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Emergency Medicine/Critical Care

Fall 2021, Emergency Medicine/Critical Care

Stabilizing the Critically Ill Patient

Karl R. Alon AS, RVT, VTS (ECC)

Karl has been a veterinary technician for almost 14 years, during which he has worked exclusively in veterinary emergency medicine, both in extended-hour general practices offering emergency care and state-of-the-art multispecialty referral practices. Karl obtained his RVT certification in 2013, after working as an unlicensed veterinary assistant for 6 years, and his VTS certification in 2017. His areas of interest include acid-base derangements, electrolyte abnormalities, trauma, and technician training. He is currently a veterinary technician instructor. He has lectured many times at local continuing education events in California, as well as large international veterinary conferences such as IVECCS.

Stabilizing patients in critical condition include timely triage, interventional therapies, and clear communication with the critical care facility for transfer.

Spring 2021, Emergency Medicine/Critical Care

Finding Purpose in Critical Care

Andrea Steele MSc, RVT, VTS (ECC)

Andrea graduated with a BS in Specialized Honours Zoology from the University of Guelph, completed the Veterinary Technician Diploma at the Ridgetown College Campus, and received her master’s degree from the University of Guelph in Veterinary Clinical Studies. Andrea was an ICU technician at the Ontario Veterinary College Health Sciences Centre for 20 years before moving into a supervisory role of the ICU and Anesthesia departments. She achieved the VTS (ECC) certification in 2003. Andrea is also an experienced lecturer, speaker, author of multiple textbooks, and the executive secretary of the Academy of Veterinary Emergency and Critical Care Technicians and Nurses.

A young patient with an oral and tracheal thermal injury after chewing an electrical wire is an example of some of the cases critical care veterinary nurses manage.

Winter 2021, Emergency Medicine/Critical Care

Concurrent Immune-Mediated Anemia and Thrombocytopenia in a Dog

Jennifer Lyons LVT, MS

Jennifer is a licensed veterinary technician with a master’s degree in animal biology. She attended the University of California, Davis, and later moved to Utah, where she found her passion for emergency and critical care medicine. Jennifer has worked for BluePearl for the past 5 years and is the emergency and critical care supervisor for the BluePearl Pet Hospital in Midvale, Utah. Her interests include post-cardiopulmonary arrest care, transfusion medicine, and bone marrow disease. She is the proud mother of 4 cats. In her down time, she enjoys spending quality time with her spouse snowboarding, mountain biking, dirt biking, and fishing.

This case report describes a young dog who’s immune system was destroying its own red blood cells due to a rare autoimmune disease called Evans syndrome.

Fall 2020, Emergency Medicine/Critical Care

Nursing a Patient With a Traumatic Pneumothorax

Harold Davis RVT, VTS (ECC, Anesthesia & Analgesia), President-Elect, North American Veterinary Community

Harold is a veterinary practice educational consultant and former manager of the emergency and critical care service at the UC Davis Veterinary Medical Teaching Hospital. He is a co-founder of the Academy of Veterinary Emergency and Critical Care Technicians, a charter member of the Academy of Veterinary Technicians in Anesthesia and Analgesia, and the past president of the Veterinary Emergency and Critical Care Society. He currently serves as President-elect on the Board of Directors for the NAVC. In addition, he is a Member-at-Large of the Board of Directors for the National Association of Veterinary Technicians in America. He has spoken at events in 12 countries and has published several book chapters and journal articles.

Knowledge of the pathogenesis and pathophysiology of traumatic pneumothorax enables the veterinary nurse/technician to understand the physiologic changes that affect the nursing care of these patients and the roles that various therapeutic modalities and general nursing care play in a successful outcome.

Persistent right aortic arch
Fall 2020, Emergency Medicine/Critical Care

Puppy Problems: PRAA and Intussusception

Amber Hart RVT, VTS (ECC)

Amber graduated from the Veterinary Technology program at Morehead State University in 2001. She has worked in emergency medicine since 2004 and achieved VTS (ECC) certification in 2014. Currently, she works in the ER/ICU on the Emergency and Nursing Team at MedVet in Cincinnati, Ohio. Her professional interests include CPR, sepsis, and intensive care nursing. She keeps the company of a small ark that includes snakes, lizards, guinea pigs, a parrot, and a dog. During her free time, she enjoys reading science fiction, practicing tai chi, making photo albums, and generally being a bit of a nerd.

Read the case report of Duncan, a rescue puppy with a multitude of medical problems.

veterinary SIRS
Continuing Education, Spring 2020, Emergency Medicine/Critical Care

Recognizing, Treating, and Monitoring Systemic Inflammatory Response Syndrome and Sepsis

Courtney Waxman BAS, CVT, RVT, VTS (ECC)

Courtney has worked in emergency and specialty veterinary practice for almost 15 years. Her areas of special interest include CPR, mechanical ventilation, one-on-one case management, critical care nursing, critical thinking, and technician/nurse training. She currently works as an instructor for Purdue University’s Veterinary Nursing Distance Learning Program and in the veterinary teaching hospital’s intensive care unit. She lectures nationally and internationally on topics relating to emergency and critical care and has been published in several veterinary technician/nursing journals. In 2019, Courtney was awarded New Educator of the Year by the Association of Veterinary Technician Educators.

SIRS and sepsis patients represent some of the most severely critically ill veterinary patients. Following evidence-based medicine and implementing patient care bundles can greatly reduce patient morbidity and mortality, and providing supportive, diligent nursing care is essential in promoting a positive outcome.

Winter 2020, Emergency Medicine/Critical Care

Supportive Feeding Methods for Small Animals

Nicola Ackerman PGCert, RVN, CertSAN, CertVNECC, VTS (Nutrition)

Nicola has worked in the veterinary profession since 1994 and is currently the Head Medical Nurse at Plymouth Veterinary Group. She has written for many veterinary publications and textbooks and is the editor of Aspinall’s Complete Textbook of Veterinary Nursing. Nicola won the British Veterinary Nursing Association (BVNA)/Blue Cross award for animal welfare in 2010, and she was designated the SQP Veterinary Nurse of the Year in 2011 and the SQP Nutritional Advisor of the Year (2013). In 2012, Nicola was given the CAW Professional Development Award for outstanding service to the veterinary nursing profession. She is studying for a master’s degree in Advanced Veterinary Nursing from Glasgow University.

The nutritional goal with all sick companion animals is that they consume the designated diet in sufficient quantities. Many patients may require, or benefit from, a veterinary therapeutic diet, but your initial goal is to ensure that the patient is receiving its daily caloric requirement from a nutritionally balanced diet.

Summer 2019, Emergency Medicine/Critical Care

Providing Care for Dogs with Heatstroke

Amy Newfield CVT, VTS (ECC)

Amy is employed by BluePearl Veterinary Partners as a Training Project Manager. After working in general practice, she found her passion in emergency medicine and in 2003 became a Veterinary Technician Specialist in Emergency and Critical Care. She has held several board positions in the Academy of Veterinary Emergency & Critical Care Technicians & Nurses, including president. Amy has published numerous articles, is an international speaker, has received numerous awards (including 2 Speaker of the Year awards), and is highly involved in her community. She and her wonderful furry kids live in Massachusetts, where you can find her eating chocolate, running in the woods, competing her dogs in agility, and scuba diving in the ocean.

Because every second counts: A discussion of the physiology of normal thermoregulation and the pathophysiology of heatstroke in dogs; plus, how to recognize, treat, and care for the heatstroke patient.

Less than 6% of dogs and cats that experience cardiopulmonary arrest survive to discharge. The veterinary team needs to be well trained in cardiopulmonary resuscitation and be ready to deliver it. Key aspects include preparedness and prevention, basic and advanced life support, monitoring, and postarrest care.
May/June 2017, Emergency Medicine/Critical Care

Critical Components to Successful CPR: The RECOVER Guidelines, Preparedness, and Team

Kenichiro Yagi MS, RVT, VTS (ECC, SAIM)

Ken has spent nearly 20 years in practice. He obtained his VTS certification in emergency and critical care, as well as small animal internal medicine, and earned his master’s degree in Veterinary Science. He served as ICU Manager and Blood Bank Manager at Adobe Animal Hospital until 2018, and is now Program Director for the RECOVER CPR Initiative and simulation lab manager of the Park Veterinary Innovation Laboratory at Cornell University. He co-chairs the Veterinary Nurse Initiative and serves as a board member of the Veterinary Emergency and Critical Care Society, the Academy of Veterinary Emergency and Critical Care Technicians, and the Veterinary Innovation Council.

Less than 6% of dogs and cats that experience cardiopulmonary arrest survive to discharge. The veterinary team needs to be well trained in cardiopulmonary resuscitation and be ready to deliver it. Key aspects include preparedness and prevention, basic and advanced life support, monitoring, and post-arrest care.

March/April 2017, Emergency Medicine/Critical Care

Pediatric Emergencies

Louise O’Dwyer MBA, BSc (Hons), VTS (Anesthesia, ECC), Dip.AVN (Medical & Surgical), RVN | Vets Now United Kingdom

Louise has contributed to more than 35 books, journal articles, and book chapters, and lectures worldwide on all aspects of anesthesia, emergency and critical care, surgery, and infection control. After 15 years working at PetMedics in Manchester, England, as Head Nurse and then Clinical Director, in October 2015, she moved to Vets Now to take up the position of Clinical Support Manager.

Louise’s interests include all aspects of emergency care, particularly trauma, as well as anesthesia, surgical nursing, infection control, and wound management. In 2016, Louise was delighted to receive the prestigious Bruce Vivash Jones Veterinary Nurse Award, which recognizes outstanding contributions to the advancement of small animal veterinary nursing, as well as the Royal College of Veterinary Surgeons Golden Jubilee Award for exceptional contribution to veterinary nursing. Louise is the President-Elect for the Academy of Veterinary Emergency and Critical Care Technicians.

Trish Farry CVN, VTS (ECC, Anesthesia/Analgesia), Cert.TAA, GCHEd | University of Queensland Queensland, Australia

Trish Farry is an Australian certified nurse with specialist qualifications in emergency/critical care and anesthesia/analgesia. She is an associate lecturer and clinical instructor in anesthesia at the School of Veterinary Science at The University of Queensland, where she also co-coordinates the final year of the Bachelor of Veterinary Technology program. Her areas of teaching include emergency medicine, anesthesia, analgesia, and clinical practices for undergraduate veterinary and veterinary technology students. She has been President of the Academy of Emergency and Critical Care Technicians as well as a board member of the Academy of Veterinary Technician Anesthetists and the International Veterinary Academy of Pain Management.

Neonatal and pediatric patients differ significantly from their adult counterparts. Veterinary nurses and technicians must understand these patients’ unique physiologic differences and how they affect diagnosis and treatment of emergencies.