Journal of veterinary emergency and critical care最新文献

{"title":"RECOVER Guidelines: First Aid. Evidence, Treatment Recommendations, Knowledge Gap Analysis, and Clinical Guidelines for Acute Allergy and Anaphylaxis in Dogs and Cats","authors":"Jamie M. Burkitt-Creedon, Deborah C. Mandell, Vincent J. Thawley, Daniel J. Fletcher, Manuel Boller, Jonathan Ball, Corrin J. Boyd, Fiona J. L. Brown, Melissa Evans, Erik Fausak, Thomas Hackney, Jiwoong Her, Heather K. Moberly, Lee E. Palmer, Laura M. Rey, Amanda Witsil, Ivayla Yozova","doi":"10.1111/vec.70137","DOIUrl":"https://doi.org/10.1111/vec.70137","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To systematically evaluate relevant evidence, devise and present treatment recommendations, and identify and present critical knowledge gaps regarding treatment of uncomplicated allergic reaction and anaphylaxis in dogs and cats.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Standardized, systematic evaluation of literature pertinent to uncomplicated allergic reaction and anaphylaxis following Grading of Recommendations, Assessment, Development, and Evaluation methodology, modified for two clinical questions. Identified literature regarding prioritized questions in the Population–Intervention–Comparator–Outcome (PICO) format was reviewed independently by Evidence Evaluators, and findings were reconciled by Domain Chairs and Reassessment Campaign on Veterinary Resuscitation (RECOVER) Co-Chairs to arrive at treatment recommendations. This process used an evidence profile worksheet for each PICO question including an introduction, consensus on science, treatment recommendations, justification of recommendations, and knowledge gaps. Treatment recommendations underwent a 4-week comment period among international veterinary stakeholders prior to finalization. These 2026 RECOVER First Aid Guidelines: Acute Allergy and Anaphylaxis summarize treatment recommendations for dogs and cats.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Transdisciplinary, international collaboration in university, specialty, emergency, and general practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six PICO questions pertaining to uncomplicated allergic reaction and anaphylaxis were addressed in this subproject of the RECOVER First Aid Domain. These six PICO questions resulted in 12 treatment recommendations. All recommendations are supported by low or very low quality of evidence (7) or based on expert opinion (5). The RECOVER First Aid Acute Hypersensitivity Reaction Algorithm displays the flow of assessments and treatments for dogs and cats with uncomplicated allergic reaction and anaphylaxis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These 2026 RECOVER First Aid Guidelines: Acute Allergy and Anaphylaxis present a concise and comprehensive framework for recognizing and treating acute hypersensitivity in dogs and cats. However, meaningful uncertainty remains regarding optimal diagnosis and treatment of these conditions in dogs and cats, and high-priority knowledge gaps are presented to guide collaborative clinical research in th","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 S1","pages":"S63-S89"},"PeriodicalIF":1.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.70137","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issue Information - Prelim","authors":"","doi":"10.1111/vec.70161","DOIUrl":"https://doi.org/10.1111/vec.70161","url":null,"abstract":"","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 S1","pages":"S1-S2"},"PeriodicalIF":1.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.70161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RECOVER Guidelines: First Aid in Dogs and Cats. Evidence and Knowledge Gap Analysis With Treatment Recommendations","authors":"Vincent J. Thawley, Deborah C. Mandell, Jamie M. Burkitt-Creedon, Daniel J. Fletcher, Manuel Boller, Karen Anderson, Shannon Axiak Flammer, Fiona J. L. Brown, Rebekah Donaldson, Liz Guieu, Sonya C. Hansen, Bradley A. Harris, Amber R. Hart, Christina A. Hewes, Jodie L. Hughes, Kevin S. Kirchofer, Matthew Kornya, Genevieve C. Luca, Christina Maglaras, Duana McBride, Victoria S. Miller, Heather K. Moberly, Laura M. Rey, Kathryn Rhue, Elke Rudloff, Stefania Scarabelli, Kristin M. Smith, Tamara M. Swor","doi":"10.1111/vec.70139","DOIUrl":"https://doi.org/10.1111/vec.70139","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To systematically review the evidence on, to devise clinical recommendations for, and to identify critical knowledge gaps regarding the provision of first aid in dogs and cats.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Standardized, systematic evaluation of literature pertinent to first aid following Grading of Recommendations, Assessment, Development, and Evaluation methodology. Identified literature regarding prioritized questions in the Population–Intervention–Comparator–Outcome (PICO) format was reviewed independently by Evidence Evaluators, and findings were reconciled by Domain Chairs and Reassessment Campaign on Veterinary Resuscitation Co-Chairs to arrive at treatment recommendations commensurate with the quality of evidence and feasibility. This process was implemented using an evidence profile worksheet for each PICO question, including an introduction, consensus on science, treatment recommendations, justification of recommendations, and knowledge gaps. Treatment recommendations underwent a 4-week comment period among international veterinary stakeholders prior to finalization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Transdisciplinary, international collaboration in university, specialty, emergency, and general practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Sixteen PICO questions pertaining to first aid were addressed in this project. We separated 10 general first aid scenario PICO questions from those pertaining to allergy and anaphylaxis, reported elsewhere. These main first aid PICO questions resulted in 38 treatment recommendations regarding a variety of conditions for which prehospital care may improve morbidity and mortality in dogs and cats. Many recommendations are supported by low or very low quality of evidence (15) or based on expert opinion (18).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Uncertainty remains regarding optimal ways for bystanders to recognize specific conditions and provide first aid in the prehospital setting to dogs and cats. However, through comprehensive evidence evaluation and a consensus process that included considerations of safety and feasibility, the resulting treatment recommendations lay the foundation for clear, actionable guidance in small animal first aid. Additionally, a list of high-priority knowledge gaps was identified to guide collaborative clinical research to overcome a significant deficit in veterinary literature.</p>\u0000 ","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 S1","pages":"S3-S35"},"PeriodicalIF":1.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.70139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RECOVER Guidelines: First Aid for Dogs and Cats. Clinical Guidelines","authors":"Deborah C. Mandell,&nbsp;Vincent J. Thawley,&nbsp;Jamie M. Burkitt-Creedon,&nbsp;Daniel J. Fletcher,&nbsp;Manuel Boller,&nbsp;Erik Fausak","doi":"10.1111/vec.70138","DOIUrl":"https://doi.org/10.1111/vec.70138","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To present evidence- and consensus-based guidelines for prehospital first aid in dogs and cats.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Prioritized clinical questions pertaining to first aid posed in the Population–Intervention–Comparator–Outcome (PICO) format were used to inform systematic literature searches by information specialists, which facilitated extraction of research findings from relevant publications and these findings’ synthesis into evidence. This evidence was assessed for quality and used to draft treatment recommendations. These steps were followed by an international commenting period for veterinary professionals prior to finalization. These 2026 RECOVER First Aid Guidelines summarize treatment recommendations enabling veterinary professionals to provide clear, actionable instructions to animal owners, handlers, and paraprofessionals in the prehospital setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Transdisciplinary, international collaboration in university, specialty, emergency, and general practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 10 PICO questions pertaining to first aid in dogs and cats were addressed in the main portion of this project. This resulted in 38 treatment recommendations covering a variety of conditions for which timely aid in the prehospital setting may improve morbidity and mortality outcomes in dogs and cats. Conditions included heat stroke, choking, burns, noncaustic toxin ingestion, hypoglycemia, and severe extremity bleeding, among others. One main and four condition-specific RECOVER First Aid Recognize and Act Algorithms display the flow of assessments and actions bystanders may use to help distressed animals outside the clinical setting. Six additional instructional figures can be used to teach small animal owners, handlers, and paraprofessionals to provide first aid.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These 2026 RECOVER First Aid Guidelines present a concise and comprehensive framework for first aid provision for dogs and cats in the prehospital setting. These works serve to support veterinary professionals, educational systems, and research initiatives in conducting, implementing, and advancing the provision of first aid in dogs and cats.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 S1","pages":"S36-S62"},"PeriodicalIF":1.6,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.70138","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148811248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Xenotransfusion in an African Pygmy Hedgehog (Atelerix albiventris) Using Whole Blood From a Domestic Cat (Felis catus)","authors":"Hannah Kunzman,&nbsp;Sue Chen,&nbsp;Rebecca Salazar,&nbsp;Heidi Hottinger","doi":"10.1111/vec.70133","DOIUrl":"10.1111/vec.70133","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe the diagnosis, management, and outcome of a hedgehog that received a xenotransfusion of type A feline whole blood for treatment of severe anemia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Summary</h3>\u0000 \u0000 <p>A 1-year-old female hedgehog was presented for hematuria and hyporexia. A firm, immobile mass was palpated within the caudal abdomen in the region of the uterus and urinary bladder. Focal ultrasound of the reproductive tract was suspicious for pathology within the uterus. The hedgehog was anemic with a PCV of 14% and total plasma protein concentration of 60 g/L (6.0 g/dL). A modified slide crossmatch using whole blood from the hedgehog and a feline donor was performed, showing no signs of agglutination. After this, a xenotransfusion of feline blood was performed before and during ovariohysterectomy surgery. The hedgehog recovered from surgery and anesthesia well. Subsequent PCVs were 14% at 48 h and 7% at 72 h posttransfusion. Complete blood count showed a strongly regenerative anemia. Clinically, the hedgehog had pink mucous membranes and was maintaining energy levels and appetite. The hedgehog was discharged 4 days after initial presentation. The PCV was 44% at the hedgehog's 2-week recheck examination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> New or Unique Information</h3>\u0000 \u0000 <p>This is the first report of a xenotransfusion of feline whole blood to a hedgehog. Although the hedgehog in this case had a positive outcome, xenotransfusion should be used with caution and only when species-specific blood is not available. Blood transfusions can be a life-saving procedure in small mammals and should be considered for immediate, short-term stabilization in severely anemic hedgehogs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 4","pages":"567-570"},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Septic Shock and Prognosis in Dogs and Cats With Sepsis—Consensus Definition and Clinical Criteria","authors":"Robert Goggs,&nbsp;Stefano Cortellini,&nbsp;Amy E. DeClue,&nbsp;Massimo Giunti,&nbsp;Kate Hopper,&nbsp;Julie M. Menard,&nbsp;Rodrigo C. Rabelo,&nbsp;Elizabeth A. Rozanski,&nbsp;Claire R. Sharp,&nbsp;Deborah C. Silverstein,&nbsp;Virginia Sinnott-Stutzman,&nbsp;Giacomo Stanzani,&nbsp;John Bourgeois,&nbsp;Erik Fausak","doi":"10.1111/vec.70130","DOIUrl":"10.1111/vec.70130","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Death from sepsis results from progressive organ dysfunction. Early recognition of increased illness severity or deterioration in clinical status enables timely interventions that can improve outcomes. We aimed to define septic shock by consensus and to use the existing literature to identify associated clinical and clinicopathologic abnormalities that would aid rapid identification of the most severely affected patients. We systematically reviewed the available data on sepsis in dogs and cats to identify factors that were predictive of multiple organ dysfunction or mortality. Septic shock was defined as a subset of sepsis with increased mortality, associated with cardiovascular instability and metabolic abnormalities indicative of impaired tissue perfusion despite adequate fluid resuscitation. Clinically, septic shock can manifest as hyperlactatemia, persistent hypotension, and progressive organ dysfunction. For the assessment of prognosis in dogs, we suggest scoring organ dysfunction and illness severity using validated instruments, and measuring objective physiologic parameters, lactate, and ionized calcium, and performing CBCs and serum biochemistry profiles. Where available, serial measurements of protein C and antithrombin activity, and quantitation of acute phase proteins and cytokine concentrations, should be considered. Fewer data were available for cats, and although many similar conclusions were reached as for dogs, only limited recommendations could be made.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 4","pages":"470-488"},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.70130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Manual Therapeutic Plasma Exchange Technique as a Successful Treatment for Postattenuation Neurological Signs (PANS) in a Dog","authors":"Marcos Fumero-Hernández,&nbsp;Marta Ribas,&nbsp;Patricia Bou,&nbsp;Carlos Torrente,&nbsp;Luis Bosch","doi":"10.1111/vec.70144","DOIUrl":"10.1111/vec.70144","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate and describe the therapeutic potential of manual plasma exchange for controlling seizures and neurologic dysfunction in a dog with postattenuation neurologic signs (PANS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Case Summary</h3>\u0000 \u0000 <p>A 4-year-old neutered female Yorkshire Terrier was initially diagnosed using computed tomography with a congenital extrahepatic portosystemic shunt involving the left gastric and azygos veins. After diagnosis, surgical correction of the anomaly was performed without complications, and the patient was discharged. However, within 48 h of surgery, the dog developed a neurologic condition characterized by generalized tonic-clonic seizures that were poorly responsive to medical treatment. Given the timing and progression of clinical signs despite medical therapy, and after ruling out hepatic encephalopathy as a likely cause, a presumptive diagnosis of PANS was established. A modified, manual therapeutic plasma exchange (MTPE) technique was successfully performed over an 8-h period with minimal complications. After the procedure, marked clinical improvement was observed, with resolution of neurologic signs, and the patient was discharged without further procedure-related complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> New or Unique Information Provided</h3>\u0000 \u0000 <p>PANS has been described in veterinary medicine in both dogs and cats, although its etiology and treatment remain poorly understood. This report describes the use of MTPE as a therapeutic approach, yielding promising results. To the authors’ knowledge, this is the first documented use of MTPE for this condition in dogs, with previous reports limited to a single case in a cat.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 4","pages":"551-556"},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.70144","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Issue Information - Prelim","authors":"","doi":"10.1111/vec.70078","DOIUrl":"https://doi.org/10.1111/vec.70078","url":null,"abstract":"","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 4","pages":"437-440"},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.70078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148783965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sepsis in Dogs and Cats—Consensus Definition and Clinical Criteria","authors":"Robert Goggs,&nbsp;Stefano Cortellini,&nbsp;Amy E. DeClue,&nbsp;Massimo Giunti,&nbsp;Kate Hopper,&nbsp;Julie M. Menard,&nbsp;Rodrigo C. Rabelo,&nbsp;Elizabeth A. Rozanski,&nbsp;Claire R. Sharp,&nbsp;Deborah C. Silverstein,&nbsp;Virginia Sinnott-Stutzman,&nbsp;Giacomo Stanzani,&nbsp;John Bourgeois,&nbsp;Erik Fausak","doi":"10.1111/vec.70129","DOIUrl":"10.1111/vec.70129","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Sepsis is the clinical syndrome that results from the host response to severe or widespread infection and is a frequent cause of death in veterinary critical care settings. Rapid diagnosis aids early treatment initiation, and hence, how sepsis is defined and identified clinically has implications for patient outcomes. Recent changes in the definitions of sepsis in human adult and pediatric patients have reduced the alignment of veterinary sepsis definitions with those in human medicine. We defined sepsis in cats and dogs by consensus and systematically reviewed the veterinary evidence to make recommendations for clinical identification of sepsis in small animals. We define sepsis as the life-threatening syndrome associated with a dysregulated host response to infection, resulting in organ dysfunction. We recommend that, in dogs and cats with infection, identification of organ dysfunction is required for the diagnosis of sepsis. We recommend that a formal illness severity assessment be performed using validated, structured scores and that measurements of the requisite physiological and laboratory parameters be undertaken to enable identification of organ dysfunction or score calculation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 4","pages":"445-469"},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.70129","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality Improvement: Evaluation of Team Communication Openness in Specialty and Emergency Veterinarians Who Regularly Use Communication Tools","authors":"Richard H. Stone,&nbsp;Jennifer A. Adler,&nbsp;Melinda J. Larson,&nbsp;Lenore M. Bacek,&nbsp;Michael A. Rosen,&nbsp;Rochelle M. Low,&nbsp;Yea-Jen Hsu,&nbsp;Albert W. Wu","doi":"10.1111/vec.70134","DOIUrl":"10.1111/vec.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine whether the regular use of structured communication tools is associated with greater communication openness among small animal specialty practitioners and emergency providers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A cross-sectional, anonymous, and voluntary survey of veterinary providers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Two hundred forty-seven survey responses were received across three specialty veterinary college email listservs, including the American College of Veterinary Surgeons, the American College of Veterinary Internal Medicine, and the American College of Veterinary Emergency and Critical Care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Measurements and Main Results</h3>\u0000 \u0000 <p>Descriptive statistics were used to determine respondents’ awareness and use of communication tools, as well as perceptions of team communication openness. Most respondents (<i>n</i> = 201 [85.9%]) were unaware of Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS). Less than one-third (<i>n</i> = 72 [30.8%]) reported that they or one of their colleagues had undergone formal training to enhance teamwork and communication in the hospital. Despite not being aware of specific TeamSTEPPS communication tools when referred to by name, many reported the use of communication tools when descriptions were provided. The call out, Situation–Background–Assessment–Response (or similar method), and handoff were the most commonly used communication tools. The debrief and huddle were the least frequently used at a regular interval. The check back and brief were variable in their frequency of use. Multivariable ordinal logistic regression analysis of communication tool utilization and communication openness found that frequent use of structured communication tools was associated with respondents reporting greater team communication openness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Awareness of specific TeamSTEPPS communication tools was low among specialty and emergency veterinarian respondents; however, many respondents reported consistent use of analogous structured communication techniques. Frequent use of structured communication tools was associated with communication openness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":17603,"journal":{"name":"Journal of veterinary emergency and critical care","volume":"36 4","pages":"503-514"},"PeriodicalIF":1.6,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/vec.70134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148564021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}