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The first hours of an emergency: what to do (and what never to do)

By Victor Costa, veterinarian (CRMV MG 21605, Brazil) · August 11, 2026 · 9 min

Victor Costa with a large dog

During an emergency, there is little time to research. What the family has learned beforehand helps guide the first hours, which often determine the outcome. This article covers essential care in the most common situations. Every emergency requires veterinary attention; this text does not replace it.

The rule for all of them: protect, assess, go

Three steps, always in the same order, aligned with what the Merck Veterinary Manual recommends to owners:

  1. Protect yourself first. An animal in pain bites, including the gentlest one in the house. Approach slowly, avoid the face, use a towel or blanket to handle.
  2. Assess fast: breathing? responsive? bleeding? able to stand?
  3. Go while calling. Warn the clinic on the way: a warned team prepares the arrival, and phone guidance prevents transport mistakes.

Choking

Signs: sudden desperation, paws at the mouth, cough effort, bluish tongue. If the animal still coughs strongly, let him cough: coughing is the most efficient expulsion mechanism. If there is true suffocation (no sound, no air), open the mouth carefully and ONLY remove the object if visible and reachable, never pushing blindly. No immediate success: nearest clinic, now, calling on the way.

Never: blind-finger the throat (pushes the object deeper and earns a bite) or hold the animal upside down shaking it.

Poisoning

Grapes, chocolate, xylitol, human medication, rat poison, cleaning products, lilies for cats. The ASPCA’s dangerous foods list covers the kitchen villains.

What to do: collect the packaging or a sample of what he ingested, estimate amount and time, and go. Acting before symptoms is the only real advantage that exists in poisoning.

Never: induce vomiting on your own (with caustic substances or a drowsy animal, vomit makes everything worse), give milk, follow “group chat recipes”.

Seizure

During the crisis: move furniture and objects away, dim the lights, do NOT put your hand in the mouth (a seizing animal does not swallow its tongue; that myth only produces severe bites), time the duration on a clock. Once it passes: calm environment, no stimulation, same-day evaluation. A crisis beyond a few minutes, or crises in sequence without recovery between them, is maximum emergency: immediate transport, as the Merck emergency material reinforces.

Heatstroke

Classic scene: exercise or a hot car, desperate panting, very red gums, drooling, collapse. Cool ACTIVELY but gradually: shade, room-temperature running water on the body (belly, armpits, paws), ventilation, and immediate transport with windows open or AC on.

Never: ice-cold water or ice (thermal shock constricts vessels and worsens heat exchange), nor a wet towel wrapped tight over the body.

Falls, cars and fights

The golden rule: internal injury does not show on the outside. An animal that stood up and walked after being hit can still have an internal rupture bleeding slowly. Handle as if there were a fracture (rigid surface or stretched blanket for transport), contain visible bleeding with a clean cloth and direct pressure, and go for evaluation even if he “seems fine”.

The kit every home should have

Gauze and bandage, saline, digital thermometer, a large towel, a soft muzzle (or knowing how to improvise one with a bandage), the packaging of his regular medications, and the phone numbers of your trusted clinic and the nearest 24-hour ER saved in advance. Building the kit costs one afternoon. Needing it without having it costs much more.

Before an emergency, organize supplies and contacts in a pet first aid kit. If your pet has diabetes, agree with the team on what to do for signs of low blood sugar. Records help the conversation but must never delay transport.

Frequently asked questions

Can I give human painkillers on the way?

No. Common human analgesics (paracetamol, ibuprofen) are among the most frequent and severe poisonings. Pain gets treated at the clinic, with veterinary drugs and calculated doses.

How do I transport a large injured animal?

Two support points on a firm surface (board, tabletop, blanket stretched by two people), body aligned, head slightly raised if there is vomiting. Improvised muzzle before moving, even on the gentlest dog in the house.

Is calling the clinic before leaving worth it?

Always. The team guides the handling of your specific case and prepares the reception. Minutes saved at arrival are minutes of treatment.

Breathing stopped: do chest compressions and mouth-to-snout work?

Reanimation protocols for animals exist, but wrong technique injures. The best use of your time is almost always immediate transport with the clinic warned. Learn the technique calmly BEFORE needing it, never during.

The scare passed. Do I still need to go?

For the scenarios in this article, yes. Choking can leave throat lesions, seizures demand investigation, trauma hides internal injury, poisoning has a silent window. “It passed” is exactly when evaluation is cheap.

The next step

The Prevention and First Aid guides are being prepared. On the ebooks page, you can see the available reading and sign up for guide updates. The free checklist helps you start observing your pet. Materials are in Brazilian Portuguese.

If the incident involves a houseplant, seed or bouquet, see the photo guide to plants poisonous to dogs and cats. It includes scientific names and warning signs; do not wait to identify the plant before seeking advice.

Clinical content reviewed and approved by Victor Costa, veterinarian (CRMV MG 21605, Brazil). Translation of the reviewed Brazilian Portuguese content.

This article is educational and does not replace an appointment with the veterinarian. In an emergency, seek care immediately.

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