Behind the Scenes - The Emotional Toll of Veterinary Critical Care and Emergency

As veterinary critical care and emergency service providers

As veterinary critical care and emergency service providers, we have the unique opportunity to save lives and support clients through some of their most challenging times.

We enjoy the rush of never knowing what will walk through the door and are always prepared to step into life-or-death situations.

What sets veterinary emergency/critical care teams apart from the rest is our ability to triage quickly in times of high stress and our high degree of resourcefulness.

When it comes to saving a patient’s life, we make no excuses and exhaust every possible option—even those that are unconventional.

What many don’t see behind the scenes of veterinary emergency and critical care is the significant toll many of us face daily.

Working in a unique area of our field comes with a unique set of challenges we face every day.

One of the biggest challenges we face is the sheer intensity of the work. We often deal with traumatic, life-changing situations that are stressful and emotionally draining.

Long hours, high-pressure situations, and a constant influx of critical cases can damage our mental and emotional well-being.

It’s not uncommon to experience things like:

  • Ethical dilemmas – such as if/when to euthanize and client financial constraints

  • Challenging client interactions – clients may not agree or respond well to treatment options or cost

  • Emotional toll – long periods of high stress, burnout, and unsuccessful patient outcomes can take a significant toll

  • Compassion fatigue – experiencing constant loss and supporting grieving clients can result in feelings of emotional exhaustion.  

  • Feeling undervalued – resulting from a lack of acknowledgment and low compensation

Many don’t see the heartache we experience when a client cannot afford their pet’s care.

Not only because it's often painful for our clients to admit, but it’s emotionally challenging to offer a lower-grade treatment than the patient deserves.

This is where we tend to run into a crossroads with our resourcefulness—we’re often able to get creative to enhance our patients' level of care, but we’re saddened by the constant need to perform treatments “off label,” knowing there’s a better way. 

The Hidden Struggles of Working Long Hours and Holidays

The nature of emergency and critical care means that we are often required to work long hours, weekends, and holidays, leaving little time for rest.

It’s no wonder we see high cases of burnout, compassion fatigue, and guilt for not being able to spend enough time with our families and pets

 So, what can we do to help move the needle from “taxing and fatiguing” to “fulfilling and valued”?

As tempting as it is to put a band-aid on things by buying our team lunch or bringing in doughnuts, it’s less impactful to the bigger picture.

It’s important to recognize the emotional toll that working in this high-stress environment can take on our teams and to acknowledge hard work and a job well done.

As much as everyone loves some free food, what’s deeply rooted is our need to feel seen, heard, and appreciated.

It’s easy to forget how impactful these simple attributes contribute to our feelings of fulfillment and value.

Start by setting the example…

Culture change happens one person at a time, and the age-old saying “lead by example” is still a practical approach to change.

It’s okay to start small:

  • Give an acknowledgment a day by authentically extending appreciation to a team member or group for something specific they’ve done. This could be a simple thank you for staying late or kudos for working with a difficult client.

  • Take breaks, practice self-care, and seek support from colleagues to demonstrate prioritizing your well-being. Encourage your teams to do the same.

  • Empower your teams to speak up when they’re feeling burned out. Share some examples of options they’ll have to help them recover. They must know we’re invested in their well-being.

The Power of Compassionate Leadership in Veterinary Teams

Working in veterinary emergency and critical care requires compassionate leadership.

This leadership style is rooted in empathy, kindness, understanding, and clear expectations.

Compassionate leaders prioritize the needs of their teams, can connect with those they work with, and are effective at active listening.

Understanding differing perspectives, feelings, and challenges is a skillful practice. Compassionate leaders handle difficult situations with understanding and grace.

Leading with a compassionate leadership style does not mean allowing your team to make excuses, act outside the rules, or disrespect boundaries. Rather, it encourages a respectful environment enhanced by psychological safety.

We often forget that our ability to work in veterinary emergency and critical care is a privilege. We’re uniquely positioned to make a meaningful difference in the lives of our patients and pet parents.

However, we must remember that we are human, too, and it is okay to feel the weight of the emotional toll of our work.

By supporting each other and taking care of ourselves, we can continue providing the best care possible for our patients while maintaining our own well-being.

Burnout vs. Compassion Fatigue in Veterinary Medicine  

“Discover the differences between burnout and compassion fatigue in veterinary medicine. Understand how prolonged stress and emotional tolls from treating sick animals can impact well-being. Learn effective self-care strategies and leadership roles in maintaining a healthy work environment.”

Working in the field of veterinary medicine is incredibly rewarding.

We provide comfort and treatment to patients with illness, disease, and injury.

We’re privileged to nurse sick patients back to health and experience the joy of being reunited with their families.

…But our line of work also has its fair share of challenges.

One of the biggest obstacles that veterinary professionals face is the risk of burnout and compassion fatigue.

Both can significantly impact the mental and emotional well-being of those working in the industry, but it is important to understand the differences between them.

Let’s start with burnout.

Burnout is a state of emotional, physical, and mental exhaustion caused by excessive and prolonged stress.

In the veterinary space, feelings of burnout can occur when we are constantly faced with demanding workloads, long hours, and emotional distress from dealing with sick or injured animals. It’s chronic and happens gradually over time.

Burnout can lead to feelings of:

  • Frustration

  • Exhaustion

  • Cynicism

  • A sense of detachment/alienation from the job

Burnout can also manifest as physical symptoms…

You might see or experience symptoms such as fatigue, headaches, insomnia, and a lack of self-care.

 On the other hand…

…compassion fatigue is a specific type of burnout

Compassion fatigue (also known as empathy fatigue) occurs when individuals are regularly exposed to the suffering/trauma of others.

In our field, compassion fatigue can develop as a result of repeatedly witnessing the pain and suffering of patients, as well as the emotional toll of dealing with grieving pet parents.

Compounded stress results from an ongoing wish to relieve suffering from patients and pet parents (often followed by feelings of failure), which can lead to feelings of hopelessness, guilt, and a decreased ability to empathize with others.

The very nature of our work exposes us to the (often) sad reality of patient decline and owner distress or loss.

 Burnout and compassion fatigue are serious issues that can profoundly impact the well-being of veterinary professionals.

Veterinary teams must recognize the signs and symptoms of these conditions and take steps to prevent and address them.

 One way to combat burnout and compassion fatigue is through self-care practices.

Self-care means preserving time for personal well-being, such as:

  • Regular exercise

  • Healthy eating

  • Adequate rest

  • Actively participating in hobbies outside of work

  • Spending time with friends and family

If you’re struggling with burnout and/or compassion fatigue, seek support from colleagues, friends, and mental health professionals immediately.

Building a solid support network can help us cope with the challenges of the job and prevent feelings of isolation and overwhelm.

Additionally, veterinary organizations and leadership teams play a crucial role in addressing burnout and compassion fatigue by offering resources such as:

  • Counseling services

  • Stress management workshops

  • Flexible work schedules

As leaders, we need to prioritize our own well-being to help maintain a supportive and healthy work environment for our teams and empower them to continue providing the best care for our patients.

By recognizing the signs of burnout and compassion fatigue and taking proactive steps to address these issues, we enable our teams to continue making a positive impact in the lives of our patients and pet parents.

Well-being Resources Geared Toward the Veterinary Community

American Veterinary Medical Association (AVMA) hosts a number of CE-accredited trainings and webinars  and offers a free wellbeing assessment along with some helpful self-care tools   

Not One More Vet (NOMV) is an organization that works tirelessly to support the well-being of the veterinary community

Suicide and Crisis prevention Hotline offers free, confidential support for those in distress

Don’t allow yourself or your team to suffer alone. Don’t wait. Reach out. Speak up.