犬猫的基本分诊：第二部分。
Basic triage in dogs and cats: Part II.
作者信息
Ilie Laura, Thomovsky Elizabeth
机构信息
Emergency and Critical Care, VCA Arboretum View Animal Hospital, 2551 Warrenville Road, Downers Grove, Illinois 60515, USA (Ilie); Veterinary Clinical Sciences, Purdue University, 625 Harrison Street, West Lafayette, Indiana 47907, USA (Thomovsky).
出版信息
Can Vet J. 2024 Mar;65(3):278-288.
BACKGROUND
Emergency cases can be presented at any time of the day or night. All small animal practitioners need to have the skills to triage and stabilize common emergency cases, even if cases are ultimately referred to another facility.
OBJECTIVE AND PROCEDURE
The second part of this 3-part review article series discusses animals that collapse at home as well as dogs and cats with bleeding. A stepwise approach to categorize and stabilize these cases is outlined, along with helpful tips to optimize the referral experience, if indicated.
RESULTS
Having a robust and methodical approach to animals that collapse is important for many emergency cases, as the causes and treatment methods vary. Bleeding can lead to acute death if left untreated and knowing the steps to stop bleeding is important for patient stabilization.
CONCLUSION AND CLINICAL RELEVANCE
Do not refer emergent cases before completing basic stabilization. Many emergency cases do not require emergent referral and can be worked up by the primary veterinarian or sent to a referral clinic on an appointment basis after appropriate stabilization steps have occurred.
背景
急诊病例可能在白天或晚上的任何时间出现。所有小动物从业者都需要具备对常见急诊病例进行分诊和稳定病情的技能，即使最终这些病例会被转诊至其他机构。
目的与步骤
这篇由三部分组成的综述文章系列的第二部分讨论了在家中突然倒下的动物以及出血的犬猫。文中概述了对这些病例进行分类和稳定病情的逐步方法，以及在必要时优化转诊流程的实用小贴士。
结果
对于许多急诊病例而言，采用强大且有条不紊的方法处理突然倒下的动物非常重要，因为病因和治疗方法各不相同。出血若不治疗可导致急性死亡，了解止血步骤对于稳定患者病情很重要。
结论与临床意义
在完成基本的病情稳定处理之前，不要转诊急诊病例。许多急诊病例不需要紧急转诊，可以由初级兽医进行检查，或者在采取适当的病情稳定措施后预约转诊至转诊诊所。
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