In this episode I am joined by my friends and colleagues, Stacey Davidson and Ru Clements of VetLed, to discuss the role of Quality Improvement (QI) in improving patient care. We discuss what QI is and why you should be engaged with it. We also

Sepsis and the Glycocalyx

Sep 15th, 2017 42m 22s

This episode is focused on sepsis. I also talk about the relevance of the glycocalyx. And emphasise how much extrapolation there is from human medicine to veterinary practice. Topics covered include: Long-standing sepsis definitions and recent

Feline Hypertension

Jun 15th, 2017 32m 41s

Although feline hypertension may be a rare reason for emergency presentation, it is a condition that most small animal practitioners will have encountered both in routine practice and in critical care patients. This episode is based on the 2017

Hepatic Encephalopathy in Dogs and Cats

Apr 3rd, 2017 40m 50s

Hepatic encephalopathy is a relatively common condition in dogs and to a lesser extent in cats. It is a disorder that all clinical veterinary staff, and especially those working in Emergency and Critical Care, should be aware of. This episode i

Activated Charcoal

Dec 16th, 2016 27m 27s

Activated charcoal is a widely used therapy, especially in dogs, to facilitate gastrointestinal decontamination following toxin ingestion. Points covered in this episode include: A reminder about what activated charcoal is and how it is meant

Physiotherapy in the Critical Veterinary Inpatient

Sep 29th, 2016 54m 17s

On this episode of the podcast I am joined by Kim Sheader (MSCP HCPC ACPAT Cat A, Chair ACPAT, RAMP), Chartered Veterinary and Human Physiotherapist, to discuss physiotherapy for the critical inpatient. Kim is a highly qualified and experienced

Dog and Cat Amputees: 'Tripods'

Aug 4th, 2016 57m 58s

On this episode of the podcast I am joined by Rene Agredano and Jim Nelson of Tripawds, “the world's largest support community for animal amputees”, to discuss how we as veterinary staff can be better prepared to help clients with dogs and cats

A Journal of Veterinary Emergency and Critical Care Papers Episode

Jun 23rd, 2016 40m 16s

Anaemia in critically ill cats; severe anaemia in blocked tomcats; spinal shock in dogs; haemorrhagic GI disease in veterinary ICUs. In this episode of the podcast I discuss a few papers from the latest issue of the Journal of Veterinary Emerge

Antimicrobial Stewardship in Companion Animal Practice

Apr 22nd, 2016 40m 43s

Antimicrobial resistance is said to be one of the greatest challenges currently facing small animal veterinary medicine. How can we become part of the solution rather than part of the problem?In this episode of the podcast I start by providing

Emotional Well-being in Veterinary Practice

Mar 6th, 2016 1h 8m

In this episode of the podcast I am joined by Enid Traisman M.S.W., CT, CFS to discuss issues around emotional well-being in veterinary practice.Enid is the Director of Pet Loss Support Services at Dove Lewis, a non-profit emergency animal hos

What's Magnesium Got To Do With It?

Feb 5th, 2016 30m 47s

In this episode of the podcast I take a look at magnesium and its role in clinical practice, something which many people may not be very familiar with. The episode is based on the following article:Humphrey S, Kirby R, Rudloff E. Magnesium phy

Journal Papers Episode: JVIM 2015

Dec 24th, 2015 36m 11s

HORMONAL SEIZURES, IV POTASSIUM SUPPLEMENTATION, ICU SOUND LEVELS, BRAIN TUMOURS AND IMHA!In this episode of the podcast I discuss some of the papers that were published in the Journal of Veterinary Internal Medicine during 2015. Remember that

Managing Dog Bite Injuries

Dec 4th, 2015 59m 37s

**Apologies for the less than optimal sound quality of this episode and the non-stereo recording!**Dog bite injuries are a relatively common problem to be faced with in small animal practice. In this episode of the podcast I am joined by Nicol

Patient Handovers/Rounds

Nov 6th, 2015 1h

In this episode I am joined by Liz Hughston and Charlotte Rosenthal, both specialist ECC nurses from the USA, to discuss patient handovers/rounds.We start with a brief introduction to both my guests and then go on to discuss questions such as:

Acute liver failure

Oct 2nd, 2015 33m 18s

Dogs and cats with acute liver failure may present as emergencies and be critically ill. In this episode of the podcast I discuss this condition based on a recent review article from the Journal of Veterinary Emergency and Critical Care*.(*Wei

Management of Traumatic Brain Injury (TBI)

Aug 29th, 2015 55m 39s

Traumatic brain injury (closed head trauma) is relatively common in dogs and especially cats, often following motor vehicle collision. A rational approach to management is essential to try and maximise the chances of a successful outcome.In th

Early Approach to Dyspnoeic Cats, First Do No Harm!

Jul 31st, 2015 40m 10s

In this episode of the podcast I discuss an approach to the early management of dyspnoeic cats that is predicated on ‘first do no harm’ and thinking risk-benefit at all times. The main take-home messages from the episode are:Appreciate that d

Journal papers: PORV in dogs, Lactate in cats, and 'All in a tangle'

Jul 9th, 2015 29m 17s

In this episode of the podcast I discuss two papers from the Journal of the American Veterinary Medical Association in 2015. The first is on post-operative regurgitation and vomiting (PORV) in dogs and the second is on lactate in cats. To end t

A Critical Patient Daily Checklist

Jun 26th, 2015 31m 37s

Critically ill patients almost by definition have a number of different problems and management considerations. They can be high maintenance requiring intensive care and it is easy to accidentally overlook different aspects of their care; this

The Shock Index in Veterinary Patients

Jun 5th, 2015 48m 27s

The shock index is equal to heart rate divided by systolic arterial blood pressure. It has received a fair amount of attention in the human medicine literature being evaluated for example in haemorrhagic hypovolaemic shock, especially post-trau

Steroids and Shock!

May 20th, 2015 44m

Whether or not steroids should be used in shock has been an on-going debate for many years. In this episode I discuss some of the literature, in particular relating to the use of steroids in septic shock, and the concept of ‘relative adrenal in

Canine Haemoabdomen - Part 2

May 8th, 2015 35m 14s

This is the second of a two-part mini-series on canine haemoabdomen loosely based around the following review article:Herold LV, Devey J, Kirby R, Rudloff E. Clinical evaluation and management of hemoperitoneum in dogs. J Vet Emerg Crit Care 2

Canine Haemoabdomen - Part 1

Apr 24th, 2015 32m 9s

In a recent Facebook survey 80% of 150 respondents mentioned haemoabdomen, especially due to splenic rupture, as a top cause of collapse in dogs. This is the first of a two-part mini-series on canine haemoabdomen loosely based around the follow

Ketamine

Apr 10th, 2015 32m 23s

Ketamine is a drug with complex pharmacology and a number of potential clinical effects and uses including a dose-dependent central nervous system continuum from analgesia through to sedation, partial dissociation and complete dissociation. In

Feline Asthma: 10 Bits of Jibber Jabber

Mar 27th, 2015 34m 32s

Dyspnoeic cat with wheezes and an expiratory ‘push’ – the classic asthmatic cat, right?! In this episode I discuss this syndrome according to the following points:What do we call this syndrome?Who gets feline asthma?PathogenesisClinical fi