02/05/2026
No two days are ever the same for us.
We’ve had a full spectrum — from routine health consults, rabies vaccinations, and dentistry on the home visit side, to complex, high-dependency transfers for our ambulance team.
A critically unwell Jack Russell 🐾
We were called to assist with the transfer of a very poorly little Jack Russell.
He had presented with seizure-like activity, collapse, and episodes of regurgitation. Clinical findings raised strong concern for acute kidney injury (AKI) — a sudden decline in kidney function where the kidneys are no longer able to effectively filter waste products, regulate electrolytes, or maintain fluid balance. This can develop rapidly and, without intervention, becomes life-threatening.
Two primary differentials were at the forefront:
🐕Leptospirosis — a serious, zoonotic bacterial disease caused by Leptospira species.
The disease is most commonly spread through contact with urine from infected animals (often rodents), contaminated water, or environments such as stagnant puddles or soil. The bacteria enter through mucous membranes or broken skin.
It can cause severe kidney and liver failure and poses a risk to humans as well as other animals.
🐕Ethylene glycol poisoning — ingestion of antifreeze or similar substances.
Once metabolised, it produces toxic compounds that cause irreversible kidney damage.
Early signs can mimic intoxication (wobbliness, depression), progressing rapidly to kidney failure.
This is a true emergency; treatment must begin within hours and may include antidotes, fluid therapy, and in severe cases, dialysis.
At the referring hospital, he had already received extensive care including seizure management, blood testing, intravenous fluids, feeding tube placement, and a central line — a long, sterile catheter placed into a large vein (often the jugular), allowing reliable delivery of medications, fluids, and nutritional support, as well as blood sampling.
Despite this, his condition remained critical, and the decision was made to transfer him for dialysis — a highly specialised treatment that temporarily performs the function of the kidneys by filtering toxins from the blood.
That’s where we stepped in.
Due to the suspected leptospirosis, full barrier nursing protocols were essential — PPE, strict hygiene control, and containment procedures to protect both our team and prevent any potential disease transmission.
We maintained his anti-seizure medication via a constant rate infusion (CRI) — a controlled, continuous delivery of medication through a syringe pump to ensure stable drug levels and consistent effect, particularly important in seizure control.
He was carefully secured in our ambulance kennel and placed under full monitoring:
ECG (heart rhythm)
Blood pressure
SpO₂ (oxygen saturation)
His environment was kept calm, quiet, and thermally stable to minimise stress and metabolic demand.
Through the night, we transported him safely to the Royal Veterinary College, where he was handed over directly to the emergency and critical care team.
A young Labrador in distress 🐕
Next, we attended a sweet young Labrador who had been suffering with haemorrhagic gastroenteritis (HGE).
After several days of vomiting and diarrhoea, his condition had progressed to passing blood — an understandably alarming development for his owner.
HGE is a condition characterised by a sudden onset of vomiting and profuse diarrhoea, often haemorrhagic (bloody), rapid dehydration and risk of hypovolaemic shock.
At his primary practice, he underwent further investigations. Given his clinical presentation, he was tested for Parvovirus and pancreatitis. Parvo is a highly contagious viral disease affecting dogs, particularly puppies.
It attacks the gastrointestinal tract and bone marrow, causing severe vomiting, bloody diarrhoea, and immunosuppression. It is spread via faecal-oral transmission, with the virus persisting in the environment for long periods.
Fortunately, both parvovirus and pancreatitis were ruled out at his primary care practice.
Due to the severity of his dehydration and clinical signs, he was referred for intensive care.
We settled him into our ambulance kennel, ensuring:
Intravenous fluids continued uninterrupted
Analgesia was maintained
Close monitoring of blood pressure and perfusion
He remained stable throughout the journey, with his very worried owner following closely behind us every mile of the way.
He too was transferred to the Royal Veterinary College for ongoing care.
Cases like these are a reminder that no two days are ever the same.
From high-risk infectious transfers in the middle of the night to supporting anxious owners through acute illness, every detail matters — clinically, operationally, and emotionally.1re wishing both of these patients strength in their recovery 💙🐾