Angell's 24 x 7 Emergency Critical Care service is available in our Boston and Waltham locations as of February 3, 2014. Some of the following services are limited to our Boston location. Please call 617-522-7282 for more details.
- Dedicated nursing staff in emergency receiving and critical care. The nursing staff is trained in monitoring critically-ill patients on mechanical ventilators and requiring continuous drug infusions as well as a host of technical procedures
- On-site blood bank with a dedicated technical staff, emphasizing blood component therapy. Whether dealing with emergency transfusion needs from trauma or immune disease, or managing the chronically ill with repeated transfusions, blood products are available at all times
- Multiple means of oxygen administration including mechanical ventilation with a state-of-the-art ventilator. The six staff, seven residents and four critical care nurses take a team approach to managing these cases as well as other critically-ill patients
- Point-of-care 24 hour monitoring capabilities include direct and indirect arterial blood pressure, coagulation parameters, blood chemistries and blood gases, lactate, and most recently co-oximetry. Co-oximetry allows the staff to measure blood for methemoglobin and carboxyhemoglobin levels when acetominophen or carbon monoxide poisonings are suspected. The staff will also have the ability to monitor blood osmolality and colloid oncotic pressure in the near future. This will enable the staff to fine tune fluid therapies and medication administration to individual patient needs
- Consultations available with specialists throughout the hospital. Daily cage-side rounds provide an environment for repeated case re-evaluation and allow the staff to adjust treatment in a timely manner
- A critical care team is in the Critical Care Unit every day, backing up the veterinarians, receiving emergencies and helping to assess and monitor the patients. The team is made up of senior staff, residents, interns and nurses. The staff provides peritoneal dialysis, management of open abdomen, mechanical ventilation, management of severe pancreatitis, diabetic ketoacidosis, sepsis, poly-trauma among other critical conditions. The use of enteral and parenteral nutrition techniques is a routine part of the practice