VetEmCrit: The Veterinary Emergency & Critical Care Podcast

Dr. Igor Yankin, DACVECC

Practical, evidence-based insights into veterinary emergency and critical care.

Episodes

  1. Episode 5: Managing Urinary Tract Tears Without Surgery

    11/07/2025

    Episode 5: Managing Urinary Tract Tears Without Surgery

    https://academy.vetemcrit.com/join Welcome to The VetEmCrit Podcast — where we break down complex veterinary emergency and critical care topics into clear, evidence-based insights you can apply right away in practice. Each episode is the audio companion to our YouTube videos, created so you can keep learning emergency and critical care medicine wherever you are — in the car, between cases, or on your way home from the ER. If you’re new here, I’m Dr. Igor Yankin, DACVECC, a small animal emergency and critical care specialist and founder of VetEmCrit.com. In this episode, we explore one of the most common — and misunderstood — surgical emergencies in small animal practice: urinary tract rupture. Does every tear really need surgery? Or can some of these cases safely heal on their own with careful drainage and monitoring? We’ll unpack the latest evidence on conservative, non-surgical management of urinary tract tears in dogs and cats, including insights from the 2025 RVC study and earlier work by Hornsey and Grimes. You’ll learn: Which cases may actually be better suited for non-surgical management A step-by-step clinical algorithm to guide your decision-making How to choose between a urinary catheter, cystostomy tube, or peritoneal drain The most important complications to watch for — like infection and urethral stricture — and how to detect them early Whether you’re managing iatrogenic bladder tears, urethral trauma, or uncertain leak locations, this episode will help you make more confident, physiology-based decisions that prioritize patient outcomes over reflex surgery. Free resources to help you level up: Free Acid-Base Analysis Workshop Free Emergency Tools, Protocols, and Articles Online Courses on Electrolyte & Acid-Base Disorders Free RACE-Approved CE on IV Potassium Supplementation

    19 min
  2. Episode 4: Acute Liver Failure in Dogs and Cats (Bleeding risks, Pregnancy-associated ALF, When to biopsy)

    10/24/2025

    Episode 4: Acute Liver Failure in Dogs and Cats (Bleeding risks, Pregnancy-associated ALF, When to biopsy)

    Welcome to The VetEmCrit Podcast — where we break down complex veterinary emergency and critical care topics into clear, evidence-based insights you can use right away in practice. Each episode of the VetEmCrit Podcast is the audio version of our YouTube videos, created so you can learn emergency and critical care on the go. If you’re new here, I’m Dr. Igor Yankin, DACVECC, a small animal emergency and critical care specialist and founder of vetemcrit.com. In this episode of the VetEmCrit Podcast, we explore why definitions of acute liver failure differ between human and veterinary medicine, and how that shapes diagnosis and treatment. We’ll tackle controversial topics like whether encephalopathy should be required for diagnosis, when it’s actually safe to biopsy a coagulopathic patient, and what to do when viscoelastic testing and INR tell different stories. We’ll also look at emerging—and often overlooked—causes, including pregnancy-associated liver failure and copper storage disease. Can lessons from human medicine, like transjugular biopsy and targeted transfusion strategies, really apply to our patients? Join us as we unpack the data, the guidelines, and the gray zones that matter most for ER vets managing acute liver failure at the cage-side. Free resources to help you level up: Youtube channel Free Acid-Base Analysis Workshop Free veterinary emergency tools, protocols, and articles Online courses on acid-base and electrolyte disorders Free RACE-approved CE on IV potassium supplementation

    22 min
  3. Episode 3: Hyperkalemia in Blocked Cats — Do Adjunct Therapies Really Help?

    10/10/2025

    Episode 3: Hyperkalemia in Blocked Cats — Do Adjunct Therapies Really Help?

    Welcome to The VetEmCrit Podcast — where we break down complex veterinary emergency and critical care topics into clear, evidence-based insights you can use right away in practice. Each episode of the VetEmCrit Podcast is the audio version of our YouTube videos, created so you can learn emergency and critical care on the go. If you’re new here, I’m Dr. Igor Yankin, DACVECC, a small animal emergency and critical care specialist and founder of vetemcrit.com. A recent study on hyperkalemia in blocked cats makes a bold claim: adjunct therapies like insulin-dextrose, sodium bicarbonate, and terbutaline offer no added benefit over fluids and calcium. But when you look closer, the story isn’t so simple. In this episode of the VetEmCrit Podcast, we break down the study design, results, and limitations, and explore what this evidence means for real-world emergency care. Do adjunctive therapies truly add value, or are fluids and calcium enough? And how should ER vets apply these findings at the cage-side while caring for unstable patients? Tune in to hear the data, the context, and the unanswered questions that matter for your clinical decision-making. Free resources to help you level up: Youtube channel Free Acid-Base Analysis Workshop Free veterinary emergency tools, protocols, and articles Online courses on acid-base and electrolyte disorders Free RACE-approved CE on IV potassium supplementation

    11 min
  4. Episode 2: Top 10 Reasons to Run a Blood Gas in Small Animal ER

    09/26/2025

    Episode 2: Top 10 Reasons to Run a Blood Gas in Small Animal ER

    Welcome to The VetEmCrit Podcast — where we break down complex veterinary emergency and critical care topics into clear, evidence-based insights you can use right away in practice. Each episode of the VetEmCrit Podcast is the audio version of our YouTube videos, created so you can learn emergency and critical care on the go. If you’re new here, I’m Dr. Igor Yankin, DACVECC, a small animal emergency and critical care specialist and founder of vetemcrit.com. In this episode, we highlight the top reasons venous blood gas (VBG) analysis is invaluable in small animal emergency care. You’ll learn what Kussmaul breathing has to do with venous blood gas interpretation, why osteopenia, pathologic fractures, or nephrocalcinosis can be key indications to run a VBG, and when the predictable relationship between venous, arterial, and end-tidal CO₂ breaks—and why you need to recognize it. We’ll also cover how VBG can guide management in refractory vasodilatory shock, whether there’s value in running VBG during CPR, and when to check for acid-base derangements in cases of potassium disorders or acute vomiting. Finally, we’ll discuss why you can’t rule out DKA based on pH and bicarbonate alone. These scenarios come up more often than you’d think, and knowing when and how to use a venous blood gas can make all the difference in ER outcomes. Free resources to help you level up: Youtube channel Free Acid-Base Analysis Workshop Free veterinary emergency tools, protocols, and articles Online courses on acid-base and electrolyte disorders Free RACE-approved CE on IV potassium supplementation

    21 min
  5. Should You Really Use N-Acetylcysteine and Vitamin K in Every Liver Failure Case?

    09/23/2025

    Should You Really Use N-Acetylcysteine and Vitamin K in Every Liver Failure Case?

    Welcome to The VetEmCrit Podcast — where we break down complex veterinary emergency and critical care topics into clear, evidence-based insights you can use right away in practice. Each episode of the VetEmCrit Podcast is the audio version of our YouTube videos, created so you can learn emergency and critical care on the go. If you’re new here, I’m Dr. Igor Yankin, DACVECC, a small animal emergency and critical care specialist and founder of vetemcrit.com. N-acetylcysteine (NAC) and vitamin K are often part of our go-to protocol when treating dogs and cats with acute liver failure. But… should they be? In this VetEmCrit podcast episode, we dive deep into their use—what’s evidence-based, what’s extrapolated, and where controversy still lingers. You’ll learn: Why NAC is more than just an acetaminophen antidote What human trials and 2023 guidelines say about NAC in non-acetaminophen ALF How human and veterinary NAC dosing protocols compare—and where we may be underdosing cats - When vitamin K helps… and when it’s unlikely to make a difference... Clinical takeaways for emergency vets—based on science, not just habit Whether you're treating a dog with xylitol toxicity, a cat with hepatic lipidosis, or a case of unknown origin, this video will help sharpen your approach to acute liver failure management. Free resources to help you level up: Youtube channel Free Acid-Base Analysis Workshop Free veterinary emergency tools, protocols, and articles Online courses on acid-base and electrolyte disorders Free RACE-approved CE on IV potassium supplementation

    14 min

Ratings & Reviews

5
out of 5
3 Ratings

About

Practical, evidence-based insights into veterinary emergency and critical care.