
Should I take my pet to the ER?
Written by Dr. Cassie Knapp, DVM
Co-Founder & Chief Medical Officer, UrgentPaws
Published August 11, 2026
The short version
- Not every emergency requires the 24-hour ER
- Go to an Urgent Care for non-life-threatening illnesses and injuries including vomiting, limping, itching, ear pain, and small cuts.
- Go to a 24-hour ER for troubled breathing, uncontrolled bleeding, seizures, collapse, or major trauma
- Go to your nearest urgent care or 24-hour ER for a male cat straining in the litter box, or a bloated, retching dog
- If you're unsure, give us a call
Not every pet emergency requires a 24-hour ER. We are an after hours veterinary urgent care and treat emergencies that are not life-threatening: vomiting, limping, cuts, ear and eye trouble, skin and urinary problems, and more. For life-threatening emergencies, go to your nearest 24-hour ER.
What urgent care is built for
Urgent care exists for the large middle ground between a routine wellness visit and a life-threatening emergency: problems that genuinely should be seen today, but that do not need a surgical suite or an overnight ICU. That is most of what worries people after hours.
- Vomiting or diarrhea in a pet who is still alert and drinking
- Limping, a sore leg, or a soft-tissue injury with no obvious broken bone
- Cuts, scrapes, torn nails, and bite wounds that are not bleeding heavily
- Ear infections, head shaking, and painful or goopy eyes
- Itching, hot spots, rashes, and allergic reactions without breathing trouble
- Urinary changes in female dogs and cats, and in male dogs who are still passing urine
- Coughing, sneezing, and congestion in a pet who is breathing comfortably
- "Just not themselves": low energy, hiding, or off their food
Go to a 24-hour ER for any of these
These signs suggest a condition that can worsen quickly and may need surgery, oxygen, transfusion, or overnight intensive care. Do not drive to urgent care first, and call the 24-hour ER on the way so their team is ready for you. The exception is a blocked male cat: we can start stabilizing treatment and coordinate the transfer, so come to whichever is closer.
- Difficulty breathing: open-mouth breathing in a cat, stretched-out neck, belly heaving, or gums that look blue, gray, or white
- Bleeding that does not slow after five minutes of steady pressure
- A seizure, or several seizures close together
- Collapse, unresponsiveness, or inability to stand
- Major trauma: hit by a car, a fall from height, or an attack by a larger animal
- A male cat straining in the litter box and producing little or no urine
- A distended, hard belly with unproductive retching, especially in a deep-chested dog
- Suspected poisoning: rodenticide, antifreeze, xylitol, grapes, lilies (cats), or human medication
- Signs of heatstroke after time in the heat: heavy panting, stumbling, vomiting, or bright red gums
Urgent Care vs. 24-Hour ER
Urgent care
- Best for illness or injury that needs care today
- Costs significantly less, with pricing shown before treatment
- Availability is shown online before you leave home
- Bloodwork, X-ray, ultrasound and urinalysis are done in the clinic
- Open after hours, 365 days a year
- You stay with your pet, in your own room, always your choice
24-hour ER
- Best for life-threatening conditions and around-the-clock monitoring
- Costs more, reflecting 24-hour specialist staffing
- Often several hours of waiting, because the sickest patients are seen first
- Everything urgent care has, plus surgery and intensive care
- Open 24 hours a day, every day
- Staying with your pet varies by hospital, and is often not possible
The reason the cost differs is staffing, not quality of care. A 24-hour ER keeps surgeons, specialists, and overnight nursing staff on the clock at all hours, and that is exactly what you are paying for when your pet genuinely needs it. For an ear infection at 7 PM, you are paying for capacity your pet will never use.
What to do in the next five minutes
Check the red-flag list above
If anything on it matches what you are seeing, stop reading and head to the nearest 24-hour ER.
Write down when it started
Time of onset, whether your pet has eaten or vomited, and anything unusual they may have swallowed. This shapes the first decisions your veterinarian makes.
Photograph anything you cannot bring
A picture of the wound, the rash, the limp, or the packaging of whatever they got into is genuinely useful, especially if the sign comes and goes.
Call, or save your spot
If you are unsure which door you need, call and ask. If urgent care is right, saving your spot online means you wait at home instead of in a lobby.
Dr. Cassie Knapp, DVM
Co-Founder & Chief Medical Officer
Dr. Cassie Knapp is a veterinarian with 17 years of clinical experience and extensive emergency room and urgent care experience. See full bio
