Is your dog a challenge to deal with? Rambunctious?
Lacking manners?

Turn that challenge into an opportunity by letting us help you train your dog. Our positive reward-based training will start you and your dog on the journey from companion to family member.


Savvy Dog training classes are designed for dogs and their humans. Don't have time for a group class? Customized private training is available by appointment.

Find a class now >


Truckee classes are held at the Humane Society of Truckee-Tahoe Animal Shelter:
10961 Stevens Lane, Truckee, CA 96161

Map and directions >


dog training specialties

  • group classes
  • private training
  • behavior consultation
  • playgroups
  • cgc evaluations

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A-z index   librarians   newsletter   subscriptions   about   site demo   advisory board   contact us   help     log in | log in via athens {1} ##loc[ok]## {1} ##loc[ok]## ##loc[cancel]## {1} ##loc[ok]## ##loc[cancel]## select select all accessmedicine images, video, & audio drug monographs updates guidelines quick answers harrison's online current medical diagnosis & treatment goodman & gilman's the pharmacological basis of therapeutics tintinalli's emergency medicine hurst's the heart enable autosuggest advanced search about search harrison's principles of internal medicine, 18e part 12. Critical care medicine > section 3. Neurologic critical care > chapter 275. Neurologic critical care, including hypoxic-ischemic encephalopathy, and subarachnoid hemorrhage sections: neurologic critical care, including hypoxic-ischemic encephalopathy, and subarachnoid hemorrhage: introduction, critical care disorders of the central nervous system, critical care disorders of the peripheral nervous system, subarachnoid hemorrhage, further readings. Topics discussed: brain injury, acute management; care of intensive care unit patient. Excerpt: " life-threatening neurologic illness may be caused by a primary disorder affecting any region of the neuraxis or may occur as a consequence of a systemic disorder such as hepatic failure, multisystem organ failure, or cardiac arrest (table 275-1). Neurologic critical care focuses on preservation of neurologic tissue and prevention of secondary brain injury caused by ischemia, edema, and elevated intracranial pressure (icp). Management of other organ systems proceeds concurrently and may need to be modified in order to maintain the overall focus on neurologic issues. Swelling, or edema, of brain tissue occurs with many types of brain injury. The two principal types of edema are vasogenic and cytotoxic. Vasogenic edema refers to the influx of fluid and solutes into the brain through an incompetent blood-brain barrier (bbb). In the normal cerebral vasculature, endothelial tight junctions associated with astrocytes create an impermeable barrier (the bbb), through which access into the brain interstitium is dependent upon specific transport mechanisms. The bbb may be compromised in ischemia, trauma, infection, and metabolic der. cheap viagra buy viagra buy cheap viagra generic viagra online buy generic viagra buy viagra generic cheap viagra online buy viagra cheap generic viagra cheap viagra

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