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Cricothyrotomy as an Emergent Airway
May 18, 2020, 8pm EST: Lee Palmer, DVM, MS, DACVECC, CCRP, NRP, TP-C
Session Info: Complete upper airway obstruction is a life-threatening condition that requires immediate attention to preserve life. Basic (body positioning, manual maneuvers) and advanced (endotracheal intubation, surgical airways) airway techniques are designed to: establish a patent airway, oxygenate and ventilate, and protect from aspiration. Surgical airways [cricothyrotomy (CTT) or tracheostomy (TT)] are warranted for difficult emergent airway scenarios in which less invasive methods fail to establish a patent airway (aka. “Cannot intubate, cannot oxygenate”). In people, the surgical CTT is the preferred emergent surgical airway procedure for supraglottic obstructions. In contrast, the TT is more commonly described in the veterinary literature as the first-line emergent surgical airway. This webinar aims to describe the novel approach of instituting the surgical CTT for managing the canine emergent difficult airway.
Dr. Lee Palmer is a board-certified Emergency and Critical Care Veterinarian that provides training and consultation in K9 Tactical Emergency Casualty Care (K9 TECC) to military, law enforcement and Search and Rescue (SAR) K9 handlers, Tier 1 operators and Tactical EMS (TEMS) personnel; He has served in the military since 1996 in active and reserve status in the roles of Senior Explosive Ordnance Disposal Technician and US Army Veterinary Corps Officer. Dr. Palmer is a Veterinary Consultant for various military and federal agencies to include the USAF Pararescue group and DHS Federal Protective Services. He continues to serve in the following capacities:
Managing Critically Ill UO Cats
June 15, 2020, 8pm EST: Vince Thawley, DVM, DACVECC
Session Info: Feline urethral obstruction is an exceedingly common clinical problem that has the potential to cause severe, and potentially life-threatening, metabolic derangements. In this lecture we will discuss our current understanding of the etiology and pathophysiology of urethral obstruction, as well as the management of critically ill, obstructed cats. Specific topics will include fluid therapy, management of hyperkalemia, sedation/analgesia, and post-obstructive care for these patients.
Dr. Vince Thawley is a 2009 graduate of the University of Pennsylvania School of Veterinary Medicine. Following veterinary school he completed a rotating internship in small animal medicine and surgery and a residency in emergency and critical care medicine at the University of Pennsylvania. Dr. Thawley became a Diplomate of the American College of Veterinary Emergency and Critical Care in 2013. After completing residency, Dr. Thawley remained on staff in the Emergency Service of the Matthew J. Ryan Veterinary Hospital of the University of Pennsylvania, where he is currently a clinical assistant professor of emergency and critical care medicine.
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Battling Burnout Among Veterinary Emergency and Critical Care Providers
April 29, 2019, 8pm EST: Marie Holowaychuk, DVM, DACVECC, CYT
Session Info: Burnout is high among emergency and ICU workers in the human medical field, but little is known about the mental health and wellbeing of veterinary emergency and critical care providers. This session will review the statistics regarding mental health and burnout among human and veterinary medical teams, as well as tools being used to improve wellbeing. The responses to a 2018 survey to assess burnout among veterinary emergency and critical care providers and employees’ perceptions of workplace qualities that contribute to engagement or burnout will also be shared.
Speaker Info: Dr. Marie Holowaychuk is a specialist in small animal emergency and critical care living in Calgary. She travels worldwide to work as a speaker, consultant, and locum. Marie grew up in Edmonton, Alberta and graduated from the Western College of Veterinary Medicine in 2004. She then completed a year-long rotating internship in small animal medicine and surgery at Washington State University, followed by a 3-year small animal emergency and critical care residency at North Carolina State University. After becoming board certified in 2008, she accepted a faculty position at the Ontario Veterinary College, where she was Assistant Professor of Emergency and Critical Care Medicine until 2013.
Dr. Holowaychuk has been primary or co-author of more than 30 manuscripts published in peer-reviewed journals and is an Assistant Editor for the Journal of Veterinary Emergency and Critical Care. She has spoken at conferences across Canada and the USA, in addition to various general practitioner and veterinary technician continuing education programs. She helped train ten emergency and critical care residents and mentored interns, graduate students, and veterinary students in clinical research, facilitating their co-authorship on veterinary publications. She is also co-editor of the Manual of Veterinary Transfusion Medicine and Blood Banking.
Dr. Holowaychuk has a vested interest in the health and wellness of veterinary professionals after witnessing colleagues and friends leave the profession due to compassion fatigue or burnout.
Dr. Holowaychuk is a certified yoga and meditation teacher and has completed a mindfulness-based stress reduction course for professionals. She leads yoga practices for veterinary students in Calgary and facilitates Veterinary Wellness Workshops and Retreats for veterinary care providers. She also has Compassion Fatigue Training from the University of Tennessee School of Social Work, as well as Mental Health First Aid Training from the Mental Health Commission of Canada and Applied Suicide Intervention Skills Training from the Centre for Suicide Prevention. Marie writes a bi-weekly blog and monthly newsletter on pertinent issues related to veterinary wellness.
Suga Suga How’d You Get So High: Continuous Glucose Monitoring in Veterinary Medicine
May 13, 2019, 8pm EST: Andrew Linklater, DVM, DACVECC
Session Info: Changes in management of patients with diabetes mellitus are occurring rapidly. Although advances have originated in human medicine, the veterinary field has a great opportunity to take advantage of this progress for our patients as well. Concerns regarding multiple blood draws, patient discomfort, and inaccuracies of in-hospital glucose curves have been virtually eliminated with the application of continuous glucose monitoring (CGM). This technology has advanced dramatically in the last 5 years, allowing a substantially increased amount of information to be gained with minimal patient discomfort. A brief review of available continuous glucose monitors and the more recent literature will also be discussed
Speaker Info: Dr. Linklater grew up in Canada and graduated from the Western College of Veterinary Medicine in Saskatoon, Saskatchewan. He completed a rotating internship in Los Angeles before completing his residency at the Animal Emergency Center in Milwaukee. He became board certified by the American College of Veterinary Emergency and Critical Care in 2009. He currently works at Lakeshore Veterinary Specialists in Wisconsin where he oversees the emergency and critical care department and directs their advanced training programs. He has authored dozens of peer-reviewed journal and textbook chapter publications, been the senior editor of two textbooks, and lectured at many national and international conferences.
Dr. Linklater’s professional interests include trauma, surgical emergencies, mechanical ventilation, and transfusion medicine. On a personal note, he has run several marathons and half marathons, enjoys curling, traveling, and spending quality time with his wife and their pets.
Keeping the Dam and the Newborn Safe: Perioperative Management of the Cesarean Section Patient
June 10, 2019, 8pm EST: Cassie Lux, DVM, DACVS-SA
Session Info: This webinar focusing on the perioperative management of dogs and cats presenting for cesarean section, either planned or emergent. The information covered will help the practitioner decide when to perform surgery on a dystocia patient, the appropriate use of anesthetics and analgesics to keep the dam and the newborns safe, which steps to take in surgery, and the most appropriate postoperative care.
Speaker Info: Cassie Lux is a native of Indiana, though she now calls Tennessee home. She attended Purdue University for her undergraduate and veterinary school education. She completed a rotating internship at Mississippi State University, and then completed a residency in small animal surgery at the University of California-Davis. She has been an Assistant Professor of Surgery at the University of Tennessee since 2013, and specializes in soft tissue surgery. In 2014, she became a diplomate of the American College of Veterinary Surgeons. She has published numerous scientific articles, and authored book chapters on various topics. Her areas of interest included minimally invasive procedures, including interventional radiology and surgical oncology.
An Update on Trauma: Lessons Learned from the Battlefield
July 22, 2019, 8pm EST: LTC Thomas Edwards, DVM, MS, DACVECC
Session Info: Since September 11, 2001, the field of traumatology has advanced substantially due to the need to treat severely injured servicemen in the Iraq and Afghanistan wars. The purpose of this presentation is to review the most significant advancements that have been made from knowledge gained in treating wounded servicemen on the battlefield, a review of the veterinary experiences in these areas and an examination of how these advancements can potentially be adapted to veterinary medicine. Advances to be discussed include stopping the bleed: use of extremity, junctional and endovascular tourniquets, the use of antifibrinolytics in trauma and advances in hemostatic dressings. Transfusion advances to include limiting crystalloid and synthetic colloids in trauma in favor of plasma (including freeze dried plasma), 1:1:1 component transfusions and the importance of platelet transfusions as well as the use of chilled whole blood for resuscitation in trauma. In addition, the presentation will cover other areas that have led to decreased mortality and morbidity on the battlefield including the development and application of clinical practice guidelines. The presenter will discuss research his lab is performing in these areas for the benefit of military working dogs.
Speaker Info: LTC Edwards completed ROTC and earned his baccalaureate from at the University of Illinois. He was commissioned as a 2nd lieutenant in the infantry and assigned to the 3rd Infantry division at Fort Stewart, Georgia. He served in a number of assignments and deployed with the division to Kuwait in support of Operation Intrinsic Action. He later transferred to the Signal Corps where he commanded a tactical satellite company. Upon completion of this assignment, he attended the University of Georgia where he earned his Doctorate of Veterinary Medicine degree. He then completed a one year rotating internship at the Department of Defense Military Working Dog Center at Lackland AFB, TX. He went on to serve in a number of assignments in Arizona and Georgia as well as a deployment with the 10th Mountain Division to Iraq as the Division’s Agricultural advisor and Veterinarian. He returned to the University of Georgia to complete a combined masters’ degree and a residency in veterinary emergency and critical care medicine. Upon completion of his training he became a diplomate of the American College of Veterinary Emergency and Critical Care and subsequently led the busiest Veterinary Treatment Facility in the Department of Defense based in Okinawa, Japan. He currently serves at the US Army Institute of Surgical Research as both the Veterinary Support Branch Chief as well as the Research Support Division Chief. Additionally, LTC Edwards also conducts research into areas vital to Military Working Dogs including coagulation abnormalities, transfusion medicine, shock, trauma and resuscitation.
Current Transfusion Practice in Canine Sepsis
August 19, 2019, 8pm EST: Lynel Tocci, DVM, DACVECC MT(ASCP)SBB
Session Info: The objective of this lecture will be to review the current literature recommendations for transfusion of red blood cells and blood components in the septic patient and discuss current transfusion medicine therapies for canine septic patients
Speaker Info: Dr Tocci completed her undergraduate education at Northeastern University with a Bachelor of Science degree in Medical Laboratory Science. She then completed a fellowship in Blood Banking and Transfusion Medicine through the American Red Cross and then worked for 15 years in the area of human Blood Banking and Transfusion Medicine at Brigham and Women’s Hospital in Boston Massachusetts. She subsequently went to Veterinary school and graduated with a Doctor of Veterinary Medicine from Tufts University, Cummings School of Veterinary Medicine. After receiving her degree she completed a one year rotating internship in small animal medicine and surgery at Angell Animal Medical Center in Boston, were she stayed on to pursue a residency. She completed her residency in Emergency Critical Care in July of 2008 and received her board certification from the American College of Veterinary Emergency Critical Care. Until recently she worked as the Department Head, Intern director and staff criticalist at Lauderdale Veterinary Specialists in Fort Lauderdale Florida. She is now a full time relief veterinarian in emergency & critical care and hold veterinary licenses is 5 of the United States. She has lectured extensively, authored a number of journal articles and is one of the authors of a book chapter for the first veterinary transfusion medicine textbook. Her professional interests include veterinary hematology & transfusion medicine, fluid resuscitation and intraoperative cell salvage, as well as management of polytrauma. She has also had many years of volunteer experience and has helped animals around the world. She has been on 2 of the United States humanitarian missions, a vaccination campaign in Goa India with Mission Rabies, numerous spay/neuter missions with World Vets International Aid for Animals as well as the Iditarod every year in Alaska. She is a board member for the Bibevski Foundation and looks forward to bringing high level veterinary care to the Prespa-Pelagonia region of Macedonia and working with local citizens and government to establish long standing programs to improve the quality of life for all animals in the region.
Brachycephalic Sedation and Anesthesia
September 23, 2019, 8pm EST: Molly Allen, DVM, DACVAA
Session Info: Brachycephalic patients are one of the most challenging to manage with sedation and anesthesia because of their airway conformation. This course will discuss the specific anatomical challenges and how to anticipate, mitigate or overcome airway obstruction during sedation and anesthesia of these patients
Speaker Info: Dr. Molly Allen obtained her DVM degree from Tufts University in 2012, then completed an equine internship in surgery and anesthesia at a specialty hospital in Australia. She practiced as an equine veterinarian and anesthetist in Australia for an additional two years before commencing her residency in anesthesia and pain management at the University of Wisconsin-Madison. Dr. Allen enjoys all aspects of anesthesia and pain management but is especially passionate about local and regional anesthesia to minimize systemic opioid use, as well as anesthesia for high-risk patients.
Management of Severe Trauma
October 21, 2019, 8pm EST: Lisa Powell, DVM, DACVECC
Session Info: To describe presentation, emergent therapy, diagnostics, and ICU care for dogs and cats presenting with severe trauma. Specific cases will be presented to highlight definitive diagnostics and treatment.
Speaker Info: Lisa Powell graduated veterinary school from Texas A&M in 1995, completed a small animal rotating internship at the AMC in NYC in 1996, then went on to a residency in small animal emergency and critical care at Tufts University, finishing in 1999. She became board certified in Small Animal Emergency and Critical Care in 2000. Dr. Powell joined the faculty at the University of Minnesota where she worked as a clinical professor for 15 years. She developed the Emergency and Critical Care Residency at the University of MN, which continues to be a strong program. She is an author of more than 30 veterinary publications, and authored a book entitled “Small Animal Emergency and Critical Care: Case Studies in Client Communication, Morbidity and Mortality”. She is currently an associate emergency and critical care clinician at BluePearl Veterinary Partners in Minnesota and is a national and international speaker on all things Emergency and Critical Care! Her clinical interests include cardiopulmonary disease, colloid and fluid therapy, and SIRS/sepsis. She shares her home with 2 cats, 3 dogs (one of which is perfect), and four teenagers (two sets of twins)!
Managing a Pain in the Neck: Acute Onset Cervical Pain
November 18, 2019, 8pm EST: Heidi Barnes Heller, DVM, Dipl. ACVIM (Neurology)
Session Info: What are the common causes of neck pain? Can you anticipate which breed may have a fracture or subluxation, and which might have a ruptured disc? This session will be a case-based session, focused on these topics as well as proper handling and restraint of an animal with acute cervical pain.
Speaker Info: Dr. Barnes obtained her veterinary degree from Michigan State University in 2000, followed by a rotating internship at the University of Illinois and a residency in neurology/neurosurgery at the University of Florida. Dr. Barnes is obtained board certified from the American College of Veterinary Internal Medicine. She was the staff neurologist outside of Chicago Illinois until December 2010, after which point she joined the University of Wisconsin-Madison School of Veterinary Medicine in neurology and neurosurgery. In 2019, Dr. Barnes founded Barnes Veterinary Specialty Services; a mobile neurology and neurosurgery business serving Wisconsin and Northern Illinois with tele-neurology services worldwide.
Gastrointestinal Bleeding in the ICU
December 23, 2019, 8pm EST: Adesola Odunayo, DVM, DACVECC
Session Info: This lecture will provide an overview of the causes and consequences of gastrointestinal bleeding in the ICU, with emphasis on therapeutic interventions for dogs and cats.
Speaker Info: Dr. Adesola Odunayo is a clinical associate professor of Emergency and Critical Care at the University of Tennessee. She graduated with her veterinary degree from Oklahoma State University in 2005, completed an internship at Hollywood Animal Hospital in Florida and an ECC internship at the Animal Emergency Center in Wisconsin. She then completed a residency in Emergency and Critical Care at the University of Missouri in 2010. At the end of residency, she worked as a clinical instructor at Auburn University until she joined the faculty at the University of Tennessee in 2012. Her clinical interests include stabilization of the ER patient, transfusion medicine and managing the septic patient. Her research interests include vascular access and the rational use of acid suppressants in critically ill animals. Outside of work, Desola enjoys opportunities to appreciate geographical and cultural differences across the country and around the world.
There was no Webinar in January 2020
The Open Hospital: Inviting Clients “to the Back” in the ECC Setting
February 24, 2020 Monday at 9 pm EST: Nicolette Zarday, MPH, DVM & Kenichiro Yagi, MS, RVT, VTS (ECC), VTS (SAIM)
Session Info: How do we help clients feel confident that their pets are getting the best care possible when they’re in our care? The Open Hospital approach, in which clients are invited to be with their pets throughout a hospital visit, builds client trust and facilitates communication and patient care. But how do you implement this approach in a busy emergency room/critical care ICU?
Dr. Zarday received her DVM degree from UC Davis in 2000 and her MPH from UC Berkeley in 2006. She started her career at Adobe Animal Hospital, a 24-hour emergency and full service general practice in 2000 as an associate veterinarian. In 2016 she stepped up to lead the team of 30 veterinarians at Adobe. In 2019 she joined the San Francisco SPCA as Medical Director of the Mission Campus Hospital.
Dr. Zarday’s professional interests include emergency medicine and critical care, abdominal and point of care ultrasound, leadership, and mentoring and teaching veterinarians and staff. Dr. Zarday is a certified RECOVER BLS/ALS CPR Trainer, member of the RECOVER Initiative Education Committee, a member of the VECCS Task Force, and a proud member of VECCS for the last 9 years.
Over the 19 years in practice, Ken has obtained his VTS certification in ECC as well as SAIM and obtained his master’s degree in Veterinary Science. He is currently the Veterinary Education Simulation Laboratory Manager at Cornell University, and the Program Director for the RECOVER Initiative. Ken has co-edited the Manual of Veterinary Transfusion Medicine and Blood Banking and has published various text chapters and articles in publications.
Ken encourages further recognition of the vital role veterinary nurses and technicians play through organizations such as NAVTA co-chairing the Veterinary Nurse Initiative, and serving as a board member of VECCS, AVECCTN, and the Veterinary Innovation Council. He advances the goal by showing the value of the profession’s perspective in veterinary medicine.
Ken invites everyone to ask “Why?” to understand the “What” and “How” of our field, and to constantly pursue new limits as veterinary professionals and individuals.
The Hazards of Heat Stroke
March 23, 2020, 8pm EST: Kate Farrell, DVM, DACVECC
Session Info: Heat stroke is the most severe form of heat-related illness and is characterized by CNS dysfunction and multiorgan derangements. Proactive and intensive therapy is essential for treatment of these patients and reduction in morbidity and mortality. The lecture will cover core aspects of diagnosing, treating, and monitoring these patients to ensure optimal clinical outcomes. A case example will help to demonstrate these concepts.
Speaker Info: Dr. Farrell received her veterinary degree from the University of California, Davis School of Veterinary Medicine in 2013. She completed a small animal medicine and surgery rotating internship at Colorado State University, as well as an emergency internship at UC Davis. She completed a residency in small animal Emergency and Critical Care at UC Davis and became board certified by the American College of Veterinary Emergency and Critical Care in 2018. Dr. Farrell now works as a staff veterinarian at UC Davis in the Small Animal Emergency and Critical Care Service. Areas of interest include mechanical ventilation, respiratory physiology, and transfusion medicine.
Coping with the Chaos of COVID-19
April 6, 2020, 8pm EST/5pm PT: Marie Holowaychuk, DVM, DACVECC, CYT
Session Info:Veterinarians are prone to psychological distress in the workplace for several reasons that include financial debt, client demands, co-worker conflict, and work-life imbalance. Recently, the COVID-19 pandemic has added new and challenging hurdles to the veterinary environment consisting of social / physical distancing, absence of childcare, team member illness, and equipment shortages. During this webinar, we will focus on practical tools and strategies that all veterinary team members can use for maintaining wellbeing in the face of these difficulties.
Speaker Info: Dr. Marie Holowaychuk is a specialist in small animal emergency and critical care and a passionate advocate for wellbeing in the veterinary profession. She lives in Calgary and travels worldwide as a speaker and locum. Marie received her DVM from the Western College of Veterinary Medicine in 2004 and then completed a year-long rotating internship in small animal medicine and surgery at Washington State University, followed by a 3-year small animal emergency and critical care residency at North Carolina State University. After becoming board certified in 2008, she accepted a faculty position at the Ontario Veterinary College, where she was Assistant Professor of Emergency and Critical Care Medicine until 2013.
Dr. Holowaychuk has been primary or co-author of more than 30 manuscripts published in peer-reviewed journals and is an Assistant Editor for the Journal of Veterinary Emergency and Critical Care. She has spoken at conferences across Canada, Europe, and the USA, in addition to various general practitioner and veterinary technician continuing education programs. She helped train ten emergency and critical care residents and mentored interns, graduate students, and veterinary students in clinical research, facilitating their co-authorship on veterinary publications. She is also co-editor of the Manual of Veterinary Transfusion Medicine and Blood Banking.
Marie has a diversity of experiences in veterinary medicine including time spent in general, specialty, and academic practice. One thing that Marie feels is consistent no matter the veterinary setting is that all members of the profession are susceptible to compassion fatigue and burnout. As such, Marie facilitates Veterinary Wellness Workshops and Retreats for veterinary care providers that include lectures, yoga, and meditation practices. She is a certified yoga and meditation teacher and has completed a mindfulness-based stress reduction course for professionals. She also has Compassion Fatigue Training from the University of Tennessee School of Social Work, Mental Health First Aid Training from the Mental Health Commission of Canada, Applied Suicide Intervention Skills Training from the Centre for Suicide Prevention, and a Life Coaching certificate.
Marie’s favorite self-care activities include strength training, practicing yoga, rollerblading, watching movies, and hiking in the Rocky Mountains. For more information, please visit www.criticalcarevet.ca or follow Marie on Facebook (@DrMarieKHolowaychuk), Twitter (@DrMHolowaychuk), or Linkedin (MarieKHolowaychuk).
Tips and Tricks for Success During Your 1st Year in the ER
April 20, 2020, 1pm EST: Meredith t’Hoen, DACVECC, DECVECC
Session Info: For anyone first entering the field of emergency medicine, the prospect of being ready to treat any and all life-threatening conditions at a moment’s notice can be daunting. While time, experience and proper mentorship helps, every veterinarian has the baseline skills to get started. Correctly identifying the presence of a life threatening condition is the first step. And having a sound understanding of the physiology of various conditions as well as a thorough understanding of the principles of treatment is essential. This webinar will walk you through those steps. Life threatening conditions that require immediate action will be addressed, including trauma, respiratory distress, shock and neurologic emergencies (such as seizures and traumatic brain injury). Practice tips and pearls of wisdom, as well as pitfalls to be avoided, will also be shared. Whether you are a new grad who will be exclusively practicing emergency medicine or only have intermittent exposure through your general practice (or if you’ve been in practice but need to brush up on the basics of emergency medicine), this webinar offers something to enhance your success and minimize your anxiety.
Objectives: At the end of this webinar participants will be able to:
Speaker Info: Meredith graduated from the University of Missouri College of Veterinary Medicine in 2007. She then completed a Small Animal Emergency and Critical Care internship at Washington State University, followed by an Emergency and Critical Care residency at the University of Missouri. After becoming board certified in Emergency and Critical Care in 2011, Meredith ran an ECC service at a private specialty practice in the USA until 2017. She is currently a lecturer in Small Animal Emergency and Critical Care, Faculty of Veterinary Medicine, at Utrecht University. Meredith divides her clinical time between the Emergency Department and the ICU. Her nonclinical duties consist of a variety of projects, including developing e-learning modules for veterinary students and overseeing staff education and training.