RECOVER Works to Improve Veterinary CPR Success Rates After Cardiac Arrest

Pets recovering from cardiac arrest need careful monitoring. Photo Credit: Jo Naylor

While 20% of people who go into cardiac arrest in a hospital recover, less than 6% of cats and dogs survive the same event. A team of veterinary specialists, led by Dr. Manuel Boller of the Center for Resuscitation Science at the University of Pennsylvania School of Veterinary Medicine, and Dr. Dan Fletcher of Cornell University’s School of Veterinary Medicine, is working to provide better recommendations to help more pets survive.

Decoded Science talked to Dr. Fletcher about how the Reassessment Campaign on Veterinary Resuscitation (RECOVER) came about, their preliminary findings, published in the June 2012 issue of the Journal of Veterinary Emergency and Critical Care, and what these findings mean for pet owners.

How RECOVER’s CPR Assessment Got Its Start

While Dr. Fletcher was working on a training program for his robo–dog patient simulator he found plenty of conflicting information on performing CPR on pets. He contacted Dr. Boller, who was also finding a lack of consistency in procedures, even among specialists in emergency and critical care.


Realizing that hundreds of published papers would need to be evaluated to develop a consistent protocol, they recruited colleagues from the American College of Veterinary Emergency and Critical Care (ACVECC), the Veterinary Emergency and Critical Care Society (VECCS), and the American College of Veterinary Anesthesia (ACVA) to help with the literature review; RECOVER was born.

Then, the enormous task of finding all the peer–reviewed papers on CPR, and evaluating them based on the quality of their data, began. Using the information gathered, the researchers produced guidelines for basic life support, advanced life support, monitoring and post-arrest care; taking into account the best available information from both human and animal data.

Click for Page Two: How to Perform CPR on a Dog


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  • Sarah

    If pets could give informed consent, it’s quite likely they would insist on DNR orders. One could argue that these intrusive, painful, distressing and above all costly interventions are done to treat the owner’s emotional pathology rather than the pet’s physical ones. In a world where decent health care is beyond the reach of so many humans, this frivolous use of resources approaches immoral.

  • http://arkvets.com.au/ Art

    Maybe you’re right Sarah, but isn’t it what we do when we’re in the verge of losing someone or something so dear to us. We do everything we can to save them, to hold them..Personally I know I wouldn’t stay idle if my pet is dying, I know I would do anything or everything..I can’t just stand the idea of doing nothing..

  • Todd

    I would disagree with Sarah. I think most people who deal with animals regularly note their intense will to live, sometimes under dire circumstances. Additionally, not providing CPR to a pet doesn’t mean some other person gets more health care. The world doesn’t work that way.

  • George

    So, Sarah, what exactly should veterianrians do when an animal, say one under anesthesia for a supposedly routine procedure, suddenly goes into cardiac arrest? Be comforted by the thought that since “we live in a world where decent health care is beyond the reach of so many humans, this frivolous use of resources approaches immoral”? I’ll have to try that one out and see how it flies with the next owner whose pet dies due to cardiac arrest. While we are on the topic, Sarah, what frivolous indulgences have you yourself sacraficed in the interests of universal health care for humanity? Before spewing out trite, hypocritical humanist blather in the future, may I suggest you try thinking a little bit more about the implications of what you are saying.

  • Bonnie

    Quite to the contrary, Sarah, I find that my animal patients have an incredible will to live and would likely not insist on a DNR order.

  • http://www.animalnaturopath.com.au Sara

    When I die and come back as a dog – please don’t let Sarah be my owner!