricultural systems has primarily focused on minimizing negative experiences. Research is needed on the promotion of positive experiences (pleasure, enjoyment, play, choice, happiness) for animals and the role of veterinarians in their promotion. Our aims were to describe how Canadian bovine veterinarians and veterinary students perceive the role of a veterinarian in positive vs. negative experiences for dairy cows and to analyze the rationale provided to explain their answers. Canadian veterinary practitioners (n = 78) and veterinary students (n = 148) responded to an online cross-sectional survey and were asked, on a 7-point scale, how important the role of a veterinarian is to promote practices that influence the experience of dairy cows. We used qualitative description to analyse participants’ open-ended text responses. Practices to minimize negative experiences were most important (mean ± SE; 6.8 ± 0.03), a balance of positive and negative experiences was less important (6.4 ± 0.05), and encouragement of positive experiences scored lowest (6.0 ± 0.06), although all scored highly. Four themes were identified to explain participants’ reasoning regarding their perceived role of a veterinarian in the promotion of dairy cattle welfare, centered on: the animal, the producer, the veterinarian, and society. Participants indicated that promoting positive experiences was less important than decreasing negative experiences (5.9 ± 0.09). There were four themes identified to explain participants’ reasoning regarding the relative importance of promotion of positive experiences versus decreasing negative experiences which centered on: frameworks to compare positive and negative experiences, impacts on the animal, the participant’s view of their role, and the practicality of implementation. These results indicate modest differences in valuing avoidance of negative vs. promotion of positive welfare. There were no differences in the quantitative analyses between veterinarians and veterinary students. We conclude that veterinarians are favorably disposed to positive aspects of welfare for dairy cows but may be more focussed on avoidance of negative aspects of welfare.

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“…Patient's with DKA typically present in shock (Table 3), which requires immediate triage; readers are referred to Donnelly and Lewis (2016) for a more detailed discussion on triage of the veterinary patient. After primary and secondary triage surveys have been performed, an intravenous catheter should be placed (widest bore possible), blood collected and management of hypovolaemia initiated.…”

Section: Treatmentmentioning

confidence: 99%

Diagnosing and treating diabetic ketoacidosis in dogs and cats

Scudder¹,

Roberts²

2023

In Practice

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Background: Patients in diabetic ketoacidosis (DKA), which is a complication of diabetes mellitus, will often present with a multitude of electrolyte and fluid balance abnormalities which require immediate treatment. Although historically considered to be associated with a poor prognosis, if sufficient owner finances are available then most patients can be successfully treated with an approach tailored to the individual patient, owner and practice. Aim of the article: This article outlines the aetiology and clinical presentation of DKA in cats and dogs and discusses the treatment options available when presented with these patients.

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Triage of the veterinary patient

Cited by 8 publications

References 10 publications

Clinicoepidemiological profile and risk factors associated with mortality in traumatized cats admitted to a veterinary teaching hospital in Brazil

Clinicoepidemiological profile and risk factors associated with mortality in traumatized cats admitted to a veterinary teaching hospital in Brazil

Perceived role of the veterinarian in promoting dairy cattle welfare

Diagnosing and treating diabetic ketoacidosis in dogs and cats

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