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Whether a patient is admitted for hospitalization through our emergency room or is receiving care through one of our specialty departments, our critical care staff is available to evaluate the care plan for patients facing serious conditions. Led by two board-certified criticalists, Dr. Tom Day and Dr. Josh Smith, our critical care staff works out of our emergency room and is often employed for high risk procedures. They help to provide the highest level of care available to our critically injured or ill patients. In addition to emergency and critical care, Dr. Tom Day is also board-certified in anesthesia and analgesia.

What constitutes an "Emergency"?

In any 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:

  • Hit by a car
  • Long distance fall
  • Massive Bleeding from a wound

If your pet is experiencing a sudden illness such as:
  • Collapse
  • Seizure
  • Poison ingestion
  • Respiratory distress

If your regular veterinarian has already treated you during the day but now it is the middle of the night and the situation has gotten worse.
  • Surgical complications
  • Vaccine reactions
  • Wound care

How do you get an appointment?

Regular veterinarians refer most of our patients to Veterinary Emergency Service & Veterinary Specialty Center. However, you do not need a "referral" to schedule an appointment or bring your pet to VES/VSC.

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. Both our Middleton & Madison locations are fully staffed 24/7 and equipped to treat all of your pet's initial needs and to monitor their condition throughout the night. Our Janesville location is available weeknights and 24/7 over the weekend.

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 or not 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 a critical care specialists 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.
How Can I Avoid An Emergency Situation With My Pet?

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.  

How Can I Plan For An Emergency?

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

How Do I Handle My Injured Pet?

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.
 

What Additional Training Does An Emergency and Critical Care Specialist Have?

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.

After completing and passing all of these requirements, the veterinarian is then recognized by his or her peers as a board certified specialist in veterinary emergency and critical care. When your pet faces an emergency, years of additional training and education will be focused on helping him or her to recover from injury or illness and enjoy the highest quality of life possible.
 

What To Do In An Emergency?

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.
 

What Type of Equipment Do Emergency and Critical Care Specialists Use?

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:

  • Supplemental oxygen delivered via oxygen cages or nasal tubes
  • Pulse oximeters
  • Blood gas monitoring
  • End tidal carbon dioxide measurement
  • Colloid oncotic pressure measurement
  • Continuous ECG monitoring and telemetry
  • Ultrasonography
  • Endoscopy
  • Blood pressure and central venous pressure measurements
  • Blood transfusions
  • Advanced imaging techniques, such as CT scans and MRI
     

Our Emergency & Critical Care Team

Staff Veterinarian
Staff Veterinarian
Staff Veterinarian
Staff Veterinarian
Staff Veterinarian
Staff Veterinarian
Staff Veterinarian
Staff Veterinarian
Staff Veterinarian
Veterinary Specialist, Head of Emergency & Critical Care

Our Emergency & Critical Care Services

Aggressive Analgesia
Cardiac Output Monitoring
Central Venous Pressure Monitoring
Continuous ECG Monitoring and Telemetry
Direct Blood Pressure Monitoring
Emergency & Critical Care Overview
Mechanical Ventilation
Nasal and Transtracheal Oxygen Therapy
Pulse Oximetry and End Tidal Capnography
Transfusion Therapy

VCA PetCancerCareTM
 

A whole new way to look at pet cancer care for the world’s most important pet: Yours

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