The Emergency Vet…

chris-learns-emergency-and-critical-care

Accidents can and will happen, most often when you are not expecting them, and medicine is not cheap. This is especially so when it happens when your normal vet is not open, as then you are often sent to a specialist emergency vet, which is almost like an A&E department for pets. The vets here are trained to save your pets life; in addition to specialist training they have access to the important equipment and drugs necessary to do this.

Over the next 4 days I have been invited to join Vets Now one of the UK’s leading providers of Emergency Centres for Pets that have been in accidents or are seriously ill. I’m excited to learn a lot of things to help with emergencies, yet I am apprehensive about how intense it will be and how little I know.

I’ve been invited into two different centres in two different cities so I can see a range of different patients and learn from several different vets.

The first centre I am at just for the weekend, expecting to be there from 12 lunchtime until 7pm Saturday evening. Then again all day on Sunday from 8:30am until evening again with night staff taking over to continue to provide the care needed.

The second centre I am on overnights on Monday and Tuesday from around 6pm until the next morning as the normal overnight shift is 15 hours long. This centre also takes patients from the PDSA charity so is expected to be a lot busier.

During this time I’ve been allowed to tweet – so keep an eye on my twitter feed @vetschooldiary for live updates from behind the scenes as it happens.

And off course I will be blogging my experience as well (potentially once I’ve managed to catch up on sleep!).

Over the rainbow bridge…

Euthanasia - Crossing the rainbow bridge

As the vet reaches for the cats leg to give the final injection the cat lies alone on the table. She has had trauma and is not in good way, and her parents cannot stand to see her in this way. I reach out to do nothing more than stroke her as she starts her onward journey over the rainbow bridge.

As the injection goes in I see her laboured breathing stop, she looks calm and relaxed as I stroke her and wish her a safe onward journey. The injection is in and the vet removes the needle before reaching out and stroking her as well briefly before they listen for a heartbeat. I’m sure she’s gone but it is important to check, sometimes it can be difficult to tell with all the noises that occur after death so sometimes can feel like you are listening a long time.

I’m sad this cat I knew only for a short while at what is probably the worst point in her life couldn’t be saved, yet I take comfort in the fact she now gets to run free. We gently remove her IV cannula to go to the clinical waste, clean her, and then wrap her in her blanket to go home with her parents for burial.

She is not the first, and will not be the last; however she did not go alone. Even for those few minutes she took a piece of my heart with her, and she went on her final journey across the rainbow bridge loved and cared for. This is something her parents never saw and something maybe one day they will wonder about, however they should not worry. They have the memories of her running around the house not struggling to breathe unable to lift her head.

I will never judge a parent that cannot be there at the end, it’s one of those choices that is so difficult to make. There is rarely a right answer, and sometimes there is not even any time to even think about it properly. Yet these parents may say their goodbyes when it is time to bury her, I will never know. It is a choice that can only be made by you. Sometimes after trauma we will explain to parents what to expect to see as sometimes injuries look much worse after being shaved and cleaned so that the parent can make a choice.

Personally I believe saying goodbye is important, some vet practices even have rooms just for this so we can give as much time as parents need. Sometimes in a busy practice we do not have enough of these rooms so we make do with what we have. We will explain what will happen to you, and tell you what we are doing. We’ll never try to rush you, we’ll try to keep noise outside to the minimum, and we will all feel your pain.

EDIT
If you have lost a pet and are struggling with the loss then please do call the Blue Cross Pet Bereavement Helpline – 0800 096 6606 (UK Only) – or visit their website for more information at  https://www.bluecross.org.uk/pet-loss. It is a traumatic experience, and there are people that have experienced it themselves who want to listen to you.

Comment when you see the problem…

dog-lateral-xray

Sometimes you see really cool things, this is one of those times. A dog presented to a vet clinic in America after trauma and the doctors there shared these scans in a private group – I think they are so cool I asked permission to share them with you… (answer at the bottom if you scroll down)

Comment when you spot the problem…

Lateral viewdog-lateral-xray

Dorsal view

dog-dv-xrayP.S. The dog is doing fine.

 

 

 

 

 

 

 

 

ANSWER

The is a part of the intestines in the area around the dogs knee. This is because there was a traumatic abdominal wall rupture with herniation of the intestines into the space under the skin around the leg. In surgery the rupture was found to be in the left abdominal gutter. The “doll” like bone between the back legs here is the penile bone as it is a male dog.