Hyperosmolar Hyperglycemic State vs. Diabetic Ketoacidosis in Dogs and Cats

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If you're new to my channel, I am Igor Yankin, a small animal emergency and critical care specialist based in Texas.

You might know me as the founder of vetemcrit.com, where I’ve spent the last several years creating evidence-based tools, case discussions, and training for veterinarians working on the front lines of emergency and critical care.

My story in ECC started back in 2010 when I worked full-time ER shifts. After five intense years, I completed a small animal rotating internship at Oregon State University, followed by an ECC residency at the University of Florida. Since 2019, I’ve been practicing as a veterinary criticalist.

Over the years, I’ve noticed that what most ER vets and techs need isn’t just more information — it’s a way to connect, discuss real cases, and keep growing together without judgment. That realization inspired me to create something new — a space where emergency and critical care professionals can come together, learn, and support each other in a meaningful way.

That space is now called the VetEmCrit Academy — a growing community for those who want to stay sharp, confident, and connected in ECC practice.

If you’re ready to see what’s inside and how it works, learn more by going to https://academy.vetemcrit.com/join

Check out our online courses on acid-base and electrolyte disorders: https://academy.vetemcrit.com/courses

Check out our free veterinary emergency tools, protocols, and articles: https://vetemcrit.com/

FREE RACE-APPROVED CE on IV potassium supplementation: https://academy.vetemcrit.com/iv-pota...

Join Igor Yankin at VetEmCrit as he explores a complex canine emergency case. A nine-year-old dog named Lily is diagnosed with Hyperosmolar Hyperglycemic State (HHS), marked by severe hyperglycemia, minimal ketosis, and increased plasma osmolality. The episode delves into differentiating HHS from Diabetic Ketoacidosis (DKA) and explains initial management strategies. Essential topics include effective osmolality calculation and fluid resuscitation guidelines. Discover the keys to diagnosing and managing HHS, ensuring effective clinical care. Visit VetemCrit Academy for comprehensive courses on small animal electrolyte and acid-base disorders.

00:00 Introduction to the Case
00:57 Initial Assessment and Blood Work
01:58 Understanding Hyperosmolar Hyperglycemic State (HHS)
04:20 Diagnostic Criteria for HHS
07:19 Evaluating Lily's Condition
08:37 Initial Management of HHS
09:40 Fluid Therapy and Monitoring
11:32 Reevaluation and Adjustments
13:33 Conclusion and Further Learning

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