Content continues after advertisement

Emesis Induction with Dr. Kuo & Dr. Gerken

Kendon Kuo, DVM, MS, DACVECC, Auburn University

Katherine Gerken, DVM, MS, DACVECC, Auburn University



In this episode, host Alyssa Watson, DVM, chats with Kendon Kuo, DVM, MS, DACVECC, and Katherine Gerken, DVM, MS, DACVECC, about their recent Clinician’s Brief article, “Emesis Induction.” Dr. Kuo and Dr. Gerken work through the entire process, starting with indications for—and against—inducing emesis, the timing of induction, patient risk factors, and which emetics to use. They also answer some of the most common emesis questions about batteries, hydrogen peroxide, and of course, cats.

Key Takeaways

  • Hydrocarbons, such as gasoline, pose an increased risk for aspiration if emesis is induced.
  • Battery ingestion carries a large risk. It is important to get radiographs to confirm if a battery was ingested, see where it is, and if it is still intact. Different types of batteries pose different types of risks, and emesis is rarely the best path.
  • Ask yourself, “what damage could you cause bringing the item up?”
  • There are disease predispositions/past histories that should be cause for pause when determining if emesis is right for that patient.
  • The ideal time for inducing emesis is less than 2 hours following ingestion. However, some toxicants can slow down gastric emptying, giving you a longer timeframe for emesis. Chocolate has a timeframe of up to 8 hours.
  • Hydrogen peroxide may be an “easy” at-home remedy but presents many risks, and if given, clinic staff should walk the client through the process over the phone. The concentration shouldn’t be more than 3%. Never use hydrogen peroxide in cats!

About Our Guests

Kendon Kuo, DVM, MS, DACVECC, is an associate clinical professor in emergency and critical care at Auburn University, where he also completed a 1-year small animal rotating internship and a residency in emergency and critical care. He earned his DVM from University of California, Davis. Dr. Kuo has lectured nationally and internationally, and his special interests include coagulation, point-of-care ultrasonography, and trauma.

Katherine Gerken, DVM, MS, DACVECC, is an assistant clinical professor in small animal emergency and critical care at Auburn University, where she also earned her DVM. She completed a small animal rotating internship at Mississippi State University and a small animal emergency and critical care residency at The Ohio State University. Her interests include fluid therapy, trauma, environmental emergencies, and communications.

Contact us:

Where to find us:

The Team:

  • Alyssa Watson, DVM - Host
  • Alexis Ussery - Producer & Digital Content Coordinator
  • Randall Stupka - Podcast Production & Sound Editing
Subscribe on your favorite podcast platform.

For global readers, a calculator to convert laboratory values, dosages, and other measurements to SI units can be found here.

All Clinician's Brief content is reviewed for accuracy at the time of publication. Previously published content may not reflect recent developments in research and practice.

Material from Clinician's Brief may not be reproduced, distributed, or used in whole or in part without prior permission of Educational Concepts, LLC. For questions or inquiries please contact us.


Clinician's Brief:
The Podcast
Listen as host Alyssa Watson, DVM, talks with the authors of your favorite Clinician’s Brief articles. Dig deeper and explore the conversations behind the content here.
Clinician's Brief provides relevant diagnostic and treatment information for small animal practitioners. It has been ranked the #1 most essential publication by small animal veterinarians for 9 years.*

*2007-2017 PERQ and Essential Media Studies

© 2023 Educational Concepts, L.L.C. dba Brief Media ™ All Rights Reserved. Terms & Conditions | DMCA Copyright | Privacy Policy | Acceptable Use Policy