VetEmCrit: The Veterinary Emergency & Critical Care Podcast

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode of Wheeler the Healer: Small Animal Emergency and Critical Care, Lance Wheeler, DVM, DACVECC explores patient suffering in the veterinary ICU and reframes it as both an ethical and physiologic problem rather than simply an emotional one. Inspired primar...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together:  https://academy.vetemcrit.com/join In this episode, Dr. Igor Yankin, DACVECC introduces the new Arterial Blood Gas Analyzer inside the VetEmCrit Academy - a tool built around the question every dyspneic patient forces on you at the cage side: are the lungs failing, is this patient simply not venti...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join This episode explains interstitial edema as altered tissue fluid traffic rather than simply “too much fluid.” It reviews classic and revised Starling physiology, emphasizing the endothelial glycocalyx, sub-glycocalyx space, lymphatic drainage, and why fluid usually ret...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, Dr. Lance Wheeler, DVM, DACVECC tackles the number we take on every single patient and misread more often than any other - body temperature, and the fork in the road between true fever and nonfebrile hyperthermia. Drawing from Chapter 10 of Small Anima...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, Dr. Lance Wheeler, DVM, DACVECC tackles the vascular structure we damage constantly and almost never measure - the endothelial surface layer, and why a patient's blood pressure can look better while the microcirculation is still a disaster. Drawing fro...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, Dr. Lance Wheeler, DVM, DACVECC tackles the therapy we reach for most reflexively and titrate least carefully - oxygen, and what happens when the dose we give exceeds the dose the patient actually needs. Drawing from Chapter 8 of Small Animal Critical...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, Dr. Lance Wheeler, DVM, DACVECC tackles the syndrome that turns a sick patient into a dying one - systemic inflammation, sepsis, and multiple organ dysfunction, where the host's own response does as much damage as the infection itself. Drawing from Cha...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, Dr. Lance Wheeler, DVM, DACVECC tackles one of the most fundamental and time-sensitive syndromes in emergency and critical care - shock, a leading pathway to organ failure and death when it isn't caught early. Drawing from Chapter 6 of Small Animal Cri...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, Dr. Igor Yankin, DVM, DACVECC tackles one of the highest-stakes neurologic emergencies on the floor - status epilepticus and cluster seizures in dogs and cats, where every minute of ongoing seizure activity drives accumulating neuronal injury. Built en...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, Dr. Lance Wheeler, DVM, DACVECC tackles what happens after the pulse comes back - post-cardiac arrest care, one of the most complex and high-stakes phases of critical illness. Drawing from Chapter 5 of Small Animal Critical Care Medicine (3rd edition)...

The VetEmCrit Academy built for ER and ICU vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, Dr. Lance Wheeler, DVM, DACVECC tackles one of the highest-stakes situations in emergency and critical care - cardiopulmonary arrest and resuscitation. Drawing from Chapter 4 of Small Animal Critical Care Medicine (3rd edition) by Daniel Fletcher and M...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together:  https://academy.vetemcrit.com/join This episode reviews three papers: radiographic guidelines for confirming NG/NE tube placement in dogs and cats, the effect of operator experience on pericardiocentesis adverse events, and a retrospective evaluation of lyophilized platelet use in dogs — with practical cl...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, Dr. Lance Wheeler, DVM, DACVECC continues building on the previous episodes' triage and serial-assessment foundations and shifts the focus to one of the most consequential physiologic systems in emergency and critical care — hemostasis. Drawing from Chapter 3...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together:  https://academy.vetemcrit.com/join In this episode, Dr. Lance Wheeler, DVM, DACVECC builds on the previous episode's triage discussion and shifts the focus to one of the most underappreciated skills in modern emergency and critical care — the daily physical examination of the critically ill patient. Drawi...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together:  https://academy.vetemcrit.com/join This episode is a free preview of what VetEmCrit Academy members get every month — in-depth journal clubs, case-based simulators, algorithms, and practical teaching tools designed for emergency and critical care veterinary professionals. In this episode, we break down fo...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join This is the first episode in a new long-form series by Dr. Lance Wheeler, DVM, DACVECC, working systematically through the core topics in small animal emergency and critical care medicine - starting with the foundations and building toward the more advanced concepts. The serie...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together:  https://academy.vetemcrit.com/join Welcome back to the VetEmCrit Podcast! Today, we are sharing a special sneak peek from our brand-new "Nontraditional Acid-Base Analysis" training, now available inside the VetEmCrit Academy. In this audio lesson, we are exploring the fascinating origins of the Stewart ap...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together:  https://academy.vetemcrit.com/join This episode covers hypercoagulability in veterinary patients, framed around Virchow's Triad — blood stasis, vessel wall injury, and hypercoagulability. It clarifies that hypercoagulability increases thrombosis risk but isn't the same as thrombosis itself, and that norma...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join This episode covers how to recognize shock in dogs and cats. Learn how to perform a rapid primary survey, evaluate the six core perfusion parameters, and use supplemental data (lactate, shock index, blood pressure) to confirm your diagnosis. Through two real-world case example...

In this episode, we explore a recent study examining the impact of pericardiocentesis on hemodynamic parameters and the caudal vena cava-to-aorta (CVC-to-Ao) ratio in dogs. The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join

The VetEmCrit Academy Membership built for ER vets who want to grow, level up, and learn together: https://academy.vetemcrit.com/join In this episode, we explore the benefits of early ultrasound screenings in detecting intestinal dehiscence after surgery in dogs and cats. We'll dive into a study that evaluated 114 cases, demonstrating how early ultrasounds can potentially save lives by identifying...

The VetEmCrit Academy Membership built for ER vets who want to grow, level up, and learn together:  https://academy.vetemcrit.com/join In this episode, we delve into the prognosis of colonic torsion in dogs. Historically, this condition had a poor outlook, but recent advancements in surgical management have led to improved outcomes. We analyze a study reviewing 28 cases, discussing clinical s...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together: The VetEmCrit Academy Membership - https://academy.vetemcrit.com/join In this episode, we explore a study on preventing hypothermia in small dogs during surgery by using an easy and affordable method: wrapping their limbs with polyester covers. Hypothermia is a significant risk during anesthesia, particularly f...

The VetEmCrit Academy built for ER vets who want to grow, level up, and learn together:  The VetEmCrit Academy Membership   -  https://academy.vetemcrit.com/join In this episode, we delve into the rare condition of gastrointestinal pneumatosis in dogs and cats. Learn about the causes, medical and surgical treatment options, and prognosis based on the latest research, including a rec...

The VetEmCrit Academy Membership   -  https://academy.vetemcrit.com/join In this episode, we delve into the complex case of Boris, a six-month-old kitten with a traumatic brain injury after being kicked by a goat. Boris faced multiple challenges, including hypernatremia (elevated sodium concentration) and hyperglycemia (high blood glucose). We discuss Boris's initial presentation, diagno...