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Veterinary Emergency & Critical Care

Dr. Marcus Cole · DACVECC

Veterinary emergency and critical care handles life-threatening conditions requiring immediate stabilization — from GDV and hemoabdomen to toxicosis and sepsis. Dr. Cole provides triage protocols, fluid resuscitation plans, and critical monitoring strategies.

Ask Dr. Marcus Cole

Common Conditions

Gastric dilatation-volvulus (GDV)HemoabdomenSepsisDICAcute respiratory distressStatus epilepticusAnaphylaxisUrethral obstruction

Sample Questions

Large breed dog presenting with non-productive retching, distended abdomen, and tachycardia. GDV stabilization protocol?

Cat with urethral obstruction — 3 days blocked, potassium 8.2, bradycardic. Emergency management priorities?

Post-splenectomy dog with dropping PCV and signs of DIC. Transfusion and coagulation management plan?

Emergency & Critical Care Cases(37)

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Leptospirosis Dog Treatment Prevention

Excellent workup and a very strong presumptive diagnosis. The signalment, history, and classic combination of acute kidney injury (AKI) with hepatic involvement make leptospirosis

🏥 Internal Medicine🆘 Emergency
DVM RoundsApr 1, 2026

Cat Pregnancy Complications Emergency

It looks like the sub-agent data was corrupted on transfer. No matter—this is a time-sensitive case, so we'll proceed based on the presentation. Dystocia is an emergency, and after

🆘 Emergency🔪 Surgery💊 Pharmacology
DVM RoundsApr 1, 2026

Dog Pregnancy Timeline Whelping Guide

Colleagues, I'll take the lead on the nutritional management for this Labrador. Proper nutrition is foundational for preventing dystocia and ensuring healthy puppies and a healthy

🥗 Nutrition📡 Radiology🆘 Emergency
DVM RoundsApr 1, 2026

Hamster Wet Tail Treatment Protocol

Alright, this is a classic presentation and it's a true emergency. In a 30-gram patient, we have no margin for error. Think of this as septic shock secondary to infectious enteriti

🆘 Emergency🏥 Internal Medicine💊 Pharmacology
DVM RoundsApr 1, 2026

Brachycephalic Dog Soft Palate Surgery Recovery

This is a classic, comprehensive BOAS case, and your surgical plan is sound. Correcting these three components—nares, palate, and saccules—at once is the right approach for a sympt

🔪 Surgery📡 Radiology🆘 Emergency
DVM RoundsApr 1, 2026

Feline Hypercalcemia Causes and Treatment

Excellent workup on this asymptomatic cat. Catching significant hypercalcemia, especially ionized, on routine screening gives us a great opportunity to intervene before clinical si

🏥 Internal Medicine📡 Radiology🆘 Emergency
DVM RoundsApr 1, 2026

Feline Panleukopenia Kitten Treatment

This is a critical case, and your proposed plan is solid. Let's prioritize based on what's going to kill this kitten first. With a WBC of 800 and profound GI signs, we're dealing w

🆘 Emergency🏥 Internal Medicine🥗 Nutrition
DVM RoundsApr 1, 2026

Please analyze this attached image based on our conversat...

Thank you for sharing the lab work. While my primary expertise is image interpretation, I can provide perspective on how these findings should direct our diagnostic imaging plan.

📡 Radiology🏥 Internal Medicine🥗 Nutrition
cvm@vmvetservice.comApr 1, 2026

Dog Dental Cleaning Under Anesthesia Safety

Good question. This is fundamentally a risk management discussion, which is something we deal with constantly in the ER and ICU. Let's break it down from a safety and standard-of-c

🆘 Emergency🏥 Internal Medicine💊 Pharmacology
DVM RoundsApr 1, 2026

Puppy Vaccination Schedule Complete Guide

Excellent question. While my day-to-day focus is on complex internal diseases, a robust and evidence-based vaccination strategy is the foundation that prevents many of them. Here’s

🏥 Internal Medicine🆘 Emergency
DVM RoundsApr 1, 2026

Rabbit GI Stasis Treatment Protocol

Agent not found.

🩺 Avian🆘 Emergency📡 Radiology
DVM RoundsApr 1, 2026

Dog Anaphylaxis Vaccine Reaction Treatment

Alright, let's get this patient stabilized. This is a classic Type I hypersensitivity reaction, and time is critical. Here's our game plan, in order of priority. First, epinephrin

🆘 Emergency💊 Pharmacology🏥 Internal Medicine
DVM RoundsApr 1, 2026

Cat Saddle Thrombus Emergency Treatment

Alright, this is a tough one. Aortic thromboembolism is one of the most devastating emergencies we see. Let's get this cat stabilized and have a realistic discussion. My approach i

🆘 Emergency🫀 Cardiology💊 Pharmacology
DVM RoundsApr 1, 2026

Dog Seizure Cluster Emergency Treatment

Alright, let's get this dog stabilized. Status epilepticus is a time-critical emergency; our primary goals are to stop the seizure, protect the brain, and manage the systemic conse

🆘 Emergency🧠 Neurology💊 Pharmacology
DVM RoundsApr 1, 2026

Dog Hit by Car Emergency Protocol

Alright, let's get this dog stabilized. My approach is always the same: find and fix what's going to kill him in the next hour. The history and vitals (tachycardia, pale gums, weak

🆘 Emergency📡 Radiology
DVM RoundsApr 1, 2026

Dog Skin Lump Biopsy When to Worry

Excellent topic. My mantra for any new cutaneous or subcutaneous mass is simple: aspirate everything. An FNA is minimally invasive, inexpensive, and is the single most valuable ste

🧬 Dermatology🧫 Oncology🆘 Emergency
DVM RoundsApr 1, 2026

Puppy Parvo Treatment Protocol

Alright, let's get this puppy stabilized. Parvo is a marathon, not a sprint, and our job is to support them through the trifecta of hypovolemic shock, sepsis, and hypoglycemia. He

🆘 Emergency🏥 Internal Medicine🥗 Nutrition
DVM RoundsApr 1, 2026

Perineal Urethrostomy Cat Procedure Recovery

Thanks for the consult. A well-performed perineal urethrostomy (PU) is a salvage procedure that dramatically improves quality of life, but the decision-making and technique are cri

🔪 Surgery🆘 Emergency🥗 Nutrition
DVM RoundsApr 1, 2026

French Bulldog BOAS Surgery and Management

Colleague, This is a classic and severe presentation of BOAS; the syncopal event makes this a high-priority surgical case. My approach is to correct all amenable components in a s

🔪 Surgery🆘 Emergency
DVM RoundsApr 1, 2026

Egg Binding Bird Emergency Treatment

Agent not found.

🩺 Avian🆘 Emergency💊 Pharmacology
DVM RoundsApr 1, 2026

Hepatic Lipidosis Cat Feeding Tube Nutrition

Excellent, my Critical Care Nutrition Calculator has provided a solid framework. Let's integrate this into a comprehensive clinical plan. This is a nutritional emergency. For a ca

🥗 Nutrition🏥 Internal Medicine🆘 Emergency
DVM RoundsApr 1, 2026

Canine Glaucoma Emergency Treatment

Colleague, you are absolutely correct to treat this as a vision-threatening emergency. Your diagnosis and plan are sound. Let's refine the protocol for maximum effect, as every min

👁️ Ophthalmology🆘 Emergency💊 Pharmacology
DVM RoundsApr 1, 2026

Canine Pancreatitis Treatment Protocol

Colleague, this is a classic presentation for the breed and you've got a solid diagnosis. My approach to these cases is aggressive and multimodal from the start to prevent systemic

🏥 Internal Medicine🆘 Emergency🥗 Nutrition
DVM RoundsApr 1, 2026

Canine Immune Mediated Hemolytic Anemia

Colleague, this is a classic and severe presentation of IMHA. Good job confirming it with saline agglutination. Here is the multi-faceted protocol I would initiate immediately. 1.

🏥 Internal Medicine🆘 Emergency💊 Pharmacology
DVM RoundsApr 1, 2026

Canine Addison Disease Crisis Treatment

Agreed, this is a textbook Addisonian crisis until proven otherwise, and the hyperkalemia is the immediate life threat. That heart rate is deeply concerning. Let's get this dog sta

🆘 Emergency🏥 Internal Medicine
DVM RoundsApr 1, 2026

Canine Gastric Foreign Body Surgery

Alright, team. This dog is sick, and the 3-day history is a major red flag. My priority is stabilizing this patient for whatever procedure is decided upon. Before we debate scope v

🆘 Emergency🔪 Surgery📡 Radiology
DVM RoundsApr 1, 2026

Feline Urethral Obstruction Treatment

Alright, colleague. This is one of our bread-and-butter emergencies, but it's a killer if you don't respect the potassium. Let's walk through it. Priority one: The heart. Forget t

🆘 Emergency🔪 Surgery
DVM RoundsApr 1, 2026

Canine Pyometra Surgery Emergency

Alright, let's get this dog to the OR. You've got a classic septic pyometra, and time is tissue. My priority is stabilizing her for anesthesia, because the definitive treatment is

🆘 Emergency🔪 Surgery🏥 Internal Medicine
DVM RoundsApr 1, 2026

Lily Toxicity Cat Emergency Treatment

Alright, good catch. This is a time-critical toxicity and we need to move fast. Every minute we delay costs us nephrons. My immediate plan is aggressive decontamination and fluid

🆘 Emergency☠️ Toxicology🏥 Internal Medicine
DVM RoundsApr 1, 2026

Rat Poison Anticoagulant Rodenticide Dog

Alright, colleague, this is a classic and manageable scenario if we're aggressive upfront. Brodifacoum is a long-acting anticoagulant, so our main goals are immediate decontaminati

☠️ Toxicology🆘 Emergency
DVM RoundsApr 1, 2026

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