Manual of Small Animal Emergency and Critical Care Medicine

In summary, I highly recommend this textbook and hope it will find its way onto the bookshelf at every veterinary emergency hospital. Even those in general practice will find it very useful when that unexpected emergency patient shows up in the lobby (at 4:45 pm on a Friday, naturally)! (VSPN.org, 9 August 2013) Regardless, the second edition remains an accessible, well-written, and user-friendly text to guide practitioners in managing common small animal emergencies in any setting. (Vet Med Today, 15 December 2013) Overall, the 2nd edition of SAECCM is a very practical emergency and critical care manual. It will be filling the spot in my library where my 1st edition used to sit until someone else also decided it was an excellent book. (Australian Veterinary Journal, 1 March 2013) The book would be useful in practice as a first port of call in an emergency situation, particularly for recent graduates or clinicians facing an unfamiliar case out of hours. (Veterinary Practice, 1 January 2013) "Douglas M. Macintire, et.al.'s MANUAL OF SMALL ANIMAL EMERGENCY AND CRITICAL CARE MEDICINE (9780813824734, $89.99) provides the second updated edition of a classic vet's desk reference covering common emergencies in small animals. From injuries and wound management to new chapters on revisions to treatment protocols and expanded toxicology information, this reflects the latest science and discoveries and is a 'must' emergency vet's reference, arranged in quick consultation format for fast lookup." (Midwest Book Reviews, 1 December 2012) This is an informative quick reference for emergency cases, with useful tools for management. A revised and updated edition was necessary to reflect new medications and treatments. (Doodys, 19 October 2012) The second updated edition of Manual of Small Animal Emergency and Critical Care Medicine provides key details on common emergencies in small animals and offers a new edition with completely new chapter on orthopedic injuries, wound management, and expanded toxicology information and treatment protocols. Chapters are packed with indexing and cross-references, offer a fine outline format for emergency reference, and includes tables, drug dosages, formulas and illustrations throughout. The result is a fine pick for any veterinary or animal medical reference library. (Midwest Book Reviews, 1 October 2012)

Douglass K. Macintire was previously Director of Intensive Care, College of Veterinary Medicine, Department of Small Animal Surgery and Medicine, Auburn University and a Diplomate of ACVIM and ACVECC. Kenneth J. Drobatz is Director, Trauma Emergency Service, and Professor and Chief of Critical Care, Matthew J. Ryan Veterinary Hospital, University of Pennsylvania, and a Diplomate of ACVIM and ACVECC. Steven C. Haskins is Director, Small Animal Intensive Care Unit, Veterinary Medical Teaching Hospital, University of California, Davis and is a Diplomate of ACVA and ACVECC. William D. Saxon is Telemedicine Consultant, IDEXX and a Diplomate of ACVIM and ACVECC.

Contributors x Preface to the First Edition xi Preface to the Second Edition xii Acknowledgments xiii Part I Life Support and Initial Stabilization, Monitoring, and Intensive Care of the Critically Ill patient 1 1 Approach to the Emergency Patient 3 Steve C. Haskins and Douglass K. Macintire Initial Preparation and Management 3 The Primary Survey: Initial Examination to Identify Life-Threatening Problems 4 Brief History 12 Thorough Secondary Survey 12 2 Emergency Room Readiness 17 Steve C. Haskins and Douglass K. Macintire Being Prepared 17 Equipment Recommendations 17 Recommended Supplies 18 Recommended Drugs 19 3 Cardiopulmonary-Cerebral Resuscitation (CPCR) 21 Steve C. Haskins Causes 21 Clinical Signs 21 The Nature of Cell Injury During Cardiac Arrest 21 Prognosis/General Recommendations 22 Treatment 22 Electrical Activity of the Heart 27 Postresuscitative Care 28 4 Shock 30 Steve C. Haskins Definition 30 Categories of Shock 30 Systemic Inflammatory Response 30 Multiple Organ Dysfunction 31 Monitoring and Identifying Treatment Opportunities 31 Treatment of Shock with Special Emphasis on Septic Shock and MODS 31 Treatment of Anaphylactic Shock 40 5 Anesthesia and Analgesia 41 Steve C. Haskins Overview of Anesthesia in Critically Ill Patients 41 Guidelines for Anesthesia in Critically Ill Patients 42 Specific Drugs Used for Anesthesia in Critical Patients 44 Anesthesia Concerns and Protocols for Common Conditions 54 Overview of Analgesia 57 Analgesia Drugs and Techniques 58 6 Fluid Therapy 63 Steve C. Haskins and Douglass K. Macintire Body Fluid Compartments 63 Crystalloid Solutions 65 Colloid Solutions 69 Specific Conditions Requiring Fluid Therapy 75 7 Monitoring 85 Steve C. Haskins Cardiovascular Monitoring 85 Respiratory Monitoring 102 Urologic Monitoring 106 Neurologic Monitoring 109 8 Nutritional Support of Critical Patients 116 Steve C. Haskins Acute Malnutrition 116 Methods and Procedures of Providing Enteral Nutrition 117 Methods and Procedures of Providing Parenteral Nutrition 132 Nutrition as an Aid to Medical Therapy (Pharmaconutrition) 134 Part II Specific Protocols and Procedures for Emergency Conditions 137 9 Respiratory Emergencies 139 Kenneth J. Drobatz and Douglass K. Macintire General Approach/Methods of Oxygen Delivery 139 Upper Airway Obstruction (Pharynx, Larynx, Trachea) 142 Pleural Space Disease 154 Lower Airway Disease 171 Parenchymal Disease 179 Cyanosis 185 Mechanical Ventilation 185 10 Cardiac Emergencies 192 Douglass K. Macintire Clinical Signs 192 Diagnosis 193 Diagnostic and Monitoring Procedures 193 Management of Specific Conditions 199 11 Gastrointestinal Emergencies 226 Douglass K. Macintire Clinical Signs, Diagnosis 226 Diagnostic and Monitoring Procedures 226 Management of Specific Conditions 231 12 Urologic Emergencies 269 Kenneth J. Drobatz and William D. Saxon Clinical Signs, Diagnosis 269 Diagnostic and Monitoring Procedures 270 Management of Specific Conditions 279 13 Neurologic Emergencies 297 Michelle B. Carnes Douglass K. Macintire and William D. Saxon Clinical Signs, Diagnosis 297 Diagnostic and Monitoring Procedures 297 Management of Specific Conditions 298 14 Hematologic Emergencies 333 Douglass K. Macintire Clinical Signs, Diagnosis 333 Diagnostic and Monitoring Procedures 335 Management of Specific Conditions 342 15 Endocrine and Metabolic Emergencies 355 William D. Saxon, Kenneth J. Drobatz, and Douglass K. Macintire Clinical Signs, Diagnosis 355 Diagnostic and Monitoring Procedures 355 Management of Specific Conditions 359 16 Reproductive Emergencies 397 Douglass K. Macintire and William D. Saxon Clinical Signs, Diagnosis 397 Diagnostic and Monitoring Procedures 398 Management of Specific Conditions 399 17 Pediatric Emergencies 405 Douglass K. Macintire and William D. Saxon Resuscitation of Neon