Save a Life:
Learn Animal CPR
This information is provided by: L.H. Feldman, DVM & H.J. Feldman, MA EMT-M. Dr. Feldman is a Massachusetts and New York Licensed Veterinarian and a member of the Veterinary Emergency and Critical Care Socitey.
A. Airway
The first step in animal CPR after determining non-responsiveness, is to obtain a patent airway. You should not continue on, until this step has be achieved.

1. Carefully pull the tongue out of the animal's mouth.
Warning: even an unresponsive dog may bite by instinct!!!

2.
Make sure that the neck is reasonably straight; try to bring the head in line with the neck. Warning: Do not hyperextend in cases where neck trauma exists.

3. Attempt two rescue breaths, by closing the mouth, and performing mouth to nose ventilations. If they go in with no problems continue to B-BREATHING.

4. Reposition the neck and try step 3 again.

5. Visibly inspect the airway by looking into the mouth and down the throat for foreign objects occluding the airway. Unlike human CPR, rescuers may reach into the airway and remove foreign objects that are visible.

6. Proceed to the Heimlich maneuver.

A. HEIMLICH
After attempting to ventilate:

1. Turn the animal upside down, with its back against your chest.

2. With both arms, give 5 sharp thrusts (bear hugs) to the abdomen, Perform each thrust as if it is the one that will expel the object.

3. Stop, check to see if the object is visible in the airway, if so, remove it and give 2 mouth - nose rescue breaths. If the breaths do not go in, go back to step 1.

Do not proceed with CPR, even if the animal goes into cardiac arrest. You must clear the airway first!


B-BREATHING

1. After achieving a patent airway, one must determine whether the animal is breathing and whether this breathing is effective:

2. Carefully pull the tongue out of the animals mouth.
Warning: even an unresponsive dog may bite by instinct!!!

3. Make sure that the neck is resonably straight; try to bring the head in line with the neck. Warning: Do not hyperextend in cases where neck trauma exists.

4. Ventilate the animal by closing the mouth and performing mouth to nose ventilations. If they do not go in with ease go to A. AIRWAY.

5. Ventilate at 20 breaths per minute. If supplemental oxygen is available, and the animal is breathing on its own, use a high-flow blowby.



C. CIRCULATION

This is the final step of CPR and should only by initiated after the airway and breathing steps have been completed:

1. Make sure that there are no major points of bleeding.
2. Lay the animal on its right side.
3. Locate your hands where its left elbow touches the chest. Approximately the middle of the rib-cage.
4. Compress the chest 15 times followed by 2 rescue breaths (3 compressions every 2 seconds).
5. Repeat as necessary.


E. EXTRA

During an emergency it is very important that you remain calm. Animals can sense your unease, but cannot understand what is happening and you cannot verbally tell them. Your body language is very important. Be calm, yet deliberate in your actions.

When you determine that you either have corrected the life-threatening problem, or are unable to stabilize the animal, you should transport to the nearest emergency veterinary hospit.

Notify your emergency clinic that you are coming in with a dog in respiratory arrest with a foreighn body airway obstruction and /or cardiac arrest.

Give them the following information via phone if possible:
- your name
- your ETA
- steps taken (CPE, O2....)
- breed/size
- what the suspected foreign object is
- if a poison or medication has been ingested
- mechanism of injury (hit by car....)
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