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Save a life...

At the request of several users, vets Lori H. Feldman, DVM and Henry J. Feldman MA EMT-M have written an easy-to-use Animal CPR brochure primarily aimed at Emergency Medical Personnel and others who may encounter animals in arrest and translated it into the simple web page below. Using the techniques described here, you could save the life of a dog (or other animal) that has stopped breathing. You can make a copy for yourself and/or your club but the Feldmans ask that you do not modify the contents but feel free, however, to give links/printouts to anyone.

1. 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 been 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.

2. Heimlich

After attempting to ventilate:

1. Turn the animal upside down, with its back against your chest
2. With both arms, give five (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 two 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.

3. 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 animal's mouth.
   WARNING: even an unresponsive dog may bite by instinct!
3. 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.
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.
   WARNING: Do not attempt to intubate the animal, without prior training, and properly sized ET tubes.
6. Proceed to C-Circulation, while continuing respiratory support as necessary.

4. Circulation

1. Make sure that there are no major (pooling/spurting blood) points of bleeding. Control as necessary.
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 two rescue breaths (three (3) compressions every two (2) seconds)
   Compress.
   • 1/2in - Small dogs
   • 1in - Medium dogs
   • 1.5in - Large dogs
5. Repeat as necessary

Important: Animals do not have palpable carotid pulses. You can only obtain a femoral pulse in the inguinal crease. (Palpate carefully on a conscious dog!)

5. 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 hospital.

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

Give them the following information via phone if possible:

• Your name
• Your ETA
• Steps taken (CPR, O2...)
• Breed/size
• If a foreign body, what the suspected object is
• If a poison or medication has been ingested
• Mechanism of injury (hit by car...)

For more information, please send mail to henryhbk@aol.com.

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