3 critical updates in veterinary emergency medicine

January 23, 2017
Justine Lee, DVM; DACVECC; DABT
Justine Lee, DVM; DACVECC; DABT

Dr. Lee received her BS in Animal Science in 1993 at the Virginia Polytechnic Institute and State University. She obtained her DVM at Cornell University in 1997, followed by an internship at the Angell Memorial Animal Hospital. She received her DACVECC in 2003 at the University of Pennsylvania. Dr. Lee is also the CEO and founder of VetGirl, a subscription-based podcast service offering RACE-approved continuing education to veterinary professionals. Dr. Lee has been published in numerous veterinary journals, including the Journal of American Veterinary Medical Association, the Journal of Veterinary Emergency Critical Care, and the Journal of Veterinary Internal Medicine. She has also published several veterinary book chapters, and has been aired on radio and television to promote preventative medicine, animal health, and the overall well-being of pets.

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

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).

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