The VetECC Podcast

9: CPR Questions with Laura Rosewell

Hello friends, today we chat with Registered Veterinary Nurse (VTS IM) Laura Rosewell about CPR. This was audio ripped from an Instagram live session we did recently. We talk through general CPR business, answer questions, and talk about our own experiences. Please let us know if you have any questions.

Laura is at https://www.instagram.com/vetinternalmedicinenursing/

We discuss the RECOVER Guidelines which are available free online: https://recoverinitiative.org/cpr-guidelines/current-recover-guideline/

As also recommend (but not sponsored by) the Veterinary RECOVER Certification Course for both nurses/techs and veterinarians: https://recoverinitiative.org/

8: Shop talk with Lou Northway

In this episode we catch up with Lou Northway, aka Lou the Vet Nurse. 

Topics discussed in the podcast:

Who is Lou and what does she do?

Keeping patients warm during procedures and anaesthetics

Getting your team engaged in auditing and patient safety

Checklists and protocols

Burn out and longevity

Civility in the workplace

The Webinar Vet Wellness Series

Laryngoscope as a Murder Weapon

Books mentioned:

If you want to support the show you can help by buying the books via the links below

Adam Kay's Book: This is Going to Hurt: Secret Diaries of a Junior Doctor

Samuel Shem: House of God

Atul Gawande: The Checklist Manifesto: How to Get Things Right

7. Allergy or anaphylaxis? First line treatment

In this episode, we have a short chat about how to identify anaphylaxis the management differences between an allergic reaction and anaphylaxis.

Doses quoted in the episode:

Adrenaline/Epinephrine

IV/IM Dose: 0.005 - 0.01 mg/kg

Infusion: 0.003 mg/kg/hr (0.05 mcg/kg/minute, 3 mcg/kg/hr depending on how your brain works).

 

Some fun papers:

Lisciandro GR. Abdominal FAST (AFAST)-detected hemorrhagic effusion in 11 dogs with acute collapse and gallbladder wall edema (halo sign) with presumed anaphylaxis (abstract). J Vet Emerg Crit Care. 2016.

World allergy organization guidelines for the assessment and management of anaphylaxis. World Allergy Organization Journal. 2010;4(2):13–37.

Comparison of clinical findings between dogs with suspected anaphylaxis and dogs with confirmed sepsis. JAVMA. 2017.

Anaphylaxis in dogs and cats. J Vet Emerg Crit Care. 2013.

6. Radford on rabies and taking your health seriously

Today we welcome Radford G. Davis, associate professor at Iowa State University. If you are curious about any of the following topics then this podcast is for you!

 

Alternate career paths to clinic-based medicine

Rabies risks and what to do when you suspect rabies

What zoonotic diseases post the highest risk to people

Are needle sticks really a threat to people

What’s better - hand washing or hand sanitizer?

How to stay safe when interacting with patients

What to do if coming in contact with infectious material

How to develop an infectious disease control plan

 

Radford’s university page:

https://www.vetmed.iastate.edu/users/rgdavis

 

Recent rabies webinar:

https://www.thewebinarvet.com/speaker/radford-davis

 

Plague in dogs and cats:

https://www.cliniciansbrief.com/article/plague-cats-dogs-public-health-concern

 

Photo competition:

http://www.oie.int/for-the-media/press-releases/detail/article/launch-of-the-2018-oie-photo-competition/

 

Further rabies information: https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/health+topics/health+conditions+prevention+and+treatment/immunisation/vaccines/rabies+vaccines

 

Further rabies information: http://nasphv.org/Documents/NASPHVRabiesCompendium.pdf

 

Infection control plan:

http://www.nasphv.org/documentsCompendiaVet.html

 

Books:

This is going to hurt: diaries of a junior doctor https://amzn.to/2TW1nk1

Churchill: Walking with destiny  https://amzn.to/2EjEmlL

Development as freedom  https://amzn.to/2X6sZoJ

5. Shop talk with Liz Hughston. Mentoring, maropitant, and madness.

In this episode of the VetECC podcast, I interview Liz Hughston MEd., RVT, CVT, VTS (SAIM, ECC) about her role as a mentor and practice consultant, as well as differences between practice in the USA and the UK. Look forward to an hour of shop talk, laughs, and stories about our experiences in veterinary medicine, as well as some critical evaluation of how our behaviour can affect practice. 

4. Dyspnoea, the first five minutes

Hello friends, we are back with episode two of the foundations series. This time we are talking about approaching the dyspneic patient and what to do in the first five minutes. The papers/articles mentioned are linked below, including an excellent summary from previous guest Noah Jones. If you have any questions please do not hesitate to get in touch via the website at www.vetemerge.cc

CO2 management for oxygen cages

Visual triage vs triage scoring

Recognising and alleviating dyspnoea

3. Potential pitfalls and pearls for patients with pulmonary problems

We are joined by Noah Jones, BSRT, RRT-ACCS, RCP, RVT, VTS (Research Anesthetist) respiratory guru extraordinaire. Noah is both a veterinary technician specialist and a human respiratory therapist. He works in a large referral hospital on the East Coast. His favourite topic is mechanical ventilation, and he travels the country teaching ventilator wet/dry labs at various conferences and venues. He is also a husband and father, and we have a guest appearance by his charming daughter during the show. 
 
We discuss a range of topics, including oxygen therapy, monitoring, and blood sampling, and I get schooled in respiratory physiology. 
 
Topics discussed in the podcast:
Specialising in veterinary medicine
Myocardial steal
Criteria for intubation/ventilation
Transporting the critically unwell respiratory patient
Chest physiotherapy/coupage in pneumonia. Associated papers:
https://www.cochrane.org/CD006338/ARI_chest-physiotherapy-for-pneumonia-in-adults
https://www.cochrane.org/CD010277/chest-physiotherapy-for-pneumonia-in-children

Nebulising: http://rc.rcjournal.com/content/60/7/1071.short
Canine Influenza (pardon me forgetting the country in the podcast):​https://www.cbc.ca/news/canada/kitchener-waterloo/guelph-professor-investigates-dog-influenza-1.4480602
Retrograde intubation:
https://www.youtube.com/watch?v=mpm6NqYkgGI

Cuffing endotracheal tubes:
https://insights.ovid.com/pubmed?pmid=8484512
https://www.vaajournal.org/article/S1467-2987(16)30420-2/fulltext

Oxygen in myocardial infarction:
https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0028423/

Oxygen use in the ICU:
https://jamanetwork.com/journals/jama/fullarticle/2565306

Show notes for comments: http://vetemerge.cc/podcast/episode-2-potential-pitfalls-and-pearls-for-patients-with-pulmonary-problems

2. Fluid Resuscitation

Episode one of our foundations series is a brief primer on performing fluid resuscitation in patients with hypovolaemic shock. 

If you have any questions, please head to our Facebook page (www.facebook.com/vetemergecc) or our website (www.vetemerge.cc).

Belows is a link for calculating fluid rates following resuscitation:

https://www.aaha.org/public_documents/professional/guidelines/fluidtherapy_guidlines_toolkit.pdf

Further reading about hypovolaemic shock and fluid therapy:

http://www.vetfolio.com/cardiology/shock-pathophysiology

1. Sedation and analgesia in the veterinary emergency room

Thank you for listening to our very first Emergency and Critical Care Education podcast. We were graced with the presence of Dr Andrew Foster, resident in anaesthesia and analgesia at the Royal Veterinary College. We discuss the various tools in our arsenal for managing pain and to provide sedation in the veterinary emergency room. An associated article and other resources can be found at: http://vetemerge.cc/podcast/episode-1-sedation-and-analgesia-in-the-veterinary-emergency-room