Primary Care
Specialty Care
What constitutes an Emergency?
In any urgent situation or case that occurs when your regular veterinarian is unable to see you. This could be a result of your clinic being closed, lack of an open appointment, or due to the severity and complicated nature of the medical issues of your pet.
Examples:
If your pet has been involved in a life-threatening accident such as:
If your pet is experiencing a sudden illness such as:
If your regular veterinarian has already treated your pet during the day but now it is the middle of the night, and the situation has gotten worse.
How do you get an appointment?
Regular veterinarians refer most of our patients, however, you do not need a "referral" to schedule an appointment or bring your pet to VCA Old Marple as an Emergency. To better serve you, we ask that you call us in advance. This allows our staff to prepare for your pet's specific medical issues. However, we realize that sometimes there is not time to call. In these cases, we welcome walk-ins.
Special Note: If there has been toxin ingestion, please bring the product and its container with you to our clinic. We will also need to know how long it's been since ingestion.
What happens when I get there?
You will be greeted by a staff member who will verify your information and will perform an initial assessment to determine whether your pet is stable. Patients are treated in order of severity, and pets determined to be in stable condition may remain with their owner until a veterinarian is available. Patients who need urgent care will be moved immediately to the treatment area for further evaluation and care. To allow maximum safety and efficiency in providing care to critically ill or injured pets, the treatment area is restricted to employees only. During this time a trained member of our triage staff will meet with you to obtain your pet's history. Your pet will then be examined by one of our emergency room veterinarians or criticalist depending on their condition. Based on that examination, our veterinarian will propose a treatment plan and will provide you with an estimated cost of care.
What Is unique about an Emergency and Critical Care Trained Doctor?
While your general practice veterinarian can diagnose and treat many health problems and handle many routine emergencies, certain situations require the care of a doctor who has had specialized, intensive training in handling emergency and critical care for your pet. An emergency and critical care doctor typically works in tandem with your general practice veterinarian on a referral basis, as well as with any other needed specialists, until the emergency is resolved.
A residency trained criticalist is a veterinarian who has obtained additional training in treating life-threatening conditions. An emergency and critical care doctor can help in the following kinds of cases, among others:
Will My Regular Veterinarian Still Be Involved?
Many emergency hospitals work on a referral basis with general practitioners. In some cases, your pet will only be referred to the emergency service for after-hours care. In other cases, your pet may be in the care of the emergency and critical care specialist for the duration of the emergency and recovery, but then referred back to your general practitioner veterinarian for follow up and routine care.
It goes without saying that the best way to avoid an emergency is to prevent it in the first place. To reduce the chances that you will experience an emergency situation during the lifetime of your pet, consider the following tips:
Follow your veterinarian's advice regarding all relevant wellness care, including vaccinations, age appropriate health screenings, and parasite prevention.
Prevent traumatic injury by keeping pets under your control at all times. Keep cats indoors and dogs fenced. When pets venture outdoors, keep them leashed at all times. If you do allow them off leash, limit this privilege to large enclosed areas away from traffic, other potentially aggressive pets, and wildlife.
Invest the time in training your pet to obey simple commands, such as Come, Sit, Down, Stay, and No.
Never leave your pet alone or unattended in a car, even with the windows open.
Pet proof your home, removing all potential hazards from your pet's reach, much the same as you would do with an infant or toddler.
Supervise your pet as much as possible. Puppies and kittens, just like human babies, like to explore with their mouths. Supervising them during playtime can prevent their ingesting poisonous substances or choking hazards.
If your pet is coping with a chronic illness, carefully follow all of your veterinarian's recommendations regarding medication administration and check ups.
Make sure you know ahead of time what your veterinarian's policy is regarding emergency care, both during regular practice hours and after hours. If your veterinarian does not have a referral relationship in place, then make sure you know the location of the closest emergency referral center for your area.
If your pet has an ongoing medical problem that could result in a sudden emergency, make sure you keep any pertinent medical records in a handy place so that you can quickly locate them and bring them with you to the emergency service or hospital in the event of a crisis.
Keep your veterinarian's phone number and any emergency phone numbers and directions next to your phone along with all other important emergency information for your family.
Know basic first aid tips for pets. Ask your veterinarian for these ahead of time during a routine wellness exam
Handle With Care
Pain, fear, and shock can make animals behave differently. When you are faced with a pet emergency, remember that even the most well trained and loving pet can behave differently when feeling ill or in pain. Also realize that even relatively small animals, such as cats or small dogs, are capable of inflicting serious bite and scratch wounds when they are disoriented and in pain. If this occurs, it is important not to take such actions personally, but to realize that it is an expression of the extreme pain or disorientation your pet may be experiencing at the time.
Approach all injured pets with caution. Despite your natural wish to comfort your ill or wounded pet, do not place your face or hands near his or her head until you can assess your pet's condition. If you feel you cannot safely manage the emergency situation, ask your veterinarian for advice on how to handle and transport your pet when you call to report the emergency. Sometimes wrapping small, injured pets in towels (taking care not to cause further injury or pain) or placing larger pets in crates or carriers for transport may be the safest option for both you and your pet.
Veterinarians who want to become board certified in emergency and critical care medicine must seek additional training to become a specialist and earn this prestigious credentialing. Specialty status is granted by the American College of Veterinary Emergency and Critical Care (ACVECC). A veterinarian who has received this specialty status will list the initials, 'DACVECC,' after his or her DVM degree. Or, the veterinarian may indicate that he or she is a 'Diplomate' of the ACVECC. The word 'Diplomate' typically means the specialist has achieved the following:
• Obtained a veterinary degree (three to four years of college plus four years of veterinary school).
• Completed a one-year internship at a referral private practice or veterinary teaching hospital.
• Completed an additional three years of advanced training in emergency medicine, surgery, and critical care through a residency at a veterinary teaching hospital where the veterinarian will have trained with some of the best specialists in the field and obtained hands on experience. This training focuses on the most up to date techniques for the diagnosis and treatment of life threatening disease processes or injuries, not only for the duration of the emergency but throughout the critical care period right after.
• Passed a rigorous examination.
Call your veterinarian immediately. Even if it is after hours, most veterinarians have recordings that explain how to obtain emergency help for a pet when the practice is closed.
Call your veterinarian rather than attempting to obtain advice online. Do not leave a voicemail. In an emergency, your pet needs help immediately. Keep going until you get a live person on the other end of the phone who can connect you with a veterinarian or direct you to an emergency facility.
If you are away from home, consult the yellow pages of the local phone book for the closest veterinary emergency facility.
High Tech Help
Much of the same high tech equipment that human doctors use to help critically ill humans is also available to help save injured or seriously ill pets. Emergency and Critical Care specialists are more likely to have access to the following cutting edge equipment or capabilities to help your pet recover:
