In this episode of BoardsCast, we continue our deep dive into Tobias Chapter 83 – The Spleen, shifting our focus to the dog who arrives pale, weak, tachycardic, and bleeding into the abdomen.
Splenic rupture and hemoperitoneum are emergencies, but not all bleeding dogs are the same, and not all of them should go straight to surgery.

You’ll learn:

• The difference between traumatic vs spontaneous splenic rupture
• How to stabilize the bleeding dog without worsening the hemorrhage
• Why some hemoperitoneum patients should not get immediate volume overload
• How to use FAST scans and PCV/TS trends to guide decisions
• When a ruptured splenic mass requires STAT splenectomy — and when it doesn’t
• The physiologic principles of shock, permissive hypotension, and oxygen debt
• Board-focused distinctions between surgical stabilization and medical stabilization

This episode reframes splenic bleeding as a hemodynamic problem, not just a surgical one.

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