
E&CC | Intensive Care Unit
What We do
As one of the area’s most experienced and well-established emergency services, we offer an unsurpassed level of care for pets that are the most critically ill small animal patients. Many patients are referred to us by other veterinarians who realize that these animals need specialized care, resources, and expertise for their survival. Our function is to provide this life-saving care throughout the day and night, seven days a week, 365 days per year.
Our world-renowned faculty and staff are pioneers in research on trauma, shock, and other emergency conditions and have written numerous publications in emergency and critical care medicine. Additionally, our experienced staff supports this service, guaranteeing that your pet’s most up-to-date treatments are provided.
Our Services
Symptoms, Diagnosis, and Treatment
Our Services
Symptoms, Diagnosis, and Treatment
What types of cases are treated?
We commonly treat severe disease, kidney failure, complicated diabetes, advanced neurologic disease and cancer. Additionally, we provide specialized post-operative care for high-risk surgical and trauma patients. Each patient’s care and well-being is assessed constantly by the ICU team, with a low ratio of patients to staff most doctors and technicians only handle one to three patients per day.
How many Pets can the ICU Treat and what is their length of stay?
The service can care for up to 12 animals at a time. Our ICU veterinary technicians provide care for between one and three patients at any given time.
The average stay for a patient in ICU is 2-3 days, though it can range from a few hours to several weeks.
Why is your pet in the ICU?
The ICU has expertise and equipment not available elsewhere in our hospital. Admission to the ICU may be considered if your pet needs:
- Oxygen to help breathing
- A constant intravenous infusion of pain medications
- Intravenous nutrition
- Special monitoring and constant intravenous infusion of medicines for treatment of low blood pressure
- Constant ECG monitoring of the heart
- A ventilator to take over breathing
- A tracheostomy or chest tube
- Monitoring for seizures, following head injuries or any serious neurologic condition
- Post-operative monitoring for high-risk surgical procedures
- 24-hour monitoring and hour-to-hour adjustment of treatment protocol
Can you visit your pet in the ICU?
Your primary clinician at Ryan Hospital will update you at least 1-2 times a day, and you can arrange a time to visit your pet with them—typically during normal business hours. Visits may be limited in length due to the critical nature of our patients and caseload in the room.
Will my primary care veterinarian be updated?
We will call your primary care veterinarian the day your pet is transferred to the ICU and then provide regular updates throughout their stay. A copy of their discharge instructions will be sent to your veterinarian when your pet goes home.
Is there a veterinarian in the ICU all night long?
There is a veterinarian in the hospital at all times. Our ICU veterinary technicians are always in the ICU. The ICU residents and faculty are in the ICU 7 days a week, and are on call to provide patient care 24 hours a day. Whenever there is a critical patient in the ICU, a doctor from our team is in ICU 24 hours a day.
Our Care Team

Section Chief, Emergency & Critical Care
Deborah Silverstein, DVM, DACVECC
Professor, Emergency & Critical Care
Veterinarians
Rachel Clarkin-Breslin, VMD
Resident, Emergency & Critical Care
Joseph Frame, DVM
Resident, Emergency & Critical Care
Selimah Harmon, DVM
Resident, Emergency & Critical Care
Justin Hildebrand, DVM
Resident, Emergency & Critical Care
Leanna Hoover, DVM
Resident, Emergency & Critical Care
Justin Lam, DVM
Resident, Emergency & Critical Care
Rachel Manchester, BVetMed
Resident, Emergency & Critical Care
Lauren Minter, DVM
Resident, Emergency & Critical Care
Brooke Newmans, DVM
Resident, Emergency & Critical Care
Curtis Rheingold, DVM
Resident, Emergency & Critical Care
Amanda Arrowwood, CVT, VTS (ECC)
Victoria Bonacci, CVT
Leanne Deskewicz, CVT, Assistant Supervisor
Savannah Dixon, CVT
Holly Killian, CVT
Allison Leigh, CVT
Mary Piccillo, CVT
Chantal Reme, CVT
Taylor Sandy, CVT
Matthew Strazza, CVT
Bekah Verdieck, CVT
Nicole A. Wood, CVT
Cara Yanussi, CVT
Red Cross-First Aid App
Penn Vet’s Deborah Mandell helped to develop the American Red Cross Pet First Aid App and serves as their national spokesperson and pet safety advisor.
Be ready for any emergency. Download this app for your iPhone or Android device directly from the iTunes or Google Play app stores.
Ryan Veterinary Hospital
Emergencies:
(215) 746-8911
By Appointment:
(215) 746-8387