Top 5 Emergency

Re: Top 5 Emergency

Bob Russell — Wed, 31 Aug 2011 13:13:03 GMT

Power cut so cannot make coffee

No milk so cannot have tea or coffee

No coffee so have to have tea

Wrong coffee blend

Only decaff coffee left

This is in order of severity of emergency/crisis

Re: Top 5 Emergency

Utlendigur — Tue, 30 Aug 2011 21:39:02 GMT

[quote user="Martin Atkinson"]This morning: all nurses called in sick or on leave, had to get the wife to do morning reception with a half hour crash course on how to use the computer and credit card machine[/quote]

Reminded me a bit of one of my early years in practice when someone had booked a pot-bellied pig in for castration. Conversation went a bit like

"What do we GA it with?"

"Don't know, what does it say in the book?"

"What book? We haven't got one on pigs"

Bit of scratching of heads later, I had a brainwave and "phoned home"

"Mum, can you look in that box of folders in the garage, there should be a blue one....."

So the GA was performed on instructions relayed over the phone by a retired hairdresser

Re: Top 5 Emergency

Marie Kubiak — Tue, 30 Aug 2011 21:34:53 GMT

The no biscuits/tea is the biggest crisis I have to face, fortunately not too often though.

Clinical emergencies faze me less than lack of caffeine but I guess mine are a bit off the beaten track:

1) Fluffed up/weak birds with non-specific signs

2) Anorexic rabbits

3) Falcon fractures

4) Dyspnoeic birds

5) Neuro birds

reptiles have the decency to rarely be emergencies and just take their time. Everything else decides to get ill quickly and be really vague with its clinical signs....

Re: Top 5 Emergency

Luciano Nebiante PGCertSAS — Tue, 30 Aug 2011 21:27:46 GMT

Martin, I think your wife deserve a prize for that emergency!

Re: Top 5 Emergency

Martin Atkinson — Tue, 30 Aug 2011 19:28:29 GMT

Milk has gone sour

No crisps eat with my sandwich

No cake OR biscuits

Cake/sandwich shop has shut

This morning: all nurses called in sick or on leave, had to get the wife to do morning reception with a half hour crash course on how to use the computer and credit card machine - now that's a REAL emergency.

Re: Top 5 Emergency

Tanya Fielding — Sun, 28 Aug 2011 10:15:12 GMT

You seem to have missed out no chocolate biscuits left,

Re: Top 5 Emergency

Michael Woodhouse — Sat, 27 Aug 2011 22:22:57 GMT

[quote user="Luciano Nebiante"]What is your top 5 of emergency cases in your daily practice?[/quote]

Define 'emergency'. They are very very rare, in terms of something that needs dealing with in the next hour. If it won't last an hour you're unlikely to save it.

The lack of coffee worries me the most. Although the dental scaler is handy you can do an adequate job with a hand scraper.

Re: Top 5 Emergency

Luciano Nebiante PGCertSAS — Sat, 27 Aug 2011 19:06:51 GMT

Emergencies like we know and recognize are not like the ones perceived from clients!

So everyone can list her\his own top 5 emergency, doesn't matter how you will do. But I think we should

take into consideration also what the clients think, because anyway they are asking to rush into the practice and to be seen

asap.

So a balance of both real and perceived emergencies would be good. Or better list your real top5 and your clients top5.

That will be really interesting!

Plantagenet: you seem a keen poison expert! Remind me to not come in that area please!

Robin: you list is interesting. I add my own: ready for a dental, dog\cat under GA -> scaler decides to not work for the day!

Luciano

Re: Top 5 Emergency

Robin Grimmer — Sat, 27 Aug 2011 18:41:05 GMT

1 Running Out of Coffee

2 Noone's had time to do the cake run.

3 Computers crashed (again!)

4 The air-conditioning has broken.

5 Someone wants a PTS visit in the middle of evening surgery on a Friday.

Re: Top 5 Emergency

plantagenet — Sat, 27 Aug 2011 18:33:24 GMT

Poisonings - masses of them : chocolate, rat poison, mycotoxins (several - very dramatic) owner's parkinson's drugs, whole tub of rimadyl palatable..... It must be the location. I couldn't survive without VPIS

Re: Top 5 Emergency

Clive Ansell — Sat, 27 Aug 2011 18:22:59 GMT

Depends what you mean by emergency? most "emergencies" are not at all. I did an emergency burring of a rabbits incisors Wednesday night! -client rang up though rabbit was dying, when she arrived (90 mins later) she just wanted his incisors burring before going on holiday at 0700 the next day! I would have said rebook or charge an OOH supplement, but was outvoted.

1. RTA's

2. dyspnoea

3.urethral obstruction in cats

4. medical emergencies; addisonian crisis, acute and severe pancreatitis etc.

5. life threatening haemorrage (internal or external)

I have not included bites, fights, lameness etc as they are almost always not emergencies.

Re: Top 5 Emergency

Jillian Hall — Sat, 27 Aug 2011 17:22:08 GMT

1) Non-emergencies i.e dog crying in pain, something stuck in throat etc etc but better by the time they arrive.

2) RTAs

3) Splenic bleeds

4) Urethral obstructions

5) Fights/Bites. (if you include all cat bites this would go to number 1 - but the majority obviosuly don't present as emergencies.)

Re: Top 5 Emergency

Luciano Nebiante PGCertSAS — Sat, 27 Aug 2011 15:46:14 GMT

Is your list in order of frequency? I forgot to say I meant in order of frequency.

Thanks,

Luciano

Re: Top 5 Emergency

Stephen Courtney — Sat, 27 Aug 2011 15:37:22 GMT

1. Road traffic accidents

2.Urethral obstruction in cats

3. Fights and bites

4. Medical - pancreatitis, addisons, anaemias etc

5. Gastric dilatation/volvulus

And there's bound to be something I've forgotten.....