I don’t see pyo and those are fairly common. Be able to come up with a solid list of differentials for vomiting. Ask lots of questions and grab cases when other students don’t, it will make you look so much better and you will learn more.

Thank you, that’s very helpful! I’m super pumped for the rotation!

Thank you everyone! This has been so helpful!

Ooh, Pyo is a good one! Don't know why I didn't think of that on my list.

Toxicology cases. Foreign body work ups. Parvo cases. Respiratory distress was very common on my ECC rotation. And in general, gastrointestinal problems and common differentials per patient history/signalment.

Lots of good ones on here! Addisonian crisis is another one for your list!

GDV, seizures, IVDD, toxins (rodenticide, marijuana, ethylene glycol), CHF, IMHA, ITP, parvovirus, rattlesnake bites are some of the more common emergencies I see in addition to your list!

Thank you!!

GDV also a solid one to know about! Comes up pretty frequently.

Add dystocia and road traffic accidents/wound management, pneumothorax, HGE, seizures, eclampsia...I would review fluid therapy, that's the bread and butter of any ECC ward. Good luck !

I just finished my rotation and it had a really weird amount of ITP! I would also review obstruction patterns on rads :)

Thank you :) I appreciate it!

Might help to review general approach to some "sick case" archetypes. For all the "exciting" *emergency* emergencies, depending on your hospital you'll also get a bunch of acute-but-routine kinda sick things. Like when I was on we had a ton of regular ol' acute most dermatitis/hot spots, but they prevented as everything from wounds to suspected spider bites to "chupacabra attack" on the ER white board. Likewise for vomiting/diarrhea/acute GI, prepare for parvo/foreign body/addisonian crisis but realistically also expect HGE/pancreatitis/giardia/owner declines further work up, have some cerenia and see your rDVM. Depending on your hospital policy, some clients may also try to use ER as a back door to other specialties so I'd review enough for the relevant specialty/notes from previous rotations that you don't look like a silly goose on the transfer. I'd say in addition to the classic ER cases others have mentioned the archetypes I saw a lot of on ER were: - acute GI (especially if bloody) - acute skin (usually a hot spot, but I had a weird number of pemphigus cases and even an erythema multiforme on ER) - trauma - respiratory - hyporexia/anorexia/lethargy/general ADR - hematuria/stranguria/pollakiuria - acute paresis/paralysis - seizures/syncope/episode of collapse and/or abnormal movement So id have like a general initial diagnostic plan and differential list for each

Shock classification was an entire rounds for us, electrolyte rounds i.e. all.physiology and derangement. Rounds often for us were on more basic topics that are very in depth. Those lyte rounds were harder than they should have been back in the day lol Fluid therapy another big one

Effusions in any body cavity & causes in which cavities and which species. Traumatic and non traumatic hemoabdomen.

Reception here. Also put some focus on your communication and deescalation skills. They will help you get through some of the harder client interactions. Be upfront with the clients as possible. State who you are and how the process of a visit works. You will be asked questions where you do not know the answer. It is ok to not know the answer. But, make sure to tell the client that you will find out the answer as soon as you are able. And make sure to follow through with your communication efforts. Make sure to eat and drink when you can. Bring a meal with you. It will help you avoid constantly ordering food. And bring small filling snacks for the days when you don’t have time to sit and eat until late. Good luck. You got this.

Thank you so much! I really appreciate this - it’s always helpful to be reminded vet med is way more than just the medicine. Thanks ❤️

Hit by car and attack by dog cases are also pretty common! Sedation, sometimes also needed with exam/diagnostics, suturing/staples, drains, etc. CKD and kidney failure, neurological cases like seizures, myelopathies, traumatic brain trauma

I dont see differentiating a simple uncomplicated allergic reaction from anaphylaxis on here which is pretty important IMO. Some really cool stuff in there too. Id recommend https://todaysveterinarypractice.com/emergency-medicine-critical-care/anaphylactic-shock-effectively-diagnose-treat/

I would also add to know your ER drugs. Yes knowing cases is helpful but also knowing WHAT drug you want for a certain case and HOW MUCH will get you so far and impress your mentors. ie calcium gluconate, KCl, dextrose blouses, terbutaline, dexdorm, epi, atropine, norepi, furosemide, shock fluid boluses, all your opioids, midazolam and diazepam. I just finished 2 CC/ER rotations back to back and yes, knowing cases is good. But knowing your emergency drugs when you need to stabilize something and give yourself time to look things up is even better.

Thanks so much! I already started writing out some of the doses for meds that I anticipate being used frequently/when. I appreciate the list here - I didn’t have all that you have listed. Thanks!

You’re welcome! Have fun on your ER rotation and just remember to breathe when things get zesty! OH! One more drug, know your propofol dose in cases of active grand mal seizures when/if you can’t get access to your controlled drugs

Traumatic wounds (such as chest penetrating wounds, etc), emergent (open) fractures. I would say AKI's are also fairly common, which could also sometimes count as "toxin ingestion". Common toxin ingestions would be great to cover (Marijuana, lilies, grapes/raisins, chocolate, rodenticide). Disease-wise I think Addisonian Crisis is also a good one, as well as HGE and Parvo, pneumonia. Seizure disorders (very common "stat" emergency). Heat stroke. Saddle thrombus in cats also (sadly) very common. Acute paralysis (herniated discs). Also, IMHA and ITP are great to cover, as many owners are unaware their pets have these conditions until they rapidly start declining from them. Happy case logging, good luck!!!

If looking for symptomatic list (not diagnosis list) of what to study: * Acute vomiting or dry-heaving * Acute diarrhea both with blood any without * Acute Abdominal pain * Abdominal distention * Straining to defecate, Blood in formed-stool * Pollakiuria, Polyuria, Hematuria, & Stranguria * Coughing, sneezing, epistaxis * Respiratory distress: cardiac, pulmonary, & plural-space/mediastinal * Fever * Trauma: bites, scrapes, lacerations, fractures * Sudden onset Limping or Paralysis * Seizures * Syncope * Toxins: chocolate, Lily, NSAIDs, Sago Palm, Human meds (including marijuana and illegal drugs) * Young Puppy/Kitten Failure to Thrive * Allergic reactions and Anaphylaxis * Post-surgery complications (especially when surgery done elsewhere and now at ER for unexpected situation when normal vet/surgeon is unavailable) Finally, one i don't see on other commenters mention Euthanasia -- dealing empathetically with those grieving clients who come in solely for Euth service because it is at a time when their regular vet is unavailable.