Triage Emergency Referral Network

4,211 critical
cases referred.

Average transfer time: 8 minutes 47 seconds.

The emergency referral network built by veterinarians who've been the only doctor in the building.

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Outcomes Data

Numbers that answer the question you're actually asking.

92%

Owner Retention Post-Referral

Clients return to the referring practice after specialist care — the handoff strengthens, not severs, the relationship.

37

Board-Certified Surgeons

Across 14 metro regions. ACVS diplomates, ACVECC specialists, and internal medicine faculty on-call 24/7.

8:47

Average Transfer Time

From first Triage contact to confirmed specialist on case. Measured across 4,211 consecutive referrals.

22min

Avg. Callback to Referring DVM

Post-procedure debrief. Every referring veterinarian receives a structured outcome summary within 22 minutes of case resolution.

Data sourced from 4,211 consecutive referrals, Jan 2023 – Feb 2026. Internal audit available upon request.
Case Studies
GDV — Gastric Dilatation-Volvulus2:14 a.m. · Saturday

The bloated Great Dane who had six hours.

A 7-year-old male Great Dane presented to Cascade Valley Animal Hospital with acute abdominal distension, unproductive retching, and progressive cardiovascular compromise. The attending associate DVM — the only clinician on premises — recognized GDV immediately but lacked the surgical team, anesthesia coverage, and post-op monitoring capacity for a case of this acuity.

Triage was contacted at 2:14 a.m. By 2:19 a.m., Dr. Nathaniel Osei, ACVS diplomate at Northwest Veterinary Specialists, had accepted the case and was briefed on vitals. The patient arrived at 2:51 a.m. Decompression and surgical correction were completed by 5:30 a.m. The patient was discharged day four. The referring DVM received a structured outcome summary at 6:02 a.m.

5 min

Time to specialist

Survived

Outcome

Yes

Client retained

Feline Urethral ObstructionChristmas morning · 7:48 a.m.

The blocked cat on a holiday skeleton crew.

A relief DVM covering Christmas morning at Pinehurst Veterinary Group encountered a 4-year-old male DSH with complete urethral obstruction, bradycardia, and hyperkalemia. No staff surgeon. No on-call specialist number on the wall. The relief vet had Triage's emergency line saved from a CE seminar three weeks prior.

Catheterization guidance was provided via phone by a Triage-networked internist within seven minutes. The patient was stabilized in-clinic and transferred for 48-hour monitoring. Referring DVM callback: 9:22 a.m. — one hour forty-four minutes after initial contact.

“I had the number in my phone. That's the only reason that cat made it to December 26th.”

Relief DVM, Pinehurst Veterinary Group
Memphis, TN

“I don't feel like I'm transferring the case. I feel like I'm adding to the team. That's a different thing entirely.”

Dr. Simone Achterberg, DVM
Lakeside Companion Animal Hospital, Minneapolis MN

Referral Protocol

What happens in the nine minutes after you call.

The protocol below is excerpted from the Triage Referral Standard, developed with input from 23 board-certified specialists and field-tested across 4,211 cases. It reads like a CE article because it was written like one.

010–90 sec

Contact. One number, any hour.

Average time to live coordinator: 12 seconds.

The Triage emergency line is staffed 24/7/365 by a triage coordinator — a credentialed veterinary technician with emergency and critical care experience. You call once. You do not navigate a phone tree. You are not placed on hold.

0290 sec–4 min

Case brief. We listen; you keep working.

Median intake call duration: 3 minutes 8 seconds.

The coordinator collects signalment, presenting complaint, current vitals, and your surgical constraints in a structured intake format developed with ACVS input. You can continue stabilizing the patient while you brief. The call does not require your full attention.

034–9 min

Specialist matched and confirmed.

Average time from first contact to specialist confirmation: 8 min 47 sec.

Triage routes the case to the nearest available board-certified specialist whose competency matches the presenting condition. The specialist calls the owner directly to confirm acceptance. You receive a simultaneous text confirmation with the specialist's name, credentials, and ETA.

The complete Triage Referral Protocol Kit includes intake form templates, owner communication scripts, post-referral follow-up checklists, and the full ACVS-reviewed case routing algorithm.

Download the full kit
Network Coverage

37 board-certified surgeons.
14 metro regions. One number.

Seattle, WA

3 surgeons

SurgeryECC

Portland, OR

2 surgeons

SurgeryInternal Med

San Francisco, CA

4 surgeons

SurgeryECCNeurology

Los Angeles, CA

4 surgeons

SurgeryECCOncology

Denver, CO

2 surgeons

SurgeryECC

Chicago, IL

4 surgeons

SurgeryECCInternal Med

Minneapolis, MN

2 surgeons

SurgeryInternal Med

Nashville, TN

2 surgeons

SurgeryECC

Atlanta, GA

3 surgeons

SurgeryECCNeurology

Boston, MA

3 surgeons

SurgeryECCOncology

New York, NY

4 surgeons

SurgeryECCCardiology

Philadelphia, PA

2 surgeons

SurgeryInternal Med

Dallas, TX

3 surgeons

SurgeryECC

Miami, FL

3 surgeons

SurgeryECCDermatology

Network expanding Q3 2026: Phoenix AZ, Salt Lake City UT, and Charlotte NC. Referring practices in these regions may pre-register for priority access.

Protocol Kit

Everything you need before the next 2 a.m. call.

The Triage Referral Protocol Kit is used by 340+ clinics across our network. It's designed to live in the treatment room, not a filing cabinet — laminated intake cards, QR-linked digital forms, and a routing algorithm that fits on one page.

  • Intake form templates (printable + digital)
  • Owner communication scripts for 6 case types
  • Post-referral follow-up checklists
  • Full ACVS-reviewed case routing algorithm
  • Triage contact card (print + vCard)
  • CE credit documentation for 1.0 RACE hours

“We laminated the routing algorithm and taped it inside every exam room door. Three months later, we used it. It worked exactly as described.”

Dr. Priya Venkataraman, DVM— Oakwood Animal Hospital, Columbus OH

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