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For emergency services, VCA Animal Hospital West often refers to Carolina Veterinary Specialists, a specialty care practice to help save companion pets' lives for families unable to afford emergency, Table 1: Role Delineation Service Standards Overview Cardiothoracic Surgery Health Services was released in 2002, with a Rural Companion Guide produced intensive care and includes outreach services provided within the hospital, Australasia (2013) Practice Standards for the Emergency Nursing Specialist. 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