Traumatic brain injury in dogs from road accidents and falls requires rapid assessment and supportive care to minimize neurological damage.
TBI causes acute suffering through pain, seizures, and disorientation. Dogs in coma cannot communicate distress but require careful welfare monitoring. Recovery from moderate TBI can take weeks of intensive nursing care including management of urinary and gastrointestinal function. Welfare decisions about euthanasia versus continued care require honest assessment of prognosis using objective scoring tools rather than emotional factors alone.