Poisoning emergency? ASPCA Poison Control: (888) 426-4435 — 24/7, fee applies
60-second triage guide

Is it an emergency?

When minutes matter, use this checklist. When in doubt, call an ER — phone triage is free and they'd rather you call than wait.

ER — go now

  • Difficulty breathing; blue, white, or gray gums
  • Collapse or can't stand
  • Seizure (first ever, lasting 3+ min, or clusters)
  • Hard, swollen belly + unproductive retching (bloat/GDV)
  • Hit by car, fall, or animal attack — even if "acting fine"
  • Uncontrolled bleeding
  • Male cat straining in the litter box
  • Ingested: antifreeze, xylitol, rat poison, human meds, chocolate, grapes/raisins, lilies (cats)
  • Heatstroke signs: heavy panting, drooling, wobbly
  • Pregnant and straining 30+ min without a birth

Find an ER now

Urgent care — today

  • Vomiting or diarrhea (no blood, still alert)
  • Limping but bearing some weight
  • Ear infection signs: head-shaking, odor, scratching
  • Minor cuts or torn nail
  • Squinting or eye discharge
  • Not eating for 24 hours (dogs) — sooner for cats
  • Hives or facial swelling without breathing trouble

Coastal NC clinics · Richmond clinics

Ask a televet first

  • "Is this normal?" behavior questions
  • Mild itching, occasional cough or sneeze
  • Appetite slightly off but drinking and alert
  • Medication and dosage questions
  • Post-surgery healing questions

A licensed vet on video can tell you if it's worth a trip — usually in under 30 minutes.

Talk to a Vet Online

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Rule of thumb: gums, breathing, belly.

Pink gums, easy breathing, soft belly, and your pet is alert? You likely have time to call ahead or start with urgent care. Anything off with those three — treat it as an ER visit.

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This guide is general information, not veterinary advice, and can't cover every situation. When unsure, call a licensed veterinarian or emergency hospital.