![]() Excessive movement can cause a partial injury to become a permanent injury. 1 Focus on initial resuscitation and stabilization, but constantly consider potential neurological injuries. Maintain a high index of suspicion! 40-50% of MWDs with ASCI have concurrent injury elsewhere that may be more life-threatening. Anticipate these injuries in MWDs exposed to building collapses, blast, and ballistics injuries.Īssume ASCI is present in every MWD trauma patient until proven it is not present. However, some CNS injuries are recoverable, so efforts to evaluate MWDs with TBI and ASCI should be made to determine the severity of injury and potential for successful outcome. Caring for affected MWDs is daunting and can tax resources. These injuries are often catastrophic, with poor long-term outcome. Traumatic brain injury (TBI) and acute spinal cord injury (ASCI) are uncommon in MWDs. Direct communication with a US military veterinarian is essential before considering surgical management, and during and after surgery, to optimize outcome. Emergent surgical management should be considered only in Role 2 or higher medical facilities and by trained surgical specialists with adequate staff.The provider has the necessary support staff, facilities, and monitoring and intensive care facilities to manage the post-operative MWD without compromising human patient care.The provider feels there is a reasonable likelihood of success.The provider has the necessary advanced surgical training and experience.Emergent surgical management of injured MWDs may be necessary by HCPs to afford a chance at patient survival.Routine medical, dental, or surgical care is not to be provided by HCPs. HCPs should only perform medical or surgical procedures – within the scope of their training or experience – necessary to manage problems that immediately threaten life, limb, or eyesight, and to prepare the dog for evacuation to definitive veterinary care. ![]() Care by HCPs is limited to circumstances in which the dog is too unstable to transport to supporting veterinary facilities or medical evacuation is not possible due to weather or mission constraints immediate care is necessary to preserve life, limb, or eyesight and veterinary personnel are not available.The reality is that HCPs will routinely manage working dogs in emergencies before they are ever seen by veterinary personnel. However, HCPs are often the only medical personnel available to MWDs that are critically ill or injured. Veterinary care is established at multiple locations throughout theater, and the veterinary health care team is the MWD’s primary provider. ![]()
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