Biomakers in Sepsis
January 9, 2017, 8pm ET: Robert Goggs, BVSc, PhD, DACVECC
Session Info: Sepsis is a leading cause of death in critically ill dogs and cats. Numerous pharmacologic interventions have been evaluated for management of human sepsis, but almost universally these interventions have failed to produce consistent outcome benefits. The dysregulated host response to infection is extremely complex, which may explain this lack of efficacy in heterogenous groups of septic patients. Accurate diagnosis of sepsis, evaluation of severity and assessment of the host response is complicated, but would be of great value in enabling early, patient-specific treatment and could improve targeting of pharmacologic interventions. Biomarkers have an important role to play in this process, by helping to identify sepsis, differentiate non-septic SIRS from sepsis and bacterial from viral or fungal infection. Biomarkers can identify secondary organ dysfunction, aid prognostication, guide antibiotics and evaluate response to therapy. In this webinar, we will review the available biomarkers, offer guidance on how these may be optimally used and identify what biomarkers may offer additional insights in the future.
Speaker Info: Dr. Robert Goggs qualified from the University of Liverpool, UK in 2004. He then undertook a rotating internship and a residency in Emergency and Critical Care at the RVC, London and became board-certified by the American College of Veterinary Emergency and Critical Care in 2008. After board certification, he worked at the RVC as a clinician in the small animal hospital for 2 years. In 2010, Dr. Goggs moved to the University of Bristol to undertake a PhD investigating the roles of small G-proteins in the regulation of platelet shape change and secretion. Between 2011-13, Dr. Goggs co-chaired an effort to standardize viscoelastic testing in veterinary medicine, resulting in assay guidelines published in JVECC in 2014. Dr. Goggs joined the ECC team at Cornell University in October 2013 where he is currently a Lecturer. His research interests include hemostatic and thrombotic disorders, sepsis, biomarkers and canine IMHA and IMTP. Dr. Goggs is currently Chair of the ACVECC Examination Committee and is Associate Editor (ECC) for the Journal Veterinary Medicine and Science.
Crisis Management Skills for the ER Team
February 20, 2017, 8pm ET: Jeannine Moga, MA, MSW, LCSW
Session Info: While there is rarely a shortage of emotional emergencies in veterinary emergency practice, shortages of time, energy and skill sometimes prevent effective and efficient crisis de-escalation. This webinar will review the role of emotions generally, and de-mystify the “crisis cascade” in particular, to help veterinary practitioners identify high risk situations. Next, this webinar will introduce seven steps to crisis de-escalation, as well as review critical skills for reducing risk to the veterinary team (and veterinary clients) when emotions boil over. Finally, the self-management techniques most useful for diffusing the emotional contagion of crises will be reviewed.
Speaker Info: Jeannine is a licensed clinical social worker, educator, and program consultant practicing at the intersection of human and animal issues to support animal people, create sound organizational/social policies, and develop evidence-based animal-assisted programs. She has served as the Founding Director of both Veterinary Social Services at the University of Minnesota’s Veterinary Medical Center (2004-2012) and, more recently, Family & Community Services at North Carolina State University’s Veterinary Hospital (2012-present). Her work includes crisis intervention, medical case consultation, and counseling for animal owners, as well as skills training, debriefing, and psychosocial support for veterinary professionals. Jeannine provides consultation and training to social services, veterinary medical, and animal welfare professionals across the country. Her focal interests include traumatic grief, medical futility, and occupational risk and resilience in animal care professions.
The Critical Bird: Approach and Decision Making
March 13, 2017, 8pm ET: Jennifer Graham, DVM, DACVP (Avian)
Session Info: This presentation will begin with an overview on how to approach the critical avian patient with a review of pertinent points to note regarding physical examination findings. Diagnostic approach will be reviewed followed by discussion of avian stabilization techniques. The last half of the discussion will be on common avian emergency presentations.
Speaker Info: Dr. Graham graduated with her DVM from Auburn University in 1999. She completed an avian/exotic internship at the University of Georgia followed by a 3-year residency in avian/exotic animal medicine at the University of California at Davis. Following her residency, she started an exotics practice in a specialty referral hospital located in Seattle from 2003-2006. Dr. Graham worked at Angell Animal Medical Center in Boston from 2006-2012. She is presently an Assistant Professor of Zoological Companion Animal Medicine at the Cummings School of Veterinary Medicine at Tufts University and holds an adjunct faculty position with the University of Washington. Dr. Graham became board certified through the American Board of Veterinary Practitioners (ABVP) in Avian medicine in 2002 and has recently recertified in this practice category. She became a Diplomate of the American College of Zoological Medicine in 2008. She was also on the organizing committee for the ABVP-Exotic Companion Mammal practice category and became certified in this practice category in 2009. Dr. Graham is a member of multiple professional organizations, including the Association of Avian Veterinarians (AAV), American Association of Zoo Veterinarians (AAZV), Association of Reptilian and Amphibian Veterinarians (ARAV), and the Association of Exotic Mammal Veterinarians (AEMV). Dr. Graham’s professional interests include NSAIDs/inflammation, oncology in exotic animal species, Encephalitozoon cuniculi, and evaluation of gastrointestinal activity patterns in rabbits. She served as the ABVP Residency Chair from 2009-2013 and holds positions on several veterinary committees. Dr. Graham is committed to wellness in the veterinary profession and helps lead the Healer’s Art training program for first and second year veterinary students. In her spare time, Dr. Graham enjoys hiking, camping, kayaking, and fly fishing (although she never catches anything!).
The Septic Abdomen: Small steps to make a big difference
April 17, 2017, 8pm ET: Paul Aldridge, BVSc, Cert SAS, MRCVS
Session Info: The most common cause of septic peritonitis in our patients is perforation of the gastrointestinal tract. This webinar will look at steps we can take to maximize the patients chances of survival after the source of contamination has been controlled, and before recovery from anesthesia. Options for reinforcement of the intestinal suture line will be discussed (omentalisation and serosal patching), and current guidelines for abdominal lavage presented. The placement of a surgical feeding tube now will only add a few minutes to the procedure, but could be vital in post-op recovery and management; gastronomy, enterostomy and combined tubes will be discussed. Ongoing abdominal drainage may be indicated; a practical guide to the use of abdominal drains to achieve closed drainage will be outlined.
Speaker Info: Paul graduated from University of Liverpool; as well as working as a referral and emergency surgeon in the north of England for Vets Now, Paul is widely involved in continuing education for both veterinarians and nurses, and is in demand as a speaker in the UK and the rest of Europe. He is also co-author of ‘Practical Emergency and Critical Care Veterinary Nursing’ (Wiley 2013). His areas of interest include all aspects of trauma surgery, wound management, and managing ‘the acute abdomen’.
Sedation in the ER: “Landshark in Room 3 for Triage!”
May 15, 2017, 8pm ET: Ben Brainard, DVM, DACVAA, DACVECC
Session Info: A trip to the ER is stressful for animals and owners. In animals that manifest this stress as aggressive behavior, it can be difficult for the practitioner to perform a thorough exam without sedation. But sedation in an animal with an unknown medical history and cardiorespiratory status can be difficult. This course will discuss options for the approach to and sedation of aggressive animals in an ER setting to alleviate pain and distress, and to provide safe handling for veterinarians and technicians. Specific areas will focus on non-sedative approaches to safe animal handling and on sedative medications that can be used safely in patients with unknown cardiorespiratory status.
Speaker Info: Benjamin Brainard is the Edward H. Gunst professor of small animal critical care, in the Dept. of Small Animal Medicine and Surgery at the University of Georgia. He received his undergraduate degree from Dartmouth College and VMD from the University of Pennsylvania. He completed dual residencies at the University of Pennsylvania and is a diplomate of the American College of Veterinary Anesthesia and Analgesia and the American College of Veterinary Emergency and Critical Care. His clinical interests are critical care medicine, pain management in the ICU, long term ventilation, and coagulation disorders. His research interests focus on platelet biology and thrombosis in many species, in addition to coagulation assessment and antithrombotic and antifibrinolytic drugs. Dr. Brainard is an Associate Editor for the Journal of Veterinary.
What to Do When Fluids Don’t Work
June 12, 2017, 8pm ET: Elke Rudloff, DVM, DACVECC
Session Info: Have you ever had that case that had persistent hypotension, tachycardia, decreased level of consciousness despite adequate fluid resuscitation? What tells you when more fluids won’t work? Let’s explore those questions and review the interventions to consider when fluids are not enough
Speaker Info: Dr. Rudloff is a 1991 graduate of Purdue University School of Veterinary Medicine. She completed her residency training at the Animal Emergency Center and achieved board certification in the American College of Veterinary Emergency and Critical Care in 1995. She has mentored 28 ACVECC Diplomates and is currently a clinical instructor at the Lakeshore Veterinary Specialists in Glendale, Wisconsin. She serves as the IVECCS Program Coordinator. She is the 2008 recipient of the Ira Zaslow Award for distinguished service in the field of veterinary emergency and critical care and is an internationally recognized educator in the field of veterinary emergency and critical care. Her special interests include fluid resuscitation, emergency surgery, and trauma management, topics on which she has published in peer-reviewed journals and book chapters.
Top Emergency and Critical Care Journal Articles in 2016
July 17, 2017, 8pm ET: Adesola Odunayo, DVM, DACVECC
Session Info: This hour-long session will focus on the top peer reviewed articles from 2016 pertaining to the practice of emergency and critical care medicine. Practical take home information from these articles will be reviewed.
Speaker Info: Adesola Odunayo is a clinical assistant professor of emergency and critical care at the University of Tennessee. She completed a residency in emergency and critical care in 2010 and worked as a clinical instructor at Auburn University between 2010 and 2012, until she joined the faculty at Tennessee. Her clinical interests include transfusion medicine, management of septic and post-operative patients, and mechanical ventilation. When she is not working, Desola enjoys spending time outside accompanied by her special Australian shepherd dogs (Gracie and Zoey), running, hiking in beautiful east Tennessee and traveling the world.
The Critically Ill Kidney: Intensive Care Management of AKI
August 14, 2017, 8pm ET: Alessio Vigani, DVM, DACVECC, DACVAA
Session Info: Acute kidney injury (AKI) is a syndrome that in recent years has become the subject of significant investigation in human and veterinary medicine. There is now awareness of the detrimental consequences on patient outcome of even the mildest degree of renal dysfunction. Early recognition of AKI is critical for the optimization of therapy. AKI is currently defined by 2 functional renal markers: creatinine and urine output. Both have intrinsically specific flaws in their validity as markers of injury, especially in critically ill patients. The diagnostic approach and specific recommendations on therapeutic interventions in the intensive care management of AKI of will be discussed in this course.
Speaker Info: Alessio Vigani is currently on faculty at North Carolina State University teaching small animal emergency and critical care and extracorporeal therapies. Alessio received his DVM degree Summa Cum Laude from the University of Milan in 2006 and then obtained his PhD degree in clinical sciences. He completed a small animal rotating internship at The Ohio State University in 2009. He subsequently pursued two consecutive residency programs in veterinary anesthesia and analgesia and emergency and critical care at the University of Florida. He has been an ACVAA Diplomate since 2012 and an ACVECC Diplomate since 2014. Dr. Vigani has published several journal articles and book chapters, and he has lectured nationally and internationally. His special interests include regional anesthesia, critical care medicine, and hemodialysis. Alessio shares a tiny apartment with his dogs Scimmietta, Macchietta and Anacleto. Alessio is a devoted runner and yogi.
Geriatric Critical Care: Crucial Differences in Older Pets
September 18, 2017, 8pm ET: Maureen McMichael, DVM, DAVECC
Session Info: Geriatric pets have increased considerably, and pet parents are more likely to seek care for long term members of their pet family. There are some crucial differences that occur in senior and geriatric pets including changes in complete blood counts, biochemical panels, and coagulation panels (e.g., thrombotic potential). There are also important differences in pulmonary function, fluid needs, nutritional changes, and pharmacological differences. Diagnostic imaging (radiographs, CT, etc.) is unique in this age group and it is essential to know the expected changes with age in dogs and cats. This talk will discuss the important differences and will end with practical steps (including dosage calculations) that you can take to keep your geriatric patients in optimal health. Methylcobalamin, arginine, Lactobacillus & Bifiobacterium, dietary considerations, and ubiquinol will be discussed.
Speaker Info: Dr. Maureen McMichael is an associate professor in veterinary clinical medicine. She has research interests in oxidative stress, reperfusion injury, and probiotics.
Vasopressors in Small Animals: What, When, How?
October 23, 2017, 8pm ET: Medora Pashmakova, DVM, DACVECC
Session Info: Vasopressors are an integral part of early goal-directed therapy, but can be an intimidating step for many clinicians. For numerous reasons, vasopressor therapy is often delayed until patients are very compromised, and morbidity or mortality are imminent. This lecture will demystify the use of adrenergic and non-adrenergic vasopressors and help identify what patients may benefit from pressors (as early as the emergency department), current recommendations from the human field, and how to be practical in pressor use and patient monitoring.
Speaker Info: Dr. Medora Pashmakova is a 2009 graduate of the College of Veterinary Medicine at Michigan State University. She completed her internship and residency at Texas A&M University and is board certified in emergency and critical care. Dr. Pashmakova was an assistant professor at Texas A&M University for 4 years before moving to North Houston Veterinary Specialists. Since 2015, Dr. Pashmakova has participated as a volunteer veterinarian for the Iditarod and looks forward to many more opportunities in sled dog medicine. In her spare time, Dr. Pashmakova enjoys chasing after her 2 stubborn terriers and soap making.
Rational Approach to Antimicrobial Therapy
November 20, 2017, 8pm ET: Armi Pigott, DVM, DACVECC
Session Info: This presentation will use real case examples to explore several topics related to antimicrobial therapy including: strategies to reduce the development of antimicrobial resistance; developing hospital-specific empiric antimicrobial algorithms; indications for escalation and de-escalation of antimicrobial therapy; clinical use of antimicrobial susceptibility test results.
Speaker Info: Originally from South Texas, Dr. Pigott holds a degree in Animal Science from Texas A&M University and DVM from Western University of Health Sciences College of Veterinary Medicine. He completed a rotating internship in Southern California followed by Emergency and Critical Care residency at Animal Emergency Center/Lakeshore Veterinary Specialists in Milwaukee, WI. After a short stint practicing in California he returned to Milwaukee where he is currently a Criticalist and Clinical Instructor for Lakeshore Veterinary Specialists. He spends his spare time filling craters dug in the yard by his 3 beagles and losing fishing tackle in the lake.
On the Frontline!
December 18, 2017, 8pm ET: Elke Rudloff, DVM, DACVECC and Elizabeth Rozanski, DVM, DACVIM, DACVECC
Session Info: Two emergency and critical care specialists bring their best and/or worst cases to you! What do they do? What would they do? What would YOU do? This webinar will highlight some of the paradigms in emergency and critical care that are shifting how we approach patient care On The Frontlines.
Speaker Info: Dr. Rudloff is a 1991 graduate of Purdue University School of Veterinary Medicine. She completed her residency training at the Animal Emergency Center and achieved board certification in the American College of Veterinary Emergency and Critical Care in 1995. She has mentored 27 ACVECC Diplomates and is currently a clinical instructor at the Lakeshore Veterinary Specialists in Glendale, Wisconsin. She serves as the IVECCS Program Coordinator. She is the 2008 recipient of the Ira Zaslow Award for distinguished service in the field of veterinary emergency and critical care and is an internationally recognized educator in the field of veterinary emergency and critical care. Her special interests include fluid resuscitation, emergency surgery, and trauma management, topics on which she has published in peer-reviewed journals and book chapters. She is available at firstname.lastname@example.org
Dr. Rozanski is a 1992 graduate of University of Illinois. She did her residency at University of Pennsylvania following internship at the University of Minnesota. She has worked at Tufts University for 20 years in the ECC department. She is available at email@example.com