Session Schedule

8:00-8:50am (Sharp) Ultrasound in the ER

Focused ultrasound examinations are becoming an integral part of our approach to our ER cases. When should you use these modalities? How do you do these examinations quickly and accurately? What are our limitations as ER docs? This session will discuss the indications and techniques for focused echocardiography, AFAST, TFAST and VetBlue examinations in the ER.  CE Credit: 1 Hour 

9:10-10:00am (Sharp) Hemangiosarcoma: What’s New?

As ER docs we are often faced with a new HSA case (pericardial effusion or hemoabdomen) every day. While it remains a devastating disease there is a lot of new work in the field, including diagnostic biomarkers with applicability to the ER, a better understanding of the cause (including the genetics) of HSA, and ever evolving management approaches. This lecture will draw on the speaker’s research and get you up to speed on all you need to know about HSA. CE Credit: 1 Hour 

10:30-11:20am (Fletcher) Management of Severe, Acute Seizures

Status epilepticus and cluster seizures are potentially life-threatening emergencies. Therapy is focused on stopping the seizures, improving the metabolic environment of the brain, and ensuring hemodynamic and respiratory stability. The mechanisms of action and relative risks and benefits of newer anticonvulsants will be discussed, as will a systematic approach to stabilization of these challenging cases. CE Credit: 1 Hour 

11:30am-12:20pm (Fletcher) Team Dynamics: How to Reduce Medical Errors and Improve Morale in Your Practice

Caring for emergent and critically ill patients is a team sport. Veterinary health professionals receive highly specialized medical training, but few of us know how to work effectively and efficiently as part of a team. Team skills are not innate – they must be trained. This lecture will provide an introduction to tools from TeamSTEPPS, an evidence-based approach to teaching team skills developed by the Department of Defense and documented to reduce medical errors, improve patient outcomes, and increase staff retention and morale. CE Credit: 1 Hour 

12:45-1:45pm  (Fletcher) Quantitative Acid-Base Analysis

ADDITIONAL fee required - $45 - lunch included.  Resident/specialist level but open to all who sign up!  You’ve mastered the 4 basic acid-base disturbances, but have you ever had a case where the traditional approach to acid-base analysis left you with a nagging feeling that you were missing something? The quantitative approach to acid-base analysis allows you to tease out the effects of multiple underlying disorders to get a better picture of the cause of the disturbances and to help you make the best possible treatment plans. We’ll use a case-based approach to learning how to apply the quantitative approach. CE Credit: 1 Hour

2:00-2:50pm (Sharp) Stem Cell Therapies: Are They Relevant to ECC?

Currently it is only the musculoskeletal regenerative capacity of autologous stem cell therapy that is exploited in veterinary medicine, and few of us in specialty medicine think about their potential application for critical care diseases. In human medicine the greatest therapeutic promise of MSCs is now known to relate to their anti-inflammatory, immunomodulatory, and tissue repairing properties, with clinical trials in the fields of graft vs. host disease, Crohn’s disease, ulcerative colitis, multiple sclerosis and SLE. However, experimental models suggest the potential application of allogenic MSCs to critical care diseases including IMHA, ALI/ARDS, sepsis, and acute organ failures. This lecture will review the definition and immunomodulatory functions of MSCs, review the current literature and hypothesize as to the future role of cell therapies with examples from the speakers research. CE Credit: 1 Hour 

3:00-3:50pm (Fletcher) CPR: Every Vet and Tech Should be an Expert

This session will review the basic and advanced life support CPR algorithms developed by the RECOVER initiative, which developed the first evidence-based veterinary CPR guidelines. Veterinary studies have shown that we can achieve excellent outcomes in patients with acute, reversible diseases leading to cardiopulmonary arrest. Are you and your team prepared to give your patients the best shot? CE Credit: 1 Hour 

4:00-4:50pm (Fletcher) Post-CPR Care

80% of dogs and cats with cardiopulmonary arrest that achieve a return of spontaneous circulation after CPR die in the post-cardiac arrest period. In this session, we’ll review what we know about improving those odds, and will talk about simple and more advanced techniques for improving outcomes during this critical period.  CE Credit: 1 Hour 





8:00-8:50am (Sharp) Anticoagulation – Who, When and How

The use of antiplatelet drugs and anticoagulant drugs is increasing in veterinary medicine. Concurrently new generations of anticoagulant drugs are emerging in human medicine. This lecture will review the diseases / situations for which we should consider anticoagulation, the evidence in the veterinary literature, and compare and contrast the available drugs and monitoring practices. CE Credit: 1 Hour

9:10-10:00am (Fletcher) Fibrinolysis: A New Therapeutic Target for the Bleeding Patient

We know a lot about coagulopathies and how to treat them, but an emerging concept in treating the bleeding patient is the recognition that disorders of fibrinolysis can also contribute to morbidity and mortality. In this talk, we’ll review the physiology of fibrinolysis, the utility of drugs that inhibit fibrinolysis, the types of disease process that may lead to hyperfibrinolysis, and the evidence supporting treatment of these disorders. CE Credit: 1 Hour

10:30-11:20am (Sharp) Year-in-Review: The Top Six Articles of 2013-2014

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.  A summary of the top 4-6 articles reviewed at IVECCS 2014 will be presented. CE Credit: 1 Hour

11:45am-12:45pm (Sharp) Coagulation Pathophysiology: What You Need to Know

ADDITIONAL fee required - $45 - lunch included.  Resident/specialist level but open to all who sign up!  This lunch time session will cover the cell based model of coagulation and the interplay between coagulation and inflammation that occurs in so many diseases relevant to emergency and critical care medicine. Central to this is a discussion of tissue factor, activated platelets, procoagulant and anti-coagulant factors, and fibrinolysis.  CE Credit: 1 Hour






8-10:00am (Linklater, Kerl, et al) VetTalks

Short presentations covering up-to-date, practical information for ER practices. Topics TBA.  CE Credit: 2 Hours

10:30-12:20am (Linklater, Sharp, Fletcher, et al) Case Based Panel Discussion and Other Sundry Topics.  CE Credit: 2 Hours


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