Page 261 - ATP-P 11th Ed

K9 TRAUMA MANAGEMENT PROTOCOL

SPECIAL CONSIDERATIONS
1. Control bleeding first based on K9-TCCC standards and guidance for humans.
2. Follow K9 M ARCH E protocol
2
2

Signs and Symptoms for Shock
1. Pale color in gums, capillary refill time greater than 2 seconds
2. Dry lips and gums, dehydration SECTION 2
3. Excessive drooling in some poisoning cases
4. Weak femoral pulse
5. Rapid heart rate of 150–200 beats per minute
6. Cool extremities
7. Hyperventilation, rapid breathing generally over 25 breaths per minute (panting may or
may not be normal)
8. Confusion, restless, anxiousness
9. General weakness
Advanced Stages of Shock
1. Continued depression and weakness to the point of not being able to move or becoming
unresponsive or unconscious
2. Dilated pupils
3. Capillary refill time greater than 4 seconds
4. White mucus membranes
5. Rectal temperature below 98° F (37° C)
Management
1. Treat per MARCHE Protocol.
2. Muzzle, Massive hemorrhage: Control bleeding per TCCC standards, Morphine.
a. Muzzle: Do not apply a muzzle if dog is in respiratory distress.
b. Massive hemorrhage: Control bleeding with direct pressure and pressure
dressings. Tourniquets are not as effective in dogs due to anatomical differences. All
hemostatic agents used in humans are safe for use in dogs.
c. Morphine: 10–30mg IM. May cause vomiting and respiratory depression. Use
®
naloxone (Narcan ) (0.02mg/kg) for reversal if necessary.
3. Airway
a. An injured dog or an animal in shock may not recognize you. The dog may bite you
out of pain or fear. If the dog is having trouble breathing or panting heavily, DO

250 SECTION 2 TACTICAL MEDICAL EMERGENCY PROTOCOLS (TMEPs) ATP-P Handbook 11th Edition 251