1. Kelly Lynn Cronin, MBA, BS, PHR, VTS (ECC), RVT Operations Manager Advanced Animal Hospital Group Owner/CEO Success Strategies Veterinary Consulting

2. We LOVE our technicians!

4. Photo courtesy of Liz Highston

5. Photo courtesy of Microsoft Clipart 2014

6. -Time frame for treatment -Start first aid -Items to bring -Money for treatment -Get the digits! -Get them to you…. Photo courtesy of Microsoft Clipart 2014

7. -60 second triage -work of breathing -Gum color, respiratory rate and heart rate -Identify LOC -Respond to abnormal triage findings Photo courtesy of Amazon

8. -Pay attention to the symptoms -Beware the zebras -You are the one with eyes on the animal -Record findings Photo courtesy of Microsoft Clipart 2014

9. Sorry, I left my Crystal Ball at Home Photo courtesy of Microsoft Clipart 2014

10. When in doubt…… Photo courtesy of Microsoft Clipart 2014

11. -Be truthful -Be honest -Be informative -Be the technician you want for your pet Photo courtesy of Microsoft Clipart 2014

12. -Does it cost the clinic to use an pulse oximeter? -oxygen -pulse oximetry -blood pressure -end tidal co2 -ekg -heat support Photo courtesy of Microsoft Clipart 2014

13. Three types of emergencies -True emergencies -Emergent situations -Client perceived emergencies Screensaver image courtesy of scenicreflections.com

14. SAMPLE History Signs and symptoms Allergies Medications Past medical history, injuries, illnesses Last oral intake, last episode Events leading up to the injury/ illness Wallpaper image courtesy of ScenicReflections.com at: http://www.scenicreflections.com/download/278007/BLACK_CAT_Wallpaper/ t Blocked Cats -Typically Male -2-5 years old -Lack of urine -Crying/painful

15. What have you been eating? Photo courtesy of Microsoft Clipart 2014

16. http://www.sarc.com.au/chocolate- toxicity-calculator/

17. Photo courtesy of: http://news.nationalgeographic.com/news/2006/07/060724-snake-blanket.html

18. http://www.petpoisonhelpline.com/ (800) 213-6680 http://www.aspca.org/pet- care/animal-poison-control NM Poison Control 1-800-222-1222

19. -Remember how scary it must be for the owner -Ask history, seizure length, type and number -IV catheter placement is a priority for clusters -Grab the valium Seizures Photo courtesy of Microsoft Clipart 2014

20. Dog Fights and HBC -Most are worse than they appear -Watch for WOB -Think about shock -Manage pain Photo courtesy of Microsoft Clipart 2014

21. GDV -5+ year old dogs -Large breed, deep chested dog -Non-productive vomiting -Painful, bloated abdomen Photo courtesy of Microsoft Clipart 2014

22. Life and Death Photo courtesy of Microsoft Clipart 2014

24. Know what is coming! Be Prepared!

25. Vs.

26. Preparation is Key

27. Dog trainer saves dog with CPR https://www.youtube.com/watch? v=XAe_3sXnxFU

28. Recover Guidelines -Refresher training every 6 months -Static crash cart location -Crash cart audits -Critique all CPR attempts http://acvecc-recover.org/

29. Recover Guidelines -100/120 compressions/minute -1/3 chest width -10 ventilations/minute (1 s inspiration) -ECG, ETCO2 monitoring

30. Increasing Success -Do not stop to assess -Utilize your monitoring equipment -Team assignments -Keep a running record

31. What is the best method for Monitoring CPR efforts?

32. -A abrupt rise in ETCO2 may indicate ROSC -Peak ETCO2 between 10-20 is necessary for effective CPR End Tidal CO2 during CPR

33. Questions? Thank you