Proceedings of the 55th Annual Convention of the American Association of Equine Practitioners
|
|
- Bennett Griffith
- 5 years ago
- Views:
Transcription
1 Proceedings of the 55th Annual Convention of the American Association of Equine Practitioners December 5 9, 2009, Las Vegas, Nevada Program Chair : Nathaniel A. White ACKNOWLEDGMENTS Dr. David D. Frisbie, Educational Programs Committee Chair Carey M. Ross, Scientific Publications Coordinator Published by the American Association of Equine Practitioners ISSN American Association of Equine Practitioners, 2009
2 Evolution of Critical Care in Private Equine Practice Fairfield T. Bain, DVM, MBA, Diplomate ACVIM, ACVP, ACVECC Author s address: Equine Sports Medicine and Surgery, PO Box 1569, Weatherford, Texas 76087; ftbain@aol.com AAEP. 1. Introduction The advances in equine medicine over the past couple of decades have brought about a more rapid information gathering process and an increased rate of accurate clinical diagnosis primarily through the more common use of ultrasonography. Advanced training for veterinarians and veterinary technicians along with continued experience gained in frequent management of critically ill animals have made critical care for the equine patient a much more recognized service in equine practice. The private practitioner is often on the front line in assessment and management of the critically ill equine patient. Over the past 20 yr, equine medicine has seen the advent of a variety of diagnostic tools and advances in therapy that have improved the medical and surgical management of the critically ill equine patient. Part of this improvement has been a transition in the delivery of advanced care to the private hospital and referral practice setting. This discussion focuses on how these advances have influenced the delivery of care to the critically ill equine patient in the private practice setting. The skills of expeditious clinical assessment of the critically ill patient along with rapid selection of the most appropriate diagnostic tests or imaging allow for the best decision making in choosing a most effective treatment pathway. Development of an efficient decision-making process is critically important in choosing the most expedient initial treatment course so that time is not wasted. Experienced practitioners often have observed many patients with a similar pattern of injury or illness and have developed an intuitive manner in their clinical approach. The success for each patient relies on the completeness and accuracy of the clinical and ancillary diagnostic evaluation. Failure to detect an important disease process or underestimation of the potential of something, such as sepsis, to progress can result in the continued deterioration of the clinical state. As a result, the animal may die or require more extensive medical treatment later on in life. Veterinary technicians have aided in the advances of critical care over the years with increased levels of training and skills, and they often provide the majority of patient monitoring within the critical care facility. Keen observational skills and attentiveness to details of a particular patient by the skilled veterinary technician often make a significant difference in early detection of developing clinical problems and more rapid delivery of appropriate care. An example of this is the scenario where an obser- NOTES AAEP PROCEEDINGS Vol
3 Table 1. Examples of Conditions Requiring Critical Care External trauma External blood loss Trauma to the head or spinal cord Respiratory disorders Upper airway Upper airway obstruction Laryngeal paralysis Strangles Snake bite Lower airway Pulmonary edema Pleural effusion Pneumothorax Abdominal disorders Intestinal strangulation Intestinal inflammation Peritonitis Rectal tear Enterocolitis Shock Endotoxemia Hemorrhagic shock Organ failure Hepatic failure (hepatoencephalopathy) Renal failure Congestive heart failure vant veterinary technician detects decreased urine output and slight abdominal enlargement in a neonate, helping to make the diagnosis of uroperitoneum at an earlier point in time. The most common situations requiring critical care management include significant trauma to the body cavities or to the central nervous system, sepsis that progresses to signs of endotoxemia or systemic inflammatory response syndrome, conditions that result in a significant blood loss either externally or internally, respiratory disorders resulting in dyspnea, and gastrointestinal disorders that may or may not eventually require surgical intervention or those that result in significant fluid and electrolyte losses to the point of hemodynamic compromise (Table 1). The initial assessment of a traumatized or critically ill equine patient should involve as complete a physical examination as possible, depending on the stability of the patient and the ability to safely examine them without injury to the handler or veterinarian. The classic ABCs (A, airway; B, breathing; C, circulation) remain a good manner of vital assessment. Airway disorders resulting in obstruction of airflow and dyspnea should be assessed to determine if the cause is located in the upper or lower airway. Endoscopy used judiciously can allow for a rapid determination of the specific location of obstruction. Placement of a tracheostomy should strongly be considered if the patient seems to have an impending or progressive obstruction of the upper airway. This is a classic example where the clinical decision-making process comes into play. Placement of a tracheostomy tube is much easier when done before the animal reaches a critical point of respiratory obstruction such that the animal is distressed and potentially struggling violently to the point of being dangerous to the clinician and handlers. Lower airway disorders resulting in dyspnea may be rapidly assessed with ultrasonography. Assessment of circulation and perfusion is the standard in shock management for the equine patient. A rapid assessment of circulation would include determination of heart rate and rhythm. The basic information required to determine if perfusion is adequate include assessment of mucous membrane color, arterial pulse pressure, and peripheral skin temperature (ears and distal limbs). The goal is to correct perfusion deficits as early as possible to improve outcome regardless of if the animal is treated at the owner s facility, treated at the local practice facility, or referred to a specialty hospital. Decision trees are sometimes useful in developing an intuitive thought process for clinical problem solving. Here are two examples one of respiratory difficulty and another for colic (Figs. 1 and 2). Although these are not complete to the point of therapeutic maneuvers, they provide a graphical demonstration of the linear and branching thought process in the approach to two common clinical disorders. Ultrasound imaging, perhaps more than any other tool, has revolutionized the management of the critically ill equine patient adult and neonate. 1 6 The graphical demonstration of its role in decision making for the colic patient is presented above where the role of the abdominal ultrasound examination has become more central in the total examination process. The ability to immediately assess the contents of the thoracic and abdominal cavities provides vital real-time information for rapid, accurate diagnostic assessment and selection of therapeutic plan. With the advent of high-quality portable ultrasound equipment, this is now technology that is readily available for the practitioner in the field. The learning curve for ultrasound imaging is not that steep, and an individual can learn to examine the chest and abdomen using ultrasound with minimal investment in time through commonly available continuing education programs in lecture and wet lab format. The combination of the clinical problem-solving skills of physical assessment and diagnostic imaging have moved the point of diagnosis from the referral center to the front lines of private practice in many regions. The next part of the decision-making process is to determine if the patient will need ongoing or continual monitoring and if the disease process is one that has the potential to worsen to the point of requiring surgical or more intensive intervention. In many situations, the clinical status is an evolving situation and requires continuous or at a minimum, Vol. 55 AAEP PROCEEDINGS
4 Fig. 1. Respiratory difficulty decision tree. periodic evaluation of the patient. This is often the real issue in deciding if the animal should be referred or if it can be handled on site or at a local facility. The skills and clinical monitoring abilities of the personnel at the facility may also be a determining factor in this decision. In some regions, the on-the-farm management may be of the level that some seriously ill patients can be managed on site. Veterinary technicians are now trained to monitor and perform diagnostics on critically ill equine patients, and they have become a very important part of the team in caring for these patients. The team approach to critical care, which includes a trained veterinary technician, will pay off in improved care and outcomes for the patient. Over the past two decades, significant advances have been made in the management of shock in the equine patient. Endotoxemia research has helped us understand the importance of blockade of various inflammatory mediators as well as improve perfusion and hemodynamics for fluid therapy. The use of large-volume crystalloid fluids has become a standard of care in equine practice. Other treatments to improve IV fluid volume and perfusion include the use of hypertonic saline 7,8 and the colloids, such as hetastarch. 9,10 The use of colloids has become more common, often for improving colloid oncotic pressure in animals with potentially leaky capillaries or those with decreased plasma oncotic pressure because of hypoproteinemia and hypoalbuminemia. 11 Along with the delivery of IV fluids, we have seen improvement in the quality of IV catheterization. Newer, less thrombogenic IV catheter products are now available and are more easily placed in the hypotensive patient. Over-the-wire IV catheters are composed of much less thrombogenic material and can be placed in larger diameter veins, even in hemodynamically compromised animals with less than normal venous filling. Some of these products also have an antiseptic or antimicrobial agent incorporated into the catheter material in an effort to reduce catheter site infection. 12 Often, the differentiating factor between a referral center and the frontline private practice is the experience level of the veterinarian and technical staff and perhaps some monitoring equipment. Those individuals who routinely manage complicated critical care patients may have developed a set of clinical skills and thought processes such that they become more efficient and are able to more expediently handle certain complex critical patients. After the initial assessment of the patient and accurate determination of the clinical problem, the decision process turns to initial management followed by the best location for the care of a critical patient. In some circumstances, the illness or injury may not allow for transportation, and on-site care may be necessary. If the clinical condition seems to require surgical care or more prolonged management with frequent skilled monitoring and assessment at the specialist level or go beyond the skills, experience, or comfort level of the first responder, then transportation to a facility or referral center for critical care should be considered. Initial contact should be established with direct communication to the critical care professional if at all possible so that good exchange of information about presenting clinical signs and initial clinical management can occur. Time is often a factor in the progression of the clinical appearance, and the early history can sometimes be key in the decisions for the diagnostic course. An important component of the communication between the primary responder and the critical care center is an estimate of costs. If the owner is not prepared financially to pursue the level of critical AAEP PROCEEDINGS Vol
5 care needed for a particular problem, a frank discussion may be needed during the first clinical assessment to determine if euthanasia is appropriate. On occasion, the situation may require more advanced diagnostics before this decision can be made and that also should be communicated with the owner. The goal is for the primary responder and the critical care personnel to function as a team in providing the horse owner with the very best information possible for them to make the best decisions in selecting the course of care for their animal. Fig. 2. Colic assessment decision tree. References 1. Byars TD, Halley J. Uses of ultrasound in equine internal medicine. Vet Clin North Am [Equine Pract] 1986;2: Fontaine GL, Hanson RR, Rodgerson DH, et al. Ultrasound evaluation of equine gastrointestinal disorders. Compend Cont Educ Pract Vet 1999;21: Porter MB, Ramirez S. Equine neonatal thoracic and abdominal ultrasonography. Vet Clin North Am [Equine Pract] 2005;21: Lores M, Henrik S, McDuffee L, et al. Transcutaneous ultrasonographic evaluation of gastric distension with fluid in horses. Am J Vet Res 2007;68(2): Gross DK, Morley PS, Hinchcliff KW, et al. Pulmonary ultrasonographic abnormalities associated with naturally occurring equine influenza virus infection in Standardbred racehorses. J Vet Int Med 2004;18: Reef V. Equine pediatric ultrasonography. Compend Cont Educ Pract Vet 1991;13: Schmall LM, Muir WW, Robertson JT. Haemodynamic effects of small volume hypertonic saline in experimentally induced haemorrhagic shock. Equine Vet J 1990;22: Bertone JJ. Hypertonic saline in the management of shock in horses. Compend Cont Educ Pract Vet 1991;13: Schusser GF, Rieckoff K, Ungemach FR, et al. Effect of hydroxyethyl starch solution in normal horses and horses with colic or acute colitis. J Vet Med A Physiol Pathol Clin Med 2007;54: Hallowell GD, Corley KTT. Preoperative administration of hydroxyethyl starch or hypertonic saline to horses with colic. J Vet Int Med 2006;20: Jones PA, Bain FT, Byars TD, et al. Effect of hydroxyethyl starch infusion on colloid oncotic pressure in hypoproteinemic horses. J Am Vet Med Assoc 2001;218: Sampath LA, Chowdhury N, Caraos L, et al. Infection resistance of surface modified catheters with either short-lived or prolonged activity. J Hosp Infect 1995;30: Vol. 55 AAEP PROCEEDINGS
Treatment of septic peritonitis
Vet Times The website for the veterinary profession https://www.vettimes.co.uk Treatment of septic peritonitis Author : Andrew Linklater Categories : Companion animal, Vets Date : November 2, 2016 Septic
More informationGastric Dilatation-Volvulus
Gastric Dilatation-Volvulus The term "ACVS Diplomate" refers to a veterinarian who has been board certified in veterinary surgery. Only veterinarians who have successfully completed the certification requirements
More informationUNDERSTANDING COLIC: DON T GET IT TWISTED
UNDERSTANDING COLIC: DON T GET IT TWISTED Today s Topics: What is colic? Anatomy review How to identify colic What to do when you suspect colic What to expect during a colic visit from your veterinarian
More informationAustralian and New Zealand College of Veterinary Scientists. Membership Examination. Small Animal Surgery Paper 1
Australian and New Zealand College of Veterinary Scientists Membership Examination June 2018 Small Animal Surgery Paper 1 Perusal time: Fifteen (15) minutes Time allowed: Two (2) hours after perusal Answer
More informationEXAMINATION & ASSESSMENT On presentation, the receptionist should ask the client:
STEP 1: Comprehensive Overview Overview Bite wounds constitute 10% 15% of acute injuries in dogs and cats admitted to veterinary practices. 1 All bite wounds warrant veterinary attention, regardless of
More informationAnimal Triage Procedures Veterinary Disaster Triage: Making the Tough Decisions Veterinary Triage
Animal Triage Procedures Wyoming Department of Health Adapted from Veterinary Disaster Triage: Making the Tough Decisions by Wayne E. Wingfield, MS, DVM, Colorado State University Veterinary Triage Veterinary
More informationSeptic cats are not small septic dogs
Vet Times The website for the veterinary profession https://www.vettimes.co.uk Septic cats are not small septic dogs Author : ROGER WILKINSON Categories : Vets Date : September 29, 2008 ROGER WILKINSON
More informationSome important information about the fetus and the newborn puppy
Some important information about the fetus and the newborn puppy Dr. Harmon Rogers Veterinary Teaching Hospital Washington State University Here are a few interesting medical details about fetuses and
More informationPDP can be completed in the context of small animal, equine or farm animal practice, or any combination of these three.
Clinical procedures checklists DRAFT REVISIONS PDP can be completed in the context of small animal, equine or farm animal practice, or any combination of these three. RCVS YEAR ONE CLINICAL PROCEDURES
More information6/10/2015. Multi Purpose Canine (MPC) Restraint and Physical Examination PFN: Terminal Learning Objective. Hours: Instructor:
Multi Purpose Canine (MPC) Restraint and Physical Examination PFN: Hours: Instructor: Slide 1 Slide 2 Terminal Learning Objective Action: Communicate knowledge of Multi Purpose Canine (MPC) restraint and
More informationUPEI / AVC Guidelines for Categories of Invasiveness and Rest Periods for Teaching Animals
UPEI / AVC Guidelines for Categories of Invasiveness and Rest Periods for Teaching Animals Created: 1996 Revised: April 2011 Background The UPEI Animal Care Committee (ACC) recognizes that animals can
More informationMASTER OF COMPANION ANIMAL CLINICAL SCIENCE
university of copenhagen f a c u lt y o f h e a lt h a n d m e d i c a l s c i e n c e s MASTER OF COMPANION ANIMAL CLINICAL SCIENCE det sundhedsvi kø b e n h av n s u n i v e r MASTER OF COMPANION ANIMAL
More informationVeterinary Continuous Education in Europe International non-profit association. Competences for. VETCEE accredited equine programs.
Veterinary Continuous Education in Europe International non-profit association Competences for VETCEE accredited equine programs -- Approved by The VETCEE Board -- May 2015 1 Competences for VETCEE accredited
More informationCompetencies for VETCEE Accredited Companion Animal Programmes
Veterinary Continuous Education in Europe International non-profit association Competencies for VETCEE Accredited Companion Animal Programmes -- Approved by The VETCEE Board -- March 2016 Competences for
More informationNSAIDs: the Past, Present, and Future
NSAIDs: the Past, Present, and Future Resident Seminar - November 2017 Lisanne Gallant, DVM Large Animal Medicine Resident Outline Physiology Review Use in Large Animals Adverse Effects Cases The Future
More informationEssential Skills for Assistant Training Revised 7/1/2018
Essential Skills for Assistant Training Revised 7/1/2018 I. Office and Hospital Procedures A. Front Desk 1. Greet Clients 2. Demonstrate proper Appointment Scheduling and make appointments 3. Prepare appropriate
More informationB2 C.1 Ophtalmological examination B3
HANDELING PAARD CODE A. Horse identification (electronic, graphic, age determination) A B. Physical examination B.1 Handling of horses (fixation with rope, nose twitch, walking,...) B1 B.2. General physical
More informationEquine Conference HORSE COURSE. 20 Hours CE December 4-5, 2014 Auburn University College of Veterinary Medicine. Nov. 5 6, 2015.
20 Hours CE December 4-5, 2014 Auburn University College of Veterinary Medicine 10th JT Performance VaughanHorses Sinus Treatment in Standing Horses Laminitis Dermatologic Problems in Horses Nov. 5 6,
More informationTherapeutic apheresis in veterinary
Therapeutic apheresis in veterinary 1 I.P.Pavlov First St.-Petersburg State Medical University, Saint-Petersburg, Russia. Voinov V.A. A. By types of animals on the basis of anatomical and physiological
More informationVeterinary Medicine - VMED
Veterinary Medicine - VMED 1 Veterinary Medicine - VMED Courses VMED 7230 CUTANEOUS DISORDERS OF LARGE AND EXOTIC ANIMALS (3) LEC. 3, IND/LEC. 9-12. In depth review of the common and uncommon dermatologic
More informationCritical Decisions in Colic
Critical Decisions in Colic Anthony Blikslager, DVM, PhD, Diplomate ACVS As an equine professional, the decision to refer a horse for further evaluation of colic continues to be difficult, and one must
More informationNEONATAL Point Prevalence Survey. Ward Form
Appendix 2 NEONATAL Point Prevalence Survey Ward Form Please fill in one form for each ward included in PPS Date of survey Person completing form (Auditor code) Hospital Name Department/Ward Neonatal departments
More informationVETERINARY HOSPITAL TECHNOLOGY II
JEFFERSON COLLEGE COURSE SYLLABUS VAT 256 VETERINARY HOSPITAL TECHNOLOGY II 5 Credit Hours Prepared by Dr. Robin Duntze Dean, Dr. John Keck VAT256 VETERINARY HOSPITAL TECHNOLOGY II 1. CATALOG DESCRIPTION
More informationEquine Emergencies. Identification and What to do Until the Vet Arrives Kathryn Krista, DVM, MS
Equine Emergencies Identification and What to do Until the Vet Arrives Kathryn Krista, DVM, MS Common Equine Emergencies Cellulitis/lymphangitis Choke (esophageal obstruction) Colic Eye abnormalities Fever
More informationThe Royal College of Veterinary Surgeons DIPLOMA IN EQUINE SOFT TISSUE SURGERY PAPER I. (Basic Sciences) Tuesday 2 May 1995
The Royal College of Veterinary Surgeons PAPER I (Basic Sciences) Tuesday 2 May 1995 10.00 a.m. to 1.00 p.m. (3 hours) SECTION A Two long answer questions of which a candidate must choose ONE question
More informationCE West June 1-3, 2018 Wine Country Inn, Palisade, CO
CE West June 1-3, 2018 Wine Country Inn, Palisade, CO Tips and Tricks of the Trade: Practical Dermatology and Ophthalmology for the General Practitioner AGENDA Friday, June 1 5:00 6:00 PM Registration
More informationVeterinary Medical Terminology
Curriculum Outline: Course # Required courses prior to admission Credit hours BIO 0 Principles of Biology I with Lab 4 CHM 0 General Chemistry I with Lab 4 ENG 110 or 111 or 1 Freshman Composition or Composition
More informationOn necropsy: petechial hemorrhages throughout small intestines 4+ Clostridium perfringes cultured from manure
History: >2 lactation Jersey cow, 3 days fresh Late evening: blood in manure, slight diarrhea, normal TPR Next morning: found dead On necropsy: petechial hemorrhages throughout small intestines 4+ Clostridium
More informationAustralian and New Zealand College of Veterinary Scientists. Membership Examination. Veterinary Anaesthesia and Critical Care Paper 1
Australian and New Zealand College of Veterinary Scientists Membership Examination June 2015 Veterinary Anaesthesia and Critical Care Paper 1 Perusal time: Fifteen (15) minutes Time allowed: Two (2) hours
More informationColic surgery in horses nurse s role in postoperative care
Vet Times The website for the veterinary profession https://www.vettimes.co.uk Colic surgery in horses nurse s role in postoperative care Author : Samantha Feighery Categories : Clinical, RVNs Date : November
More informationANTIBIOTIC USE GUIDELINES FOR URINARY TRACT AND RESPIRATORY DISEASE
ANTIBIOTIC USE GUIDELINES FOR URINARY TRACT AND RESPIRATORY DISEASE Jane Sykes, BVSc(Hons), PhD, DACVIM (SAIM) School of Veterinary Medicine Dept. of Medicine & Epidemiology University of California Davis,
More informationHeartworm Disease in Dogs
Customer Name, Street Address, City, State, Zip code Phone number, Alt. phone number, Fax number, e-mail address, web site Heartworm Disease in Dogs Basics OVERVIEW Disease caused by infestation with heartworms
More informationUpdate in Veterinary Medicine. Dr. Maria M. Crane Zoo Atlanta
Update in Veterinary Medicine Dr. Maria M. Crane Zoo Atlanta Overview of Discussion Medical management of captive orangutans Preventative Medicine Anesthesia Protocols Vaccinations TB testing Current Health
More informationAntimicrobial Selection and Therapy for Equine Musculoskeletal Trauma
Antimicrobial Selection and Therapy for Equine Musculoskeletal Trauma Lucio Petrizzi DVM DECVS Università degli Studi di Teramo Surgical site infections (SSI) Microbial contamination unavoidable Infection
More informationNiagara Falls, CVMA CE Sessions
THURSDAY, JULY 7, 2016 WET LABS DENTAL EXTRACTIONS IN DOGS AND CATS AND BASIC RESTORATIVE TECHNIQUES EMERGENCY PROCEDURES LABS GEARED TO TECHNICIANS BUT OPEN TO DVM S DIAGNOSTIC AND THERAPEUTIC PROCEDURES
More informationProceedings of the American Association of Equine Practitioners - Focus Meeting. Focus on Colic. Indianapolis, IN, USA 2011
www.ivis.org Proceedings of the American Association of Equine Practitioners - Focus Meeting Focus on Colic Indianapolis, IN, USA 2011 Next Focus Meetings: July 22-24, 2012 - Focus on Hind Limb Lameness
More informationAcute Hemorrhagic Diarrhea Syndrome (AHDS) A Cause of Bloody Feces in Dogs
Acute Hemorrhagic Diarrhea Syndrome (AHDS) A Cause of Bloody Feces in Dogs No dog parent wants to clean up diarrhea. Cleaning up bloody diarrhea is even more unpleasant. Unfortunately, the development
More informationVet BLUE Lung Ultrasound in Small Animals - The New Way to Do Respiratory Distress USE OF LUNG ULTRASOUND IN SMALL ANIMALS - THE VET BLUE
Vet BLUE Lung Ultrasound in Small Animals - The New Way to Do Respiratory Distress SOUTHWEST VETERINARY SYMPOSIUM 2017 Gregory R. Lisciandro, DVM, DABVP, DACVECC Hill Country Veterinary Specialists & FASTVet.com,
More informationTHERIOGENOLOGY INTERNSHIP PROGRAM Department of Veterinary Clinical Sciences College of Veterinary Medicine Oklahoma State University
THERIOGENOLOGY INTERNSHIP PROGRAM Department of Veterinary Clinical Sciences College of Veterinary Medicine Oklahoma State University Faculty in Support of the Program Candace Lyman, DVM, Diplomate, Assistant
More informationJoseph Wilder Memorial Scholarship Talent Show (Marriott Saba Tickets available on the day) BOVINE Marriott Saba
SATURDAY, NOVEMBER 4 8:00 PM 12:00 AM Joseph Wilder Memorial Scholarship Talent Show ( Tickets available on the day) SUNDAY, NOVEMBER 5 WET LAB Ross Campus Therio Lab Dr. Dan Johnson: Exotics 101 for the
More informationDEPARTMENT OF CLINICAL STUDIES POLICY ON FREQUENCY OF USE OF TEACHING AND DONATED ANIMALS
DEPARTMENT OF CLINICAL STUDIES POLICY ON FREQUENCY OF USE OF TEACHING AND DONATED ANIMALS Revised: February 20, 2006 Preamble: The OVC and OAC through the Department of Clinical Studies (DCS) and the Veterinary
More informationOptimizing Antimicrobial Stewardship Activities Based on Institutional Resources
Optimizing Antimicrobial Stewardship Activities Based on Institutional Resources Andrew Hunter, PharmD, BCPS Infectious Diseases Clinical Pharmacy Specialist Michael E. DeBakey VA Medical Center Andrew.hunter@va.gov
More informationDATA COLLECTION SECTION BY FRONTLINE TEAM. Patient Identifier/ Medical Record number (for facility use only)
Assessment of Appropriateness of ICU Antibiotics (Patient Level Sheet) **Note this is intended for internal purposes only. Please do not return to PQC.** For this assessment, inappropriate antibiotic use
More informationAcute Pyelonephritis POAC Guideline
Acute Pyelonephritis POAC Guideline Refer full regional pathway http://aucklandregion.healthpathways.org.nz/33444 EXCLUSION CRITERIA: COMPLICATED PYELONEPHRITIS Discuss with relevant specialist for advice
More informationSpecialist Referral Service Willows Information Sheets. Rigid endoscopy
Specialist Referral Service Willows Information Sheets Rigid endoscopy Professor Rob White with a state-of-the-art rigid Karl Storz endoscope. Rigid endoscopy What is endoscopy? Endoscopy involves the
More informationAustralian and New Zealand College of Veterinary Scientists. Membership Examination. Veterinary Emergency and Critical Care Paper 1
Australian and New Zealand College of Veterinary Scientists Membership Examination June 2014 Veterinary Emergency and Critical Care Paper 1 Perusal time: Fifteen (15) minutes Time allowed: Two (2) hours
More informationWhat causes heartworm disease?
Heartworm Disease: What causes heartworm disease? Heartworm disease (dirofilariasis) is a serious and potentially fatal disease in dogs and cats. It is caused by a blood-borne parasite called Dirofilaria
More informationDr. P. P. Doke. M.D., D.N.B., Ph.D., FIPHA. Professor, Department of Community Medicine, Bharati Vidyapeeth Medical College, Pune
Dr. P. P. Doke M.D., D.N.B., Ph.D., FIPHA Professor, Department of Community Medicine, Bharati Vidyapeeth Medical College, Pune 1 Anti microbial resistance is now a global geometrically increasing threat
More informationASSESSMENT Theory and knowledge are tested through assignments and examinations.
Level 2 Diploma for Veterinary Nursing Assistants 600/9504/0 QUALIFICATION PURPOSE The Veterinary Nursing Assistant qualification aims to prepare and support students for a career as a veterinary nursing
More informationCourse # Course Name Credits
Curriculum Outline: Course # Course Name Credits Term 1 Courses VET 100 Introduction to Veterinary Technology 3 ENG 105 English Composition 3 MATH 120 Technical Mathematics 3 VET 130 Animal Biology/ Anatomy
More information11th J.T. Vaughan Equine Conference for the Practitioner Nov , 2016
2016 11th J.T. Vaughan Equine Conference for the Practitioner Nov. 10-11, 2016 20 Hours CE LAMINTIS VETERINARY SPINAL MANIPULATION THERIOGENOLOGY PHARMACY LAW CONTINUING EDUCATION AND MUCH MORE! HORSE
More informationJEFFERSON COLLEGE COURSE SYLLABUS VAT256 VETERINARY HOSPITAL TECHNOLOGY II. 5 Credit Hours. Revised by: Dana Nevois, MBA, BS, RVT April 6, 2017
JEFFERSON COLLEGE COURSE SYLLABUS VAT256 VETERINARY HOSPITAL TECHNOLOGY II 5 Credit Hours Revised by: Dana Nevois, MBA, BS, RVT April 6, 2017 Chris DeGeare, M.Ed., Division Chair, Business and Technical
More informationChicken Farmers of Canada animal Care Program. Implementation guide
Chicken Farmers of Canada animal Care Program Implementation guide Implementation Guide Animal Care Program Introduction Chicken Farmers of Canada (CFC) has developed a comprehensive animal care program
More informationInvesting in Discovery
Investing in Discovery Stopping the Spread of Deadly Parrot Disease Diagnostic tests to stop the spread of an incurable disease Professor Dale Smith and her colleagues are developing the diagnostic tests
More informationSurvey of Wisconsin Primary Care Clinicians
... for our health Clinical Approach to Nonresponsive Pneumonia: A Survey of Wisconsin Primary Care Clinicians Hannah A. Louks, 1,3 Jared M. Fixmer, MD 2, and Dennis J. Baumgardner, MD 1,2,3 1 Wisconsin
More informationBARN SAFETY & EMERGENCY FIRST AID
BARN SAFETY & EMERGENCY FIRST AID South Shore Equine Clinic & Diagnostic Center 781-585-2611 www.ssequineclinic.com BARN SAFETY & EMERGENCY FIRST AID Are you prepared? When to call the vet SAFETY HOUSING
More informationAmerican Association of Equine Practitioners White Paper on Telehealth July 2018
American Association of Equine Practitioners White Paper on Telehealth July 2018 Introduction Telehealth, by definition, encompasses all uses of technology designed to remotely deliver health information
More informationVS208 Emergency Medicine and Critical Care
VS208 Emergency Medicine and Critical Care 3 Credits Instructor: Dr. Robyn Rodgers 780 853 8611 Original Developer: Dr. Robyn Rodgers Current Developer: Dr. Robyn Rodgers Reviewer: Dr. Crystal Mullen Created:
More informationSTATE UNIVERSITY OF NEW YORK COLLEGE OF TECHNOLOGY CANTON, NEW YORK
STATE UNIVERSITY OF NEW YORK COLLEGE OF TECHNOLOGY CANTON, NEW YORK COURSE OUTLINE VSAD 302 ANIMAL CARE INSTITUTION MANAGEMENT Prepared By: Sophia C. Theodore, DVM SCHOOL OF SCIENCE, HEALTH & CRIMINAL
More informationLameness Exams. Evaluating the Lame Horse
Lameness Exams Evaluating the Lame Horse Stress, strain, or injury can take a toll on any horse, even one with no obvious conformation defects. When lameness occurs, you should contact your veterinarian
More informationTraditional Laboratory Animal Skills List
Traditional Laboratory Animal s List A minimum of 80% (72 of 90 skills) of the skills must be mastered. s must be cross-referenced in your case logs. Some skills may require more than one corresponding
More informationProceedings of the World Small Animal Veterinary Association Sydney, Australia 2007
Proceedings of the World Small Animal Veterinary Association Sydney, Australia 2007 Hosted by: Australian Small Animal Veterinary Association (ASAVA) Australian Small Animal Veterinary Association (ASAVA)
More information2018 KVMA Convention January 11-13, 2018 Hilton Garden Inn Manhattan, Kansas
2018 KVMA Convention January 11-13, 2018 Hilton Garden Inn Manhattan, Kansas THURSDAY, JANUARY 11 10:00 am - 5:00 pm - Registration desk open 11:30 am - LUNCH WITH THE EXPERTS 12:30 pm CPR (Basic Life
More informationSubjects Beginning with "U"
Subjects Beginning with "U" SUBJECT: ARTICLE TITLE: JOURNAL DATE: PAGE: Ucatan miniature pigs SWINE UDDER Teat Laceration Repair in Cattle VCONA/FAP JULY 2008 295 UDDER - MICROBIOLOGY GASTROINTESTINAL
More informationAcute Vomiting & Diarrhea Overview & Presentation
STEP 1: Comprehensive Overview Acute Vomiting & Diarrhea Overview & Presentation Craig Datz, DVM, MS, DABVP (Canine & Feline), DACVN University of Missouri Vomiting and diarrhea may indicate a primary
More informationAustralian and New Zealand College of Veterinary Scientists. Fellowship Examination. Small Animal Surgery Paper 1
Australian and New Zealand College of Veterinary Scientists Fellowship Examination June 2017 Small Animal Surgery Paper 1 Perusal time: Twenty (20) minutes Time allowed: Three (3) hours after perusal Answer
More informationManagement of Equine Colic in Veterinary Practice Derek Major Agnes Banks Equine Clinic
Management of Equine Colic in Veterinary Practice Derek Major Agnes Banks Equine Clinic What is Colic? Colic is a general term for abdominal pain in the horse. It generally refers to gastro-intestinal
More informationNUMBER: R&C-ARF-10.0
1. PURPOSE PAGE 1 OF 6 This policy describes the procedures for keeping and maintaining animal medical records. This procedure is approved by the Creighton University Institutional Animal Care and Use
More informationCoccidioidomycosis in Dogs & Cats An Important Fungal Infection in Pets
Coccidioidomycosis in Dogs & Cats An Important Fungal Infection in Pets Infectious organisms are everywhere. Bacteria, viruses, and fungi threaten our pets every day. Some prefer specific environmental
More informationWelcome! 10/26/2015 1
Welcome! Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines
More informationPROPOSED REGULATION OF THE NEVADA STATE BOARD OF VETERINARY MEDICAL EXAMINERS. LCB File No. R August 23, 2004
PROPOSED REGULATION OF THE NEVADA STATE BOARD OF VETERINARY MEDICAL EXAMINERS LCB File No. R130-04 August 23, 2004 EXPLANATION Matter in italics is new; matter in brackets [omitted material] is material
More informationGeneral Surgery Small Group Activity (Facilitator Notes) Curriculum for Antimicrobial Stewardship
General Surgery Small Group Activity (Facilitator Notes) Curriculum for Antimicrobial Stewardship Facilitator instructions: Read through the facilitator notes and make note of discussion points for each
More informationEMERGENCIES When to Call the Vet And What to Do Until They Arrive
EMERGENCIES When to Call the Vet And What to Do Until They Arrive By Dr. Jennifer Fowlie, DVM, MSc Board Certified Equine Surgeon (DACVS) As a horse owner or caretaker, it is very helpful to know how to
More informationNUMBER: /2005
Purpose PAGE 1 OF 7 The purpose of this policy is to describe the procedures for keeping and maintaining animal medical records. This procedure is approved by the Creighton University Institutional Animal
More informationRabbit Surgery and Dentistry Workshop. 5 6th March 2016
Rabbit Surgery and Dentistry Workshop 5 6th March 2016 SCHEDULE DAY 1 DAY 2 8:00am Registration 8:30am Tutorial 1 Nutrition and Husbandry 9:30am Tutorial 2 Physical Examination 10:15am Morning Tea 10:45am
More informationDEVELOPMENT, IMPLEMENTATION AND ASSESSMENT OF PERFORMANCE STANDARDS Agricultural Species
DEVELOPMENT, IMPLEMENTATION AND ASSESSMENT OF PERFORMANCE STANDARDS Agricultural Species Bart Carter DVM DACLAM University of Texas Southwestern Medical Center About me DVM from University of Missouri
More informationSincerely, Patrick Melese MA, DVM, DACVB (Behavior) and the staff of the Veterinary Behavior Consultants.
Dear Colleague: Thank you for your request for referral supplies to help clients obtain specialty veterinary behavioral medicine services. For 30 years now (VBC) has been seeing clients with companion
More informationProceedings of the 11th International Congress of the World Equine Veterinary Association
www.ivis.org Proceedings of the 11th International Congress of the World Equine Veterinary Association 24 27 September 2009 Guarujá, SP, Brazil Next Meeting : Nov. 2-6, 2011 - Hyderabad, India Reprinted
More informationDVM, MS, Diplomate ACVS, Board Certified Equine Surgeon AREAS OF EXPERTISE. Current equine surgical techniques: Orthopedic and soft tissue surgery
DVM, MS, Diplomate ACVS, Board Certified Equine Surgeon AREAS OF EXPERTISE Current equine surgical techniques: Orthopedic and soft tissue surgery Equine lameness exam Equine neurological exam Equine pre-purchase
More informationPatients. Excludes paediatrics, neonates.
Full title of guideline Author Division & Speciality Scope Gentamicin Prescribing Guideline For Adult Patients Annette Clarkson, Specialist Clinical Pharmacist Antimicrobials and Infection Control All
More informationAmerican Association of Feline Practitioners American Animal Hospital Association
American Association of Feline Practitioners American Animal Hospital Association Basic Guidelines of Judicious Therapeutic Use of Antimicrobials August 1, 2006 Introduction The Basic Guidelines to Judicious
More informationHeartworm Disease in Dogs
Kingsbrook Animal Hospital 5322 New Design Road, Frederick, MD, 21703 Phone: (301) 631-6900 Website: KingsbrookVet.com What causes heartworm disease? Heartworm Disease in Dogs Heartworm disease or dirofilariasis
More informationNiagara Falls, CVMA CE Sessions
THURSDAY, JULY 7, 2016 WET LABS DENTAL EXTRACTIONS IN DOGS AND CATS AND BASIC RESTORATIVE TECHNIQUES EMERGENCY PROCEDURES LABS GEARED TO TECHNICIANS BUT OPEN TO DVM S DIAGNOSTIC AND THERAPEUTIC PROCEDURES
More informationWhat s Your Diagnosis? By Sohaila Jafarian, Class of 2018
Signalment: Greeley, 3 yo MC DSH Presenting Complaint: ADR History: What s Your Diagnosis? By Sohaila Jafarian, Class of 2018 Patient is an indoor/outdoor cat. Previously healthy and up to date on vaccines
More informationAntimicrobial Stewardship in Continuing Care. Urinary Tract Infections Clinical Checklist
Antimicrobial Stewardship in Continuing Care Urinary Tract Infections Clinical Checklist December 2014 What is Antimicrobial Stewardship? Using the: right antimicrobial agent for a given diagnosis at the
More informationEquine Euthanasia. If you would like, we can save a lock of mane or tail for you to keep in memory of your horse.
Equine Euthanasia At Cleary Lake Veterinary Hospital we have our own peace garden. This is a special area where our clients can spend some quiet time and say their goodbyes to their horse. There are two
More informationDIAGNOSIS AND MANAGEMENT OF CHOLECYSTITIS IN DOGS
Int. J. Agric.Sc & Vet.Med. 2014 K Satish Kumar and D Srikala, 2014 Research Paper ISSN 2320-3730 www.ijasvm.com Vol. 2, No. 3, August 2014 2014 www.ijasvm.com. All Rights Reserved DIAGNOSIS AND MANAGEMENT
More informationREVISED PROPOSED REGULATION OF THE NEVADA STATE BOARD OF VETERINARY MEDICAL EXAMINERS. LCB File No. R June 9, 2003
REVISED PROPOSED REGULATION OF THE NEVADA STATE BOARD OF VETERINARY MEDICAL EXAMINERS LCB File No. R041-02 June 9, 2003 EXPLANATION Matter in italics is new; matter in brackets [omitted material] is material
More informationDiscovery. DIFFERENTIAL DIAGNOSES Septic joint or tendon sheath Abscess Vascular damage Fracture Tendon or ligament damage
Discovery Applied Research for Today s Equine Athlete March 2012 Volume 3 Case File: Contrast-Enhanced Computed Tomography (CT) SIGNALMENT AND HISTORY 1-year-old Morgan colt January 1, 2011, Trooper was
More informationCurricular Components for Infectious Diseases EPA
Curricular Components for Infectious Diseases EPA 1. EPA Title Promoting antimicrobial stewardship based on microbiological principles 2. Description of the A key role for subspecialists is to utilize
More informationTitle: Record Keeping for Regulated Animals at Oklahoma State University
Title: Record Keeping for Regulated Animals at Oklahoma State University Policy No. IACUC-013 Effective Date: 2/09/15 1. Reference(s): USDA Animal and Plant Health Inspection Service (APHIS) Animal Care
More informationSites of IM injections : 1. Ventrogluteal site: site is in the gluteus medius muscle, which lies over the gluteus minimus. 2. Vastus lateralis site:
Sites of IM injections : 1. Ventrogluteal site: site is in the gluteus medius muscle, which lies over the gluteus minimus. 2. Vastus lateralis site: is the thick and well developed in both adults and children.
More informationClinical Examination: Review
Clinical Examination: Review Melissa R. Finley, DVM, PhD, DACVIM Sandia National Laboratories And George McCommon, DVM Georgia Animal Development Team October 2011 Sandia National Laboratories is a multi-program
More informationPectus Defects: An Update on Options and Timing of Treatment OBJECTIVES. Sohail R. Shah, MD, MSHA Pediatric Surgery
Pectus Defects: An Update on Options and Timing of Treatment Sohail R. Shah, MD, MSHA Pediatric Surgery OBJECTIVES Describe types of different chest wall deformities and their incidence Discuss diagnosis,
More informationAustralian and New Zealand College of Veterinary Scientists. Fellowship Examination. Veterinary Emergency Medicine and Critical Care Paper 1
Australian and New Zealand College of Veterinary Scientists Fellowship Examination June 2017 Veterinary Emergency Medicine and Critical Care Paper 1 Perusal time: Twenty (20) minutes Time allowed: Four
More informationCURRICULUM VITAE Susan C. Hodge, DVM, Diplomat ACVS-SA
CURRICULUM VITAE Susan C. Hodge, DVM, Diplomat ACVS-SA Specialist Certification: February 2013 Completed American College of Veterinary Surgeons Board Certification Post-Veterinary Education: Date Institution
More informationSOUTH AFRICAN VETERINARY COUNCIL REGISTRATION EXAMINATION LIST OF PROCEDURES: PRACTICAL AND/OR ORAL/PRACTICAL EXAMINATION VETERINARIANS
SOUTH AFRICAN VETERINARY COUNCIL REGISTRATION EXAMINATION LIST OF PROCEDURES: PRACTICAL AND/OR ORAL/PRACTICAL EXAMINATION VETERINARIANS - 2015 NOTE: This is not a complete list of procedures. It is a list
More informationAuthor - Dr. Josie Traub-Dargatz
Author - Dr. Josie Traub-Dargatz Dr. Josie Traub-Dargatz is a professor of equine medicine at Colorado State University (CSU) College of Veterinary Medicine and Biomedical Sciences. She began her veterinary
More informationCANINE HEARTWORM DISEASE
! CANINE HEARTWORM DISEASE What causes heartworm disease? Heartworm disease (dirofilariasis) is a serious and potentially fatal disease in dogs. It is caused by a blood-borne parasite called Dirofilaria
More informationMetacam is an anti-inflammatory medicine used in cattle, pigs, horses, dogs, cats and guinea pigs.
EMA/CVMP/259397/2006 EMEA/V/C/000033 An overview of Metacam and why it is authorised in the EU What is Metacam and what is it used for? Metacam is an anti-inflammatory medicine used in cattle, pigs, horses,
More information