Cooling Methods Used to Manage Heat-Related Illness in Dogs Presented to Primary Care Veterinary Practices during 2016–2018 in the UK

SIMPLE SUMMARY: Heat-related illness (HRI) is a potentially fatal disorder that can occur in dogs following exercise or exposure to hot environments. While many risk factors can affect the probability of HRI occurring, the priority for treating dogs with HRI is early and rapid reduction in their core body temperature to limit disease progression. Cold-water immersion (conductive cooling) and water spray with air movement (evaporative cooling) are the recommended treatments for dogs with HRI, with cooling attempts in dogs with HRI being strongly advised to take place prior to transportation for veterinary care. This retrospective study of cooling methods used in UK veterinary practices during 2016–2018 reports that just 21.70% of dogs were cooled prior to transport, and only 23.97% of dogs were cooled using the recommended methods between 2016 and 2018. These results highlight the need for clearer messaging to the public and to veterinary professionals on optimal management of dogs with HRI, with priority on promoting wider sharing of the advice to “cool first, transport second”. ABSTRACT: The management of heat-related illness (HRI) in dogs has received limited attention in the veterinary literature, especially regarding effective cooling methods. Guidelines published in 2016 for prehospital management of dogs with HRI advised “cool first, transport second”, and recommended using cold-water immersion and evaporative cooling (water application with air movement) as the optimal approaches to reduce the patient’s temperature. The current retrospective cross-sectional observation study analysed electronic patient records from the VetCompass programme to describe the cooling methods used in dogs with HRI presented to primary care veterinary practices during 2016–2018. Of 623 HRI events identified, 341 (54.74%, 95% CI 50.81–58.60%) included information on cooling in their clinical record. Of these, 74/341 (21.70%, 95% CI 17.65–26.38%) were cooled prior to transport for veterinary care. Overall, 23.97% (95% CI 19.24–29.44%) were cooled using one of the two recommended cooling methods, whilst the most common cooling method recorded was the application of wet towels (51.31%, 95% CI 45.34–57.24%). Canine cooling guidance and messaging in both the public and veterinary sectors requires urgent review to ensure that the most effective cooling methods are promoted because delays to canine temperature reduction worsen patient outcomes.