Hospital Terminology

Understanding the terms that our Hospital Staff utilize to explain procedures, treatments, and medical issues that patients are experiencing is an important part of your experience here with LMC. If you are ever confused about how something is explained in a shift huddle, feel free to use this cheat sheet guide!

Species Scientific Names

Occasionally you will see small two-letter identifications next to the names of our sea turtle patients. Those indicate the scientific short name of the species the patient belongs to. For instance, Caretta caretta, which is the scientific name for the Loggerhead Sea Turtle species will be indicated with a Cc or a CC.

    • More than one pair of prefrontal scales located on their head.

    • 5 lateral scutes (along the sides of the carapace)

    • 6 or more vertebral scutes (along the spinal area of the carapace)

    • 4 inframarginal scutes with pores (located on the plastron)

    • 1 pair of prefrontal scales located on their head.

    • 4 lateral scutes (along the sides of the carapace)

    • 4 inframarginal scutes without pores (located on the plastron)

    • 2 pairs of prefrontal scales

    • Overlapping Scutes (scutes imbricated)

    • 4 lateral scutes (along the sides of the carapace)

    • 4 inframarginal scutes without pores (located on plastron)

    • More than 1 pair of prefrontal scales.

    • 5 lateral scutes (along the sides of the carapace)

    • 4 inframarginal scutes with pores (located on the plastron)

    • No prefrontal scales located on head.

    • Ridges along back

    • No scutes

    • More than 1 pair of prefrontal scales

    • 6 or more lateral scutes (along the sides of the carapace)

    • 6 or more vertebral scutes (along the spinal area of the carapace)

    • 4 inframarginal scutes with pores (located on the plastron)

    • 1 pair of prefrontal scales

    • 4 lateral scutes

Know the terminology…

  • Administered with a syringe and a needle (varying in size depending on the patient) in the muscles surrounding the shoulder area of the patient.

  • Administered within, or administered into, a patient’s vein. Many of the vessels that are utilized for IV administration are in the neck region (the jugular vein) of our patients. A common use of IV at this facility is during TPN. Most antibiotics used at this facility are administered IV.

    Note: Intravenous and intravascular terminology can be used interchangeably. Intravenous is into a vein or veins, and intravascular is into a blood vessel (being careful to note that you do not always want to utilize arteries, when referring to IV treatments, which are also blood vessels).

  • Packed cell volume can be determined by centrifuging blood that has been drawn from our patients. This is a measurement of the proportion of blood that is made up of cells. The value that is found is expressed in a percentage for the cells in blood. For example, a PCV reading of 16% means that there are 16 milliliters of cells per 100 milliliters of blood. Red blood cells account for nearly all the cells in blood. However, at this facility we do also check Total Protein (TP) levels, as well.

  • This is a treatment that helps ensure our patients that are not eating well on their own are still receiving all the nutrients and energy that they need, and can include things like amino acids, dextrose, and lipids. The GI (gastrointestinal tract) tract normally absorbs the calories and nutrients the body needs, but TPN bypasses this and allows for this

    nutrition to be made directly available through the veins. When utilized, patients are usually receiving TPN 1-2 times a day, for a varying amount of time. This treatment is not the same thing as tube feeding. The TPN we administer is not made here at our facility; it is ordered.

  • Administered with a syringe and needle or a fluid bag and line with a needle. At this facility, we commonly administer fluids for our patients SQ. The fluids administered just under the skin and will be slowly absorbed.

    Note: The total amount of fluids administered will vary from patient to patient, based on size/weight, and health/body condition.

Explore the aiglments…

  • Commonly referred to as FP tumors, this is a tumor-causing disease that affects some species of sea turtles. Though more frequently found in Green Sea Turtles, they can occasionally be found with other species as well. These tumors are often referred to as cauliflower like tumors that can for on the skin anywhere on the body, eyes, and mouth, and have also been known to grow on bone, plastron, and internally on organs. Though some growths can be mild, some can also be very large and disruptive to their natural movements in the environment. Though the exact reason for this disease is not yet well understood, it has been associated with anthropogenic influences including various forms of pollution.

    Note: Tumor regression can occur in patients that are in our care. Sometimes their immune systems take over once we have had a chance to remove tumors and treat them to improve their overall health and body condition.

  • This disorder is usually indicated by floating turtles that are unable to submerge themselves into the water column or are unable to remain submerged in the water column for an extended period. This allows them to become susceptible to capture, boat strikes, and predation. Many stranding events are associated with buoyancy disorder patients and can be attributed to things like boat collisions or entanglement. For treatment to be successful, identifying the likely culprit for the buoyancy discrepancies is very important for the rehabilitation process.

    Note: A variety of treatments can be used for the rehabilitation of turtles struggling with buoyancy disorder. These include but are not limited to, gut motility medications, tapping the air out of the coelom, adding weights depending on the size and condition of the patient, and adjusting the water level in their tank upon receival of the patient.

    Boat Strikes & Buoyancy Disorder:

    One of the more common reasons for BD that we see here are boat strike injuries. Since the spine is fused to the carapace, although the turtle may survive the boat strike, they can be left with permanent spinal damage. This can cause the GI tract to not work properly, leading to a buildup of GI gas. Some GI gas can be treated but some boat strike cases are left with permanent GI damage. 


  • Chronic debilitation can be caused by a variety or combination of different things. Things like emaciation, lethargic behaviors, hypoglycemia, anemia, and excess epibiota have been associated with the identifying features of a chronically debilitated sea turtle. While the cause is not always exactly known, some associated causes with chronic debilitation include things like boat strikes, parasite overload, starvation, fibropapillomatosis (FP), and gastrointestinal issues. Treatment plans vary, depending on the patient and severity of body health/appearance, and can often be paired with treatments like TPN and dry bed docking.

    Note: We usually avoid using chronic debilitation as a means of describing a patient’s health status unless it includes all or most of the symptoms associated with chronic debilitation. In cases where the patient may be anemic, but not necessarily chronically debilitated, we would likely be more specific in our description of the patient’s health status, as opposed to using the overarching term “chronically debilitated.”

  • Some sea turtle patients that come into our facility with excessive amounts of epibiota may be placed into fresh water for several days, depending, to remove those growths and kill leeches. The species that generally encompass the majority of the epibiota build up will die in freshwater, and this helps our team remove them in a more gentle and tolerable fashion. Since leeches especially are known causes for debilitation (can cause anemia), it is crucial for us to get those epibiota off our patients as we navigate building a treatment plan for their rehabilitation. Sea turtles do need salt water to thrive and remain healthy but can withstand bouts of freshwater exposure for a longer period than the epibiota can. Usually as soon as they are placed back into salt water, their normal eating habits and overall health begin to improve.

    Note: Some of the epibiota we commonly see include barnacles, small crustaceans, leeches, leech eggs and algae.

  • Turtles are occasionally hit unintentionally by boaters and can be struck by propellers or the hull of boars while they are near the surface of the water column. Injuries sustained from these boat strikes can cause a variety of wound types. These include wounds indicative of blunt force trauma, and slicing which often are parallel slicing wounds or concave multi-fracture wounds. Some patients come into our facility with old boat strike injuries that have already healed, and some have fresh wounds. Treatment for each patient will depend on the status of the wound, the severity of the wound, and the level of debilitation associated with the patient. Age, location, and depth of each wound can greatly influence initial treatment as well.

    Note: Spinal fractures, spinal cord abnormalities, GI issues, and chronic debilitation syndrome are often associated with boat strike victims. Radiographs (a type of x-ray) and Computerized Tomography (CT) scans can help determine the severity of wounds both internally and externally.

  • Almost every year around December we receive Kemps Ridley sea turtles from up north near the Cape Cod Bay, Massachusetts region. Kemps Ridley sea turtles migrate from their nesting beaches, which are usually in and around the Gulf of Mexico. They typically arrive at the northern coastal feeding areas in the Gulf of Mexico in the springtime, and then eventually make their way south in the fall. Unfortunately, when quickly forming cold fronts develop it is not uncommon to see Kemps Ridley sea turtles caught somewhere in that migration route suffering from a variety of health issues. This is fairly common to see in the Cape Cod area because of the unusual topography and layout of the land mass (shaped like a hook).

    The Kemps that we have received each year are all part of what we call a cold-stunning event, which is related to the condition referred to as Cold-stunning. Sea turtles, being marine reptiles, are particularly susceptible to these events because of their ectothermic nature. This condition causes sea turtles to become very weak and inactive from exposure to cold temperatures, typically when water is noted to be 50 degrees Fahrenheit or below. Some of the conditions that we see these Kemps suffer from as a result of these Cold-Stunning events are lethargy, floating at or near the surface of the water column, and many secondary health issues from prolonged exposure. These secondary conditions can range from several issues related to pneumonia, bone infections that can take several weeks to manifest, and exposure effects on circulation, organ function, skin/shell/eye condition, as well as their immune system.

    While they are in our care some of the treatments that you might see our team administering to these patients include nebulization, antibiotics, regular x-rays to monitor bone health and pneumonia developments, as well as any wound care that may be necessary.

    If you ever have any questions, please feel free to let any of our staff members know! We are going to be very busy in the hospital when we receive these little ones, so please be cognizant of their time and space as they navigate the many new patients we have received!

  • Caryospora - this is a protozoan (single-celled animal) parasite that is commonly found in sea turtles. It is known to cause harm to the intestines as well as immature stages of the parasite. It can cause severe debilitation, lethargy, weight loss, and anemia and is often described as a parasite that eats its way through the intestine. This is very commonly found in juvenile green sea turtles during certain times of the year (generally in colder months) but can be found in other species as well. Though there are not studies or data that fully support that these cases are primarily seen in colder months, it is our staff’s experience that we see them more often when water temperatures drop.

Know the treatments…

  • The wound vac is a piece of foam, often cut to desired sizes, that is placed over a wound (after it has been cleaned, debrided, and dried) with a clear membrane sealing it to the wound location. The clear membrane looks like saran wrap, but with one sticky side that allows better adhesion. The goal with this treatment is to create negative pressure on the wound area. A tube attached to a machine that creates negative pressure through a vacuum is attached over the foam through a small hole that is made in the sticky sheet. The foam is then tightly and evenly adhered to the entire wound site, to encourage the removal of material in this area.

    Note: This treatment reduces wound healing time, removes fluid buildup, reduces bacterial colonization and risk of infection, and increases blood flow to the wound.

  • This is a procedure that is commonly implemented for patients that involves the removal of necrotic and/or damaged tissue, or foreign objects, from a wound site. There are varied forms of debridement, including surgical debridement which is when doctors use a scalpel or other sharp medical tool to cut away nonviable tissue from an area. Other times, forceps can be used to pull out material from a wound site (this is often used with deeper wounds that require regular attention and cleaning).

    Note: The procedure of debridement is often used in combination with betadine to sterilize and clean the area being debrided.

  • The CO2 laser is a type of gas laser that produces a beam of infrared light that is utilized to make precise excisions (the complete removal of tissue, organs, or tumors from the body) while it simultaneously cauterizes the wound. This treatment in our facility is generally utilized to remove tumors (FP), which tend to be highly vascular in nature, so cauterizing, which creates hemostasis (stops bleeding), is incredibly important. This laser is obviously strong, so covering the patients’ eyes while using it is important, and safety glasses must be worn by any person participating in the procedure.

    Note: In some cases, multiple surgeries are needed, in cases where there may be several it may be determined to be more beneficial to only remove some and allow for healing of those wound sites before starting on another site. The surgical sites can be painful, and the patient often loses blood, so allowing time for regeneration can be crucial in their rehabilitation process. Once the tumors are removed and the sites are healed, the turtle can be released.

  • This treatment is also known as Low Level Laser Therapy or Cold Laser Therapy. It is not actually cold in temperature, but the name is in reference to the fact that, unlike a hot laser, the cold laser will not cut tissue, destroy tissue, or produce a lot of heat. Low level lasers speed up the healing process in the body through a photochemical effect. The laser produces red and near infrared light which creates a chain of chemical reactions within the cells. This stimulation increases the speed of cell production. The laser aids the cell in a process known as photobiomodulation. This process uses the enzymes produced by the body of the patient to reduce pain and inflammation and accelerate tissue healing. This laser is obviously strong, so covering the patient’s eyes while using it is important, and safety glasses must be worn by any person participating in the procedure.

  • Topical antiseptics are antimicrobial agents that are utilized to kill, inhibit, or reduce the number of microorganisms present in or on a patient. These are essential in certain situations for wound infection control. Most antiseptics are antibacterial, antimicrobial, and antiviral in nature, and in some cases are also known to have antifungal properties. Frequently used antiseptics are honey, betadine (povidone iodine), chlorhexidine, and isopropyl alcohol. Betadine and chlorhexidine are both topical solutions which work similarly to protect and clean tissue. Isopropyl alcohol is not used on wounds but is used to disinfect skin around an injection or blood draw.

    Note: Honey has been used in would healing dating back to ancient times, and has anti-inflammatory, antibacterial and antioxidant properties. Medical grade honey is generally preferred since it contains methylglyoxal, which is an antimicrobial compound. This practice accelerates healing and encourages the body to remove necrotic tissue and replace it with new healthy tissue and is generally left on for around10-20 minutes (patients can be placed back in their tanks with honey applied).

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