Ep. 43: The Emotional Cost of Working in Emergency Veterinary Medicine with Dr. Marie Holowaychuk

In this episode, I’m joined by Dr. Marie Holowaychuk, who will take us on a deep dive into compassion fatigue in the ER setting, where life-or-death decisions, intense client emotions, and relentless urgency collide. She shares what compassion fatigue looks like specifically in emergency veterinary medicine, how it differs from other areas of practice, and why ER clinicians are at such high risk for emotional exhaustion, secondary traumatic stress, and burnout. Together, we explore both the personal and systemic factors that shape this experience—and what actually helps. In This Episode, We Discuss: What compassion fatigue looks like in emergency veterinary medicine, and how it differs from general practice or specialty settings The cumulative emotional toll of constant urgency and life-or-death decision-making How moral stress, responsibility, and high-stakes outcomes contribute to exhaustion and trauma Why boundary-setting is uniquely difficult in ER environments where every case feels critical Practical strategies that help clinicians manage compassion fatigue What veterinary hospitals can do at an organizational level to better support ER staff How leadership, culture, and systems play a role in preventing burnout and secondary trauma The inspiration behind A Compassionate Calling and the creation of additional resources to support veterinary professionals Resources Mentioned:  Book website Book purchase link Personal website Instagram: @marieholowaychuk Facebook & LinkedIn: @drmarieholowaychuk YouTube: @marieholowaychukdvm Free resources (podcast, blog, downloads) Other Resources: Grab your free resources to help manage compassion fatigue here.  Visit my free virtual calming room here.  Check out my Compassion Fatigue Skills and Support Circle here.  Get your copy of To Save a Starfish: A Compassion Fatigue Workbook for the Animal Welfare Warrior here.