A Quick Guide
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- Common situations
which may require emergency veterinary attention
- severe bleeding
- suspected fracture
- eye injury
- difficulty breathing/choking
- collapse/seizure
- unable to urinate
- suspected toxin/poison
ingestion
- heat stroke
- electric shock
- bloat
- drowning
- vomiting/diarrhea for
24 > hours
- pale, bluish gums,
fever
- animal bit/insect bites
or stings
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- Initial response
-- You should know how to:
- Measure pulse/heart
rate
- Measure respiratory
rate/note character
- Take your dog's temperature
- Muzzle your dog
- Check ocular response
- Transport a sick or
injured animal
- Perform CPR if necessary
(the "ABC's")
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- Normal vital signs
for dogs - Know what is normal for YOUR dog!
- Temperature 101.5F
(+/- 10F)
- Pulse/heart rate 60
to 160 beats per minute
- Respiratory rate 10
to 30 breaths per minute
- These signs are for
a normal, mature dog at rest. An excited, or one that has been
running, will have elevated heart and respiratory rates.
- Elevated vital signs
for a dog at rest may be a sign of infection, disease, overheating
or various other health problems.
- Low vital signs may
indicate a dog in shock.
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- Assuming your dog
has been badly injured, these steps might be taken:
1. Stay calm.
2. Cautiously approach an injured dog.
a. talk calmly and quietly to the dog.
b. move slowly toward the dog.
c. do not chase the dog.
3 Immediately try to stop any hemorrhage. Severe bleeding
must receive immediate attention no matter what other injuries
are present. Profuse external bleeding can usually be controlled
by applying firm, direct pressure over the wound with a clean
gauze, handkerchief or t-shirt. Avoid frequent removal of the
bandage to check the wound because bleeding may start again.
4. Call your veterinarian for advice.
5. When injured dogs are hysterical, they should be muzzled
before being moved. Even a quiet dog can bite if you happen to
unintentionally cause pain.
Be sure the dog can breathe freely. Its nose and mouth must be
clear to allow air passage.
6. Avoid changing the dog's position when it must be moved.
7. Keep the dog's body warm but not hot.
8. Cover any superficial wound with a clean bandage.
9. Give no food or liquids in case emergency surgery is
required. Only give over-the-counter drugs (such as aspirin)
with your vet's approval.
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- Transporting your
dog in an emergency
1. It is usually preferable to take your dog to the vet's
office rather than your veterinarian coming out. The office has
specialized equipment and trained assistants. Notify the veterinary
practice that you are on your way so they can prepare for your
arrival.
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- 2. Gently slide your dog onto
a blanket or coat on the ground. Drag with the body first so
any broken legs or other injuries will be pulled onto the blanket
rather than pushed which may cause further injury. Position the
dog's back (not the legs) against the seat. This provides more
stability and doesn't put the legs at risk for added pressure
or movement into the seat.
Young or small dogs can be carried in a box, basket or a person's
arms who is not driving.
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- 3. Two people can pick up the
corners of the blanket to form a soft stretcher to transfer the
dog to the back seat of the car. The person walking backwards
should go on through the car so the dog can be lowered gently
onto the seat.
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- 4. Someone should stay in the
back with the dog on the way to the clinic. If the dog is trying
to bite, a bandage can be temporarily tied around its muzzle.
Do not leave the muzzle on for a prolonged period since this
may hinder breathing.
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- POISONING
National Animal Poison Control Center (NAPCC)
1-900-680-0000
$45 per case, billed to your phone.
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- College of Veterinary
Medicine
University of Illinois
2001 S. Lincoln Ave, Urbana IL 61801
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- 1-888-426-4435
$45 per case, billed to credit card (VISA, Mastercard, Discover,
Amex)
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- A dog is not a 4-legged
human. The NAPCC staff is all veterinary health professionals
who have been trained in animal toxicology. Because of their
training, they are prepared to deal with the complexities of
a poisoned dog.
- Assistance is provided
to both veterinarians and pet owners. The center is staffed around
the clock by veterinary professionals. In the case of certain
chemical exposures, the manufacture of the chemical/product may
pay the caller's NAPCC charges. NAPCC will make follow-up call(s)
as needed.
- Watch for any changes
in color (skin and in mouth) and respiration, excessive salivation
or dryness, diarrhea, heaving, vomiting, extreme restlessness
or lethargy. Do NOT try to induce vomiting or ingestion without
first consulting a veterinarian or poison control center.
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- When calling, have
the following information available:
- Your name and phone
number
- Age of dog
- Weight of dog
- Physiologic condition
(i.e. neutered, pregnant, lactating, health disorders, etc.)
- Name of the product
and manufacturer
- Active ingredient and
concentration listed on the label
- Formulation of the
product (i.e. solid, liquid, aerosol)
- Amount of product the
dog was exposed to
- Time elapsed since
exposure
- Any symptoms observed
(drooling, vomiting, difficulty breathing, etc.)
- Time between exposure
and onset of symptoms
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- For other useful
poison information see:
http://www.avma.org/pubhlth/poisgde.html
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- K9 FIRST AID KIT
A good canine first aid kit is an absolute must.
The following is a list
of items that you might want to consider for your own first aid
kit. Most can be found either in your neighborhood pharmacy or
ordered from a number of different pet mail order catalogs.
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- A plastic fishing tackle
box makes a great, portable kit. Don't buy it until you have
assembled your contents so you don't end up with a box that is
too small.
- Consider keeping a
second kit in your car.
- Tape an index card
inside the lid with telephone numbers and open hours of your
regular veterinarian, emergency clinic and Poison Control Center.
Keep an up-to-date list of your dog's medications.
- Clearly LABEL all medications
and supplies with their name and expiration date.
- Go through your kit
TWICE a year (at a minimum), replacing expired medications, replenishing
used supplies, checking for broken or leaking containers etc.
Replace as needed.
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- MISC.
- Telephone numbers (regular
veterinarian, emergency clinic and Poison Control Center)
- Latex gloves
- Zip lock bags (for
specimens)
- Penlight or flashlight
- Blanket (to carry and
wrap an injured dog)
- Rubbing alcohol (use
only for sterilizing objects)
- Book on canine first
aid
Read & be familiar with your manual. An emergency is NOT
the time to begin reading the book! A good manual is published
by the American Red Cross -- "Pet First Aid for Cats &
Dogs"
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- TOOLS
- Muzzle
- Rectal thermometer
- Scissors - blunt tip
- Tweezers
- Cotton swab sticks
- Cotton balls or roll
cotton
- Instant ice pack
- Nail clippers
- Eye dropper
- Magazine - for quick
splint
- Wooden paint mixing
stick - for quick splint
- Elizabethan collar
- Magnifying glass
- Oral dose syringes
(You don't need the needles. Make sure you understand the volume
markings. The syringe lets you administer fluids in specific
volumes by squirting between the dog's teeth near the back of
mouth.)
- DRESSINGS
- Sterile gauze (roll
and pads 2" & 4" - no stick variety)
(rolls also can be used for an emergency muzzle)
- Adhesive tape - 1"
- Vetrap 2" or 4"
wide (by the 3M company. These are self adhering bandage rolls,
they come in great colors and can be wrapped around a limb. It
sticks to itself without adhesive tape. Does not stick to the
dog's hair so it is easy to remove. Be careful not to apply it
too tightly - it is elasticized and will not loosen up once applied.)
- Skin glue
- MEDICATIONS
- Buffered aspirin (NOT
Tylenol which is toxic to dogs)
- Sterile saline solution
or eye wash (for cleaning wounds or rinsing eyes)
- Neosporin
- Hydrocortisone creme
- Betadine
- Iodine (to disinfect
minor wounds)
- Benadryl (an antihistamine
to help if your dog has an allergic reaction or insect bites/stings.)
- KY jelly (to lubricate
thermometer, also use to cover an open sore or wound. Don't use
vaseline, it is not water soluble but KY Jelly is.)
- Hydrogen peroxide -
1% solution (can also induce vomiting)
- Pedialyte
- Rescue Remedy
- Quick Stop for nails
- Kaopectate - for diarrhea
- Milk of Magnesia -
for antacid, laxative
- HOUSEHOLD ITEMS
HANDY FOR FIRST AID
- Empty plastic bucket
for holding warm water
- Paper cups for washing
wounds
- Sanitary napkins for
compress to control bleeding
- Table leaf as an emergency
stretcher
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- EPI K9 EMERGENCY
KIT
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- Keep an emergency kit
in your house as well as in your car.
- A small tool box or
shoe box makes a handy kit.
- Tape an index card
inside the lid with telephone numbers and open hours of your
regular veterinarian and emergency clinic. Keep an up-to-date
list of your dog's medications.
- Keep your dog's seizure
log book handy.
- Clearly label all medications
and supplies with their name.
- It is advisable for
a second person in the household to know what to do in case you
are unavailable. If you use a pet-sitter, make certain they are
thoroughly educated on your dog's normal as well as emergency
care needs.
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- BEFORE an emergency, make sure
your vet has given you correct dosing information about PB and/or
Diazepam to use following a seizure or cluster. Each time your
pick up a prescription, check it make sure it is correct.
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- BEFORE an emergency, practice
with the equipment and a substitute for the Diazepam (such as
plain water) to feel at ease with its use. Your vet can give
you proper instruction. It may be a good idea to have a "seizure
drill" while everything is calm to be sure your plans are
manageable. Plan ahead, for instance, how you would move/transport
a large dog to a emergency clinic.
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- After each emergency, check
the kit for medications or supplies which need to be replenished.
Make sure prescriptions have refills available.
- Items that you might
want to consider for your own emergency kit:
- Phenobarbital (PB)
- Oral Diazepam tablets
(brand name is Valium)
- Rectal Diazepam liquid
(brand name is Valium)
- Rescue Remedy or similar
homeopathic blend (a Bach flower essence which helps many dogs
recover from post-ictal symptoms)
- Syringe
- Syringe needles (needle
NOT used for administering Diazepam)
- Plastic extender tip
for syringe
OR
- Tom cat catheter
- KY jelly
- Pill splitter
- Extra syringe, needle
and bottle (to practice filling syringe)
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- Useful household
items to have on hand:
- Old towels, rags or
diapers (to clean up if your dog voids his bladder or bowel during
a seizure)
- Heavy blanket (can
be used to transport to a clinic a seizuring dog that cannot
stand or walk)
- Baby gate (to block
off hazards from a recovering, ataxic dog or to block other dogs
from a seizuring dog)
- Extra mats or pillows
(they may need to be changed if soiled during a seizure)
- Electric fan (to help
cool a seizuring dog)
- Rescue Remedy,Honey,
molasses, or Breyer's natural vanilla ice cream (these foods
help some dogs recover more quickly after a seizure)
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- Instructions
on how to administer liquid Valium
- by Judi
Borgers
For administering the
liquid Valium, hopefully either your vet or the pharmacy gave
or sold you a syringe large enough to hold the amount determined
to be correct for one dose for your dog, with the accompanying
needle. The shorter, fatter needles are easier to use than the
longer, more delicate ones. You will also need a 'Tom Cat catheter,'
or a regular catheter which will fit the syringe you have been
given after the needle has been removed. If you are given a regular
catheter, the tubing length needs to be cut down to approximately
six inches. Measure from the top, cut from the bottom. After cutting
mark the tubing three inches from the end with a permanent-ink
type marker. The three inches is the part that goes into the rectum.
If you have the liquid
Valium in a brown bottle intended for injectable use, proceed
as follows: With the needle attached to the syringe, pull the
plunger back, filling the syringe with air equal to the cc's of
liquid valium you will be giving. Insert the needle into the opening
in the bottle, making sure the needle tip is just past the rubber
guard on the bottle. Push the plunger on the syringe, putting
the air from the syringe into the bottle; this helps to create
a vacuum in the bottle. Turn the bottle and the needle upside
down. Now the bottle is on top, and the needle below, then the
syringe, with the plunger toward the floor. Pull the plunger back
out to the correct cc. dosage marking, and the valium should now
be filling the syringe.
When the correct amount
of liquid Valium is in the syringe, remove the needle from the
bottle, then remove the needle from the syringe, (have your vet
or pharmacy show you how to do this safely) put on the catheter
(tubing.) Insert three inches of the catheter into the rectum,
and push the plunger, slowly and steadily.
One hint: Ask your pharmacist
for a vial filled with water, if they have it, or one with a placebo
liquid. It is very important to practice as much as you can before
you actually have to use it during or after a seizure. The liquid
diazepam is oily feeling. With the practice vial, you can practice
filling the syringe, and then just push the plunger down with
the needle inserted into the practice vial, putting the practice
liquid back into the vial, so you can practice some more. The
hardest part of administering the rectal valium is, without doubt,
filling the syringe!
After use, rinse the
syringe with very hot water in order to rinse out all the liquid
Valium. Also, if you are trying to re-use the needles, they must
be thoroughly washed in very hot water, as the Valium is very
slippery and will make succeeding attempts to fill the syringes
more difficult. Needles are not expensive, in most parts of the
country, and it is best to use one as few times as possible. Additionally,
the Tom Cat catheter (the tubing) must be thoroughly cleaned and
sterilized in very hot water; this is the part of the apparatus
that is inserted into the rectum. Again, this part is not very
expensive, and better used as few times as possible.
Storing the Valium/Diazapam
When you receive the
Valium/diazepam from the pharmacy, it comes in a small brown bottle
. Store the bottle at room temperature, away from direct light.
For those vets who prefer to give their clients pre-filled syringes,
these too should be kept away from direct light; request exact
storing instructions from the veterinarian.
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- References
Emergency Care
for Cats & Dogs by Craton Burkholder, DVM
The Household Book of Animal Medicine by Richard Vargoshe &
Peter Steinburg
Merck Veterinary First Aid
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