Contact Info

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IVECCS Schedule
CLICK HERE for printable schedule.

Monday, March 24

8:00-8:50am (Hughes) Getting the Most Out of Your Emergency Respiratory Examination
An aged and sagacious professor of mine at Liverpool once told me that “Out of 100 mistakes, 99 are made by not seeing and 1 from not knowing.” You know, he was right! Excellent observational and clinical examination skills give you some great pointers as to what the underlying problem might be. Helped by a cornucopia of videos I will share some of my tips and tricks and encourage you all to do the same with our group. CE Credit: 1 Hour  

9:10-10:00am (Hughes) Getting the Most Out of Your Emergency Cardiovascular Examination
How accurately can we assess the intravascular volume status of an animal just using cardiovascular physical exam findings? How many different pulse abnormalities is it possible to feel? Do we still believe the old maxim that CRT is not a useful indicator of perfusion?  How do we differentiate on PE between a patient with hypovolaemic shock vs. cardiogenic vs. obstructive vs. SIRS/septic shock? Let’s have a chat about our experience as to how far we can take our assessment of the patient with CV compromise without machines that go ding. Oh, and with a dash of lactate for piquancy. CE Credit: 1 Hour  

10:30-11:20am (Johnson) Take a Number: Injury Severity Scores
APACHE, SOFA, APPLE - What are these, anyway? Things in your kitchen? NO! They are medical scoring systems. Why would you have a sofa in your kitchen? Maybe it’s a place for the Apache to sit while he eats his apple. Scoring systems are used all the time in human medicine, but rarely in veterinary medicine. Find out what they are, how they might be useful and which ones have been validated for floofy widdle pets. CE Credit: 1 Hour  

11:30am-12:30pm (Johnson) Advances in Traumatology
There’s more to treating trauma victims than steroids and ‘shock dose fluids.’ Learn how to do a FAST scan, how fluids are being given these days, how lactate can help guide your resuscitations, what the heck is ‘compartment syndrome’ and what central venous oxygen saturation can tell you to get the best outcomes for your trauma patients. CE Credit: 1 Hour  

2:00-2:50pm (Haldane) Infection Control vs Antibiosis in the Intensive Care Unit
What is the best way to prevent hospital acquired infections?  How can we manage patients in this era of multi-drug resistant bacteria?  These questions and more will be discussed to see what practical measures we can take to improve infection control in our hospitals. CE Credit: 1 Hour  

3:00-3:50pm (Haldane) Critical Care Pharmacology
Most critical care patients are on a multitude of drugs.  This presentation will discuss how these agents can interact with each other and how the morbidity of the patient affects the efficacy of many commonly used drugs. CE Credit: 1 Hour  

4:00-4:50pm (Johnson) Secret Pharmacology: Side Effects We Exploit for Therapeutic Benefit
Why do we reach for metronidazole when we hear the word “diarrhea”? Find out about some surprising and potentially useful drug interactions and side effects that you might not know about. What magical things does furosemide also do and why might a non-cardiac patient respond to it?  CE Credit: 1 Hour  

Hawaiian sunset included!

Tuesday, March 25

8:00-8:50am (Hughes) Understanding the Pathophysiology of Transvascular Fluid Homeostasis
How concerned are we regarding the potential demise of the hydroxyethyl starches? Or are you from Europe where they have already been withdrawn? Can we smile confidently in the face of hypoalbuminemia? We will exercise our brains with some in-depth pathophysiology that will (hopefully) leave us all feeling much more comfortable. Just Saying “No” to colloids. Most of the time. CE Credit: 1 Hour

9:10-10:00am (Hughes) Fluid Therapy with Lung Disease: Above All, Do No Harm
We need our alveoli to remain fluid free so that gas exchange is not compromised. The microvascular barrier in the lungs is normally more permeable to large molecules than other tissues so limiting hydrostatic pressure is vital. We have no sensitive diagnostic tests for measuring extravascular lung water so by the time we notice tachypnea, dyspnea or hypoxia we are already behind the 8 ball. We will discuss the benefits vs. the risks of restricted fluid therapy in animals with lung disease. CE Credit: 1 Hour

10:30-11:20am (Burkett) ACVECC Small Animal Journal(s) Year in Review:  Most Impactful and Useful Updates for the Busy Clinician.
Year in Review sessions have been very popular at the fall IVECCS meetings in the past likely because it gives busy clinicians an opportunity to hear and discuss some of the “more important” emergency and critical care related publications over the preceding year.  Unfortunately, due to logistical reasons the determination of “more important”, the number of references reviewed and the number that can be presented is done by one individual.  This clearly limits the comprehensiveness of the journals reviewed, the manuscripts that are included and evaluated, and the actual presentation. For the IVECCS Spring Meeting 2014 this year a summary of the top 4-6 articles reviewed at IVECCS 2013 will be presented. CE Credit: 1 Hour

Lunch Time Lectures
Additional Fee Required
11:45am-12:45pm    (Burkett) Bureaulogical Disorders: What Else Besides the Medicine Do You Need to Know to Be Successful  
In this presentation we will define leadership, identify a few traits every leader should develop and show the impact leadership can have on your life and the lives of those you lead.  We will also present strategies for successful communication in today’s complex workplace environment.  The composition of the workforce has transformed over the years, and integrating differences in gender, race, and ethnicity is vital to the success of a business.  Recently, another factor has been recognized as significant: age diversity.  As a result of such things as delayed retirement, second careers, and a faltering economy, the age range of employees can be anywhere from 16 to 60, and everywhere in between.   We now face four generations of individuals each having been raised with distinct technologies and lifestyles.  If we can find a way to understand and appreciate the differences, we will be able to attract and retain the best talent, minimize conflict and create a highly functioning team. The goal of this program is to emphasize the skills needed for improving communication, not only within the veterinary healthcare team, but also during client interaction.  The ultimate result is a well-balanced team atmosphere that will directly and indirectly have a positive impact on client satisfaction.  We hope to create awareness for various communication challenges and discuss strategies on how to become most effective in communicating with team members, supervisors, and clients. In closing we will present an overview of the guiding philosophy that underscores the CULTURE of leadership and communication we are trying to create within our hospital.  CE Credit: 1 Hour

Wednesday, March 26


Thursday, March 27

8-8:50am (Johnson) Avoiding the Twin Traps: Overtreatment and Medical Nihilism
After you’ve been at ER medicine a while, you might start to question our ability to snatch anyone from the jaws of death anymore. The flip side of this is treating a dead horse, hoping to make it rise from the dead. One version of the Hippocratic oath states: ‘I will apply, for the benefit of the sick, all measures that are required, avoiding those twin traps of overtreatment and therapeutic nihilism.’ Here is my recipe for towing that line – something I struggle with every day. CE Credit: 1 Hour

9:10-10:00am (Johnson) Knowing What You Don’t Know: Cognitive Bias In Medicine
Your brain is a medical and mathematical computatron, capable of objective decision-making and laser-like focus based on the best evidence, right? WRONG! Learn the many ways your puny brain can lead you into the reeds and endanger your patients. From closing your differential list too soon, to only selecting tests that confirm what you think is going on, to the overuse of Occam’s Razor, you are royally messing up every day! The book How Doctor’s Think by Jerome Groopman would be a great read on the plane over and forms the basis for this session. Learn fun things like what is an availability heuristic and can you make a wicked awesome mojito with it? CE Credit: 1 Hour

10:30am-12:20pm (Rudloff, Hughes, Haldane, Johnson, et al) Case based discussion and other sundry topics. CE Credit: 2 Hours

Lunch Time Lecture
Additional Fee Required
12:45-1:45pm  (Haldane) Gastrointestinal critical care

Resident/specialist level but open to all who sign up!  Whether you call it the “silent killer” or the “shock organ”, the health of the gastrointestinal tract has a profound effect on the well being of our critically ill patients. Disruption of normal GI function can cause significant co-morbidity so we will look at ways of keeping the GI tract happy in intensive care patients. CE Credit: 1 Hour

Lunch Time Lecture

Additional Fee Required
12:45-1:45pm  - (Hughes) Lactate comes of age: new insights into lactate metabolism and its use in fluid resuscitation
Resident/specialist level but open to all who sign up! Lactate is good for you! How could it be conserved across so many species (crocodiles to llamas to people) if it was a bad thing? Lactate production allows rapid energy production and ensures a continuous cellular energy supply when oxygen delivery is compromised. And, get this: lactate does not cause acidosis, it protects against it! Lactate has finally come of age with the realization that for certain patient groups it can be used to guide fluid therapy. CE Credit: 1 Hour

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