Clinical decision support for emergency veterinarians, built by one

Built by an ER veterinarian who uses it on shift

Vetinuity was built by Brian Toncray, DVM, who still practices emergency medicine and uses it on his own shifts. Every feature has to hold up at three in the morning with a full lobby, because the person who built it is the one using it then.

That background shows in what the app prioritizes: getting the record done fast, keeping the clinical evidence close, doing the drug math without a scrap of paper, and keeping track of every hospitalized patient across a long shift.

The subscription belongs to the vet, not the hospital, so it goes wherever you practice.

Example

Example: an overnight shift

You record rounds at the start of the shift, and your board fills in with the hospitalized patients. Not long after, a dog arrives after being hit by a car. You record the exam as you work: mentation, mucous membranes, respiratory effort, the abdomen, the limbs.

Suggestions for the trauma workup appear with their citations, such as thoracic and abdominal FAST scans, PCV/TS and lactate, with considerations for pneumothorax, pulmonary contusions, hemoabdomen and traumatic myocarditis. When you decide on an analgesic CRI, the CRI calculator (beta) works out the dilution and rate for the dose you choose.

The record is done before the next patient is through the door, and the dog joins your board for the rest of the night, alongside the patients you picked up at rounds.

The record on a busy night

In emergency practice the note is often what gets sacrificed when the lobby fills. Vetinuity writes it from the exam you already did: the conversation with the owner plus the findings you call out while you work.

Write-ups stop piling up for the end of the shift. Each case is documented while the details are fresh and in your format, which matters when the referral hospital or the owner's regular veterinarian reads it in the morning.

Evidence that does not get tired

Emergency medicine runs on pattern recognition, and pattern recognition is most likely to slip at the end of a long night. Cited differentials and diagnostics act as a second look that does not fade at 4 a.m. Each suggestion names its journal source, so a consideration you had not thought of arrives with the reason it is there.

Treatment options carry their citations too, with doses as the literature reports them, while the calculators handle the arithmetic for the patient on the table.

That matters on the cases you see a few times a year rather than a few times a week: an unusual toxin, an exotic presentation, a complication you last read about in school. The evidence is attached to the suggestion, so you can check it without leaving the patient.

Labs on the fly

Photograph the blood gas or chemistry printout and the abnormal values go into the record. For an admitted patient the same photo updates that patient on your board, so the numbers you acted on overnight are the numbers your board shows when you hand off.

Repeat lactates, recheck PCVs and the electrolytes on a patient getting fluids all go in the same way, one photo at a time, without a technician copying values onto a whiteboard.

Rounds at shift change

Record rounds at the start of a shift and Vetinuity creates the patients, enters the signalment and builds the board, with no typing. Updates from the exam room, including recordings and lab photos, keep each patient current through the night.

The board is individual to each veterinarian, built from your own rounds and your own cases. When you hand off in the morning, it reflects the night as it happened rather than as anyone remembered it.

Emergency drug math

Volume, dilution and rate for the dose you choose come from the drug and CRI calculators, right beside the note. When a patient is crashing, the arithmetic is the last thing that should depend on memory or a phone calculator and a sticky note.

Free versions of several of the same calculators, including shock bolus, CRI and transfusion volume, are open to anyone at vetinuity.ai/calculators.

When the client does not speak English

Emergencies do not wait for an interpreter. Vetinuity detects the client's language and translates the exam live, both directions, so you can get a history and consent from an owner who does not speak English, and the record still comes from that conversation. Even a short history in the owner's own language can change the workup: a toxin she did not know how to name in English, or the medication she brought in a bag.