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Spring 2015 Volume 5 Issue 1 In this Issue: Meet your new NSVECCS officers! SVECCS Members, I hope everybody rocked last semester and that this one is off to a great start! This issue of Vital Signs is the first of the issues I will be composing for NSVECCS. That being said, any and all feedback is greatly appreciated to make this newsletter the best it can be. 2 IVECCS 2014: Sensational Symposium! Coast-to-Coast: from the archives 4 SVECCS to VECCS crossover proposal Check out this amazing new benefit our secretary has been working on for YOU! Education Grant Coast-to-Coast 10 11 3 9 Since some of the articles submitted late last spring did not make it into the spring 2014 edition and there was not a summer newsletter, I chose to include them in this edition. These are found starting on page 4 and do not count as this year’s article. The current year’s articles begin on page 11. I want to make sure each chapter’s efforts are always recognized and celebrated! Make sure to take a look at the IVECCS 2014 recap on page 3, the crossover proposal on page 9, and the education grant on page 10. All include opportunities that benefit SVECCS members. Enjoy! Jennifer Kobylanski NSVECCS Communications Director HELP WANTED! VECCS is looking for student volunteers to help staff the VECCS table at WVC, AAHA and ACVIM. Student volunteers will receive free registration, lunch and $20/hour worked. Please email [email protected] for more information. 1 Introducing the new and familiar faces of the National SVECCS Executive Board! President Josie Drayton University of Minnesota Class of 2016 [email protected] Vice President Erin Gibson University of California, Davis Class of 2016 [email protected] Secretary Joe Masciana St. George's University Class of 2017 [email protected] In partnership with our parent organization, the Veterinary Emergency and Critical Care Society (VECCS), National SVECCS functions to oversee individual SVECCS chapter activity and disseminate information and resources relevant to the field of Emergency and Critical Care to individual chapters worldwide. If you have any questions or concerns about our organization or ECC in general, please contact any of our board members! Education Director Amanda Isele University of Tennessee Class of 2015 [email protected] Communications Director Jennifer Kobylanski University of Minnesota Ross University Class of 2016 [email protected] Webmaster Tara Hershberger Ross University Class of 2015 [email protected] SVECCS National Board Advisor Dr. Gary L. Stamp, DVM, MS, Diplomate ACVECC For more information on each board member visit the NSVECCS website @ http://sveccs.org/board-members.pml 2 IVECCS 2014 By Josie Drayton NSVECCS President This year’s International Veterinary Emergency & Critical Care Symposium (IVECCS) in Indianapolis, Indiana was a great success with 87 student volunteers and almost 3,000 attendees in total. With 14 student attendees, the SVECCS chapter at Purdue University College of Veterinary Medicine won the award for highest number of student attendees at IVECCS 2014 and was presented $500. A big thank you to everyone else who volunteered their time, we hope all SVECCS attendees enjoyed the conference. This year, Purina’s Student/Intern/Resident Reception kicked off the weekend, allowing students to mingle, network and enjoy some fun with their fellow student ECC enthusiasts. On Saturday, student attendees enjoyed a fiesta-themed buffet at Abbott’s SVECCS Luncheon. There, the 2014-2015 National Board welcomed student attendees, introduced the Symposium program highlights: Multidisciplinary Review sessions attended by 220 vets and 55 techs Nearly 100 ACVECC (SA & LA) & ACVAA research abstracts and 40 poster abstracts Several lecture blocks on infectious diseases, infection control Updates on Clinical Cardiology, Sepsis, Coagulation, Trauma Management, and Fluid therapy: Crystalloid vs Colloid Controversies ACVECC Year-in-Review - Overflow sessions providing in-depth literature reviews new board and presented national updates which included items such as added student benefits and reminders about chapter active status. The theme for IVECCS 2014 was “Infectious Disease: Emergency & Critical Care Issues” which provided an interesting focus to the program while still emphasizing cutting-edge practical therapies. The theme of IVECCS 2015 will be “Respiratory Critical Care”. Free registration and a stipend will be offered again to student volunteers at IVECCS 2015 in Washington, D.C. (September 18-22) so be sure to mark your calendars and keep an eye out for student registration. Please see the National SVECCS webpage for volunteer details as your local SVECCS chapter must currently be in good standing with the national organization to qualify for student benefits (http://www.sveccs.org/newpage411.pml). Two half day “What is the Evidence” modules to examine controversies and clinical dilemmas A day of Leadership and three days Practice Management sessions including interactive workshops Four days, three tracks each day, of technician lectures and workshops Wet labs on Echocardiography, Cardiac Output Measurements, Monitoring Arterial Catheterization, Emergency Surgery, Endoscopy, AFAST/TFAST and more. Welcome Reception in the Indiana State Museum http://2014.iveccs.org/ 3 Coast to Coast: from the archives Cornell University By Mercedes Huff SVECCS President Cornell’s Chapter of SVECCS had a great year up here in Ithaca! We had multiple wet labs, lectures, and biweekly alternating large and small animal lunch rounds. For our wet labs, we were lucky enough to have 8 of our ECC residents and faculty teach us a small animal emergency procedures wetlab, which entailed several of the most common procedures performed in ECC. In addition, we had our annual CPR wetlab with our chief, Dr. Fletcher, and his robotic dog, Robo Jerry. We were lucky enough to be given access to the Veritas Basic Life Support online course prior to our wet lab so that we could hit the ground running when we were given the opportunity to revive Robo Jerry. Finally, we had a large animal emergency procedures lab in the spring, which helped our large animal members get some productive hands-on time, too. Our formal fall lecture was given by one of our Chiefs, Dr. Gretchen Schoeffler, and went over the basics of triage and what each step of triaging really assesses in the patient. Our spring lecture was given by our third year ECC resident, Dr. Jillian Difazio, who spoke to us about managing idiopathic chylothorax. Our biweekly lunch rounds were often directly related to what we had just learned in classes, so they were extremely useful in helping us take our didactic learning and put it into a real world context. Overall, we had a really successful year here, despite the terrible weather, so we are looking forward to another good year in the fall. UC Davis Breaks into Wetlabs with IO Catheters By SVECCS member The SVECCS chapter at UC Davis has had a busy and exciting year in which our officers have pulled out all of the stops. SVECCS is one of the largest clubs on campus with over 90 active members. Our club offers multiple ways for students to immerse themselves in the emergency field and expand their knowledge and skills. In order to do this we hold monthly journal clubs with faculty, monthly lunch talks, rotations shadowing emergency clinicians, and for the first time this year we held an intra-osseous catheter lab. Placement of intra-osseous (IO) catheters can be a lifesaving skill that many students aren’t able to practice until their emergency rotations during their fourth year. UC Davis’s very own Karl Jandrey DVM, MAS, DACVEVV hosted an extra lab session in which 20 students were able to practice these skills. First Dr. Jandrey went over the different reasons for placing an IO catheter and the different types of instruments that can be used to do so. Next he reviewed the anatomical locations and land marks for placement and showed a video demonstrating the skill. After this the students were able to spend time on cadavers under his careful guidance. Once the catheter was placed students were able to flush saline which confirmed placement but also allowed them to see how difficult it could be to bolus fluids to a patient needing fluid resuscitation. Bone biopsies were also practiced during this three hour session. The lab was a great success and UC Davis SVECCS is looking forward to repeating it next year and incorporating more wetlabs into our list of activities for our members. 4 Iowa State University’s SVECCS By Caitlin Minutolo SVECCS President SVECCS started off the semester with enthusiastic new members. Our first event we held was our popular emergency techniques wetlab! Dr. Olsen demonstrated important emergency techniques to thirty-five students. Students were able to practice tracheostomy, chest tube, and nasal feeding tube placements along with urinary catheter placement and suture patterns. We had great feedback from the new and returning members, what a great way to kick off the semester! With an overwhelming request to learn about the importance of different fluid products we held a Jeopardy style lunch meeting in early March where students interacted in groups and answered fun questions. Dr. Olsen presented different emergency cases along with fun trivia facts to get the students excited, overall it was a great lunch meeting! Each April is a big time of the year for our club during VEISHA Open house. We reach out to the community to teach children and adults of all ages about important emergencies that happen at home on a regular basis such as HBC, choking, or seizures. Unfortunately there was a turn of events the week of VEISHA, causing us to cancel our popular open house event. But that didn’t stop our members from teaching the public! We were able to talk to families & friends about important care during the SCAVMA Scamper. That’s usually a busy morning for exec members to sell children’s clothing and emergency kits. This year there was quite a change of events; during the run a dog took a nasty spill and tore his nail clean off! Luckily, Sam Stine, one of our exec’s witnessed the event and helped bandage the poor pup’s foot. Our last lunch meeting of the semester had a great turn out! Lisa Foster, a licensed veterinary technician, spoke to members about being an emergency technician and how we can be prepared when going into the ER. She presented fun cases that were seen this past year and had students try to determine what diagnostic tests, fluids, and care should be performed to stabilize the patient. As the year came to an end we were able to hold one last wet lab with Feline club! With the help of Dr. Slovak & Olsen we were able to have students practice placing feeding tubes, urinary catheters, tail amputations, and eye lid lacerations on cadaver cats. We hope to have next year jammed full of fun speakers and wet labs! Photos: Top right: Two VM2 students placing a chest tube Middle right: Dr. Olsen demonstrating the position & technique for chest tube placement Bottom left: Dr. Slovak demonstrating purse string suture technique around a feeding tube. 5 KSU Student Chapter of the Veterinary Emergency and Critical Care Society Tuskegee University School of Veterinary Medicine By Kaleigh Robinson SVECCS President By SVECCS Member In our 2013-2014 year the club has hosted great speakers and fun wet labs. The K9 Search and Rescue of Kansas team, who spoke about the work the dogs do to find missing persons and the emergency care the dogs sometimes need when working in disaster situations. Dr. McMurphy, a board certified Criticalist, spoke about her career path and how to find a job in emergency and critical care medicine. Our bandaging wet lab with featured guests Dr. Durant, Dr. Sherwood, and Dr. Renburg was a big success thanks to those members who volunteered their personal dogs as learning tools. Students have been able to see first-hand emergency situations in the KSU Veterinary hospital during our overnight on call program. This program will continue next year and we look forward to new speakers and more exciting wetlabs. Texas A&M By SVECCS Member Texas A&M University’s chapter of the Student Veterinary Emergency and Critical Care Society had a full and exciting year including meetings, wet labs, a fundraising event and a first aid seminar. Our meetings covered a broad scope of topics from colic to burn management to feline urinary tract obstruction. During the fall semester, we held a case-based wet lab where attendees were able to work through an actual case, and they got the opportunity to practice intraosseous catheter placement and abdominocentesis. Our spring The Tuskegee chapter had a very successful year and held many lunch and learns and one CPR wet lab. One of the many lunch and learns involved an emergency vet, Dr. Laura Edwards, visiting our school and speaking to fellow students about different emergency cases she has experienced. She showed x-rays and explained the attitude that is needed to work with clients and animals in an emergency clinic. TUSVM 2nd Annual CPR Wetlab: TUSVM held its 2nd annual CPR wetlab this past April. Dr. Ricardo Irizarry, our new critical care doctor and future advisor of the Tuskegee chapter of SVECCS, led the wet lab. He guided several students through the proper usage of anesthesia machines and how to give CPR to dogs and cats. semester wet lab included tracheotomies, chest tube placement and the “ins and outs” of the pleurovac system. For fundraising, we held a Halloween bake sale where we brought attention to ingredients commonly found in baked goods that are toxic to animals. In the spring semester, we once again held our Pet First Aid seminar for the public. The veterinarians and veterinary technicians from our teaching hospital volunteered their time to give several short lectures on general first aid for pets, common household toxins and emergency preparedness. Overall, we had a great year! 6 For EXTERNSHIP opportunities visit: http://sveccs.org/externship.pml St. Matthew’s University By Sally Moseley Every vet student gets to enjoy the feeling of extended mechanical arms that can very precisely explore body cavities and place sutures. Cummings School of Veterinary Medicine at Tufts University By Rebecca Bishop SVECCS President The Tufts SVECCS chapter had an exciting and busy Spring with a new Executive Board elected and officer reorganization in January. The new board is looking forward to organizing and planning a great lineup of talks, wet labs and fundraisers for new year over this summer! We especially look forward to the re-establishment of a Small Animal ICU Team, through which member will be able to spend evenings shadowing and helping in the ECC department at the Foster Hospital for Small Animals. We'll also be starting off the fall with a two part suture lab - basic and advanced suturing - to offer a great learning experience for first and third years alike. This past semester, we had an exciting ER case review presentation, given by ECC resident Dr. Alex Lynch, followed by an Small Animal Emergency Procedures wet lab run by our advisor Dr. Elizabeth Rozanski, DVM, DACVIM, DACVECC. During the wet lab, 30 of our members had the chance to practice common emergency procedures on cadavers, including venous cutdowns, tracheostomies, chest and abdominal taps, chest tube placement, linea alba and skin suturing, splenectomies, and open chest CPR. It was a great morning and a welcome break from studying for finals! But, perhaps, not at first. The St. Matthew’s University chapter of SVECCS spent a bright Saturday morning among experts who wielded their extended arms with ease across their “critical patients”. Eager first-semester students jumped right in from a simple-interrupted, and some even attempted the dreaded buried knot. Expert upper-semester students flew through the dreaded buried knot, and some decided they should probably do more buried knots. This winter’s suture lab accompanied a lecture series by some of St. Matthew’s own professors as well as a couple outside experts. Dr. Tina Wismer from the ASPCA Poison Control Center held the attention of her audience as she walked students through cases of Gorilla Glue ingestion and friendly neighborhood poisoning accusations. Fulfilling a semester tradition, SVECCS hosted the Vet-Med Trivia Night, inviting all students and professors to join. Teams competed for various island activities by outsmarting one another on their diagnoses for watery diarrhea, nutmeg livers, and bilateral hind-limb limps. The tradition lives on! 7 University of Tennessee SVECCS By SVECCS member The Student Chapter of the Veterinary Emergency and Critical Care Society (SVECCS) at the University of Tennessee, College of Veterinary Medicine (UTCVM) had a wonderful second year back from re-instatement. The small animal emergency team was the big first goal of the club. Our coordinators worked very closely with the head technician in our small animal hospital’s Intensive Care Unit (ICU) to work up a schedule that allowed students to spend a minimum of 4 hours in the ICU every month. Each month the schedule would be released and students would have the opportunity to sign up for the shifts after a certain period of time if there were left over shifts the students were allowed to sign up for additional shifts. During these shifts the students helped the technicians and senior students provide treatments and whatever else to the patients in ICU. We found this to be a great learning experience, especially for the first and second years, and it allows students another opportunity to get into clinics and have some hands-on learning in the years leading up to their fourth year rotations. This past semester, we also passed into SCAVMA law that there SCAVMA points are given for each 2-hour shift which has made the ICU time even more valuable to students. In January of this year we held a CPR wet-lab for a small group of our members. It was run by one of our Board Certified Anesthesiologists who is also CPR certified in humans as well as the head technician of our ICU. The lab began with a lecture on the newly released Recover Guidelines which we also provided a copy and link to for all who participated. After the lecture the simulation was set up with a resusca-dog and the computer simulation. There were 3 groups of 5-6 people each and each group was provided a scenario. The group decided who was going to do what job in the group (ie chest compression, delivering drugs, timing, recorder, etc) and they then acted out the scenario with the other groups watching. After the scenario was completed the group was provided with constructive criticism as well as positive feedback and then they were allowed to run the scenario again to see how they could improve. Therefore, each group was allowed to “run a code” twice and were able to watch four more times. We heard a lot of positive feedback from both the students who participated as well as the staff members involved. We hope to continue this wet-lab as a yearly occurrence for our SVECCS club and maybe even try and do it once a semester since the number of people who can attend does have to be capped due to limited resusca-pets. In February of this year we also had our annual dinner meeting. We invited a local Emergency Veterinarian from one of the bigger Emergency hospitals in Knoxville to come and speak about common toxicities that are often seen in Emergency settings. We provided dinner to all who attended and it was a great talk. She presented quite a few cases of different pets eating or getting into things they shouldn’t and we worked through them as a group. It was especially great for the second years who attended as they had just finished their toxicology class. And it was also a good reminder for the third years before they head into clinics. We also had great speakers at our monthly meetings that ranged from dystocia in cows (for are LA folks) to analgesia and anesthesia in the critical patient. We organized two wonderful fundraisers with tshirts, car decals, and hip packs for clinics that helped us raise money for our new club. The plan for this year so far includes an interactive talk by one of our ECC doctors, a 8 (continued) transfusion lecture given by one of our new residents, two more CPR classes done as described above, along with an exciting new wet lab. The new wet lab planned for this year will be a station type wet lab which will include a talk given by a representative from a bandaging company that sells honey bandages and such. There will also be an interactive part where we allow students to practice different bandaging methods as well as learn to bandage difficult areas like heads and tails. There will also be a station for learning dental nerve blocks in the cadavers. We also plan to have a dinner meeting done by one of our ECC doctors in an interactive manner working through cases. NSVECCS would like to welcome our newest SVECCS chapter: Oregon State University We look forward to working with you…Congratulations! A letter from your secretary: Hello SVECCS Members! It has taken over a year to come into effect, but your additional benefits are here!! If you are an active member of your chapter’s SVECCS and a member of Student VECCS (through the veccs.org website) then upon graduation you get some great benefits like discounts on books, JVECCS Subscription, first notification and preferred option for volunteering at IVECCS to receive FREE registration and MORE!!! You get all the benefits that VECCS offers for your first year after graduation and it is free!! You will also get half-off registration to your IVECCS Conference (if you don’t want to volunteer)! These benefits will save you over $300!!!!! This crossover goes into effect August 2015!!! Make sure you get ready for the great benefits!!! Make sure to read the full proposal which can be found on our website (sveccs.org) or on our facebook page! I hope you guys will enjoy this as much as I will!! Always, Joe Masciana SGU SVM ‘17 NSVECCS Secretary 9 Congratulations to Western College of Veterinary Medicine for being awarded the Fall NSVECCS Education Grant! We look forward to hearing about your procedures lab! Does your chapter lack the funds to provide members with an amazing opportunity? Well you’re in luck because it’s time to apply for the Spring NSVECCS Education Grant! The Student Veterinary Emergency & Critical Care Society (SVECCS) is offering a grant to student chapters to provide funding for wet labs or lectures supplementing their college's curriculum. Our vision for this grant is for our veterinary student chapters to design either a lecture and/or wet lab for a topic to which students would not otherwise be exposed. A $500 grant will be offered, and winners will be chosen by the committee in the Spring semester. Applications are due by April 1st. Your chapter’s status must be active to qualify! To be active we need the following: An updated contact list A copy of your constitution A copy of your member list A submission to the newsletter you are currently reading! The following schools do NOT have all of the required documents needed to keep your school qualified as an active SVECCS chapter!!! Please contact your board representative if your school is listed!! Auburn University Colorado State University Cornell University Kansas State University Louisiana State University Massey University Veterinary School Michigan State University Mississippi State University Oklahoma State University Purdue University Royal Veterinary College of London St. George’s University St. Matthew’s University Texas A&M University Cummings School of Veterinary Medicine at Tufts University University of Calgary University of California-Davis University of Georgia University of Illinois University of Liverpool University of Minnesota University of Montreal, Saint Hyacinthe University of Pennsylvania University of Saskatchewan (WCVM) University of Wisconsin – Madison Virginia-Maryland Regional College of Veterinary Medicine Western University of Health Sciences, College of Veterinary Medicine 10 Coast to Coast Updates on an Exciting Semester with The Ohio State University SVECCS Chapter By: Joey Abbruzzese SVECCS Vice President The Ohio State University SVECCS Chapter is off to an exciting start for the Fall Semester. In September, Dr Amy Butler led our members through a fundamentals in critical care techniques wet lab. Procedures that were demonstrated included emergency tracheotomy, chest tube placement, peripheral cut-downs, central line placement and open chest CPR techniques. It was a very fast paced hands-on lab and received great reviews from our members. We have also begun to host journal club rounds with our members focused on varying levels of clinical complexity. In this way, we are able to accommodate our first year students as well as our upperclassmen members keeping in mind their background level of knowledge from the curriculum. This semester we have two other amazing wet labs planned in November. Dr Ed Cooper is hosting our CPR lab utilizing our beloved CPR mannequin dog and cat and Drs. Julien Guillaumin and Cristina Iazbik will be leading our members through a blood typing lab in which participants can blood type their own dog or cat and learn a great deal about our blood donor program. University of Missouri By: Alexis Zallis SVECCS Secretary Hello from MIZZOU! We, at the University of Missouri, are proud tigers and don’t let people forget it! We started off the year with a great line up of educational and fun meetings including a wet lab and ICU rounds! Our first meeting was an introduction to all things ECC which explored a few cases Q&A style with our advisor, Dr. Tony Mann, DACVECC. At our next meeting, an ECC resident spoke to us about commonly used ICU drugs – particularly exciting for those of us in Pharmacology or who had previously worked in an emergency setting! Our third meeting of the semester was also led by Dr. Mann, discussing what it means to be board certified, the process, and answered various questions on residency and internships. On top of these three meetings we held our first wet lab of the year – the legendary Suture Lab. The evening started out with a brief overview by Dr. Mann who illustrated the techniques that would be utilized and reminded us of how to hold our instruments – in case we had forgotten since the glorious days of anatomy! The second half was devoted to suturing in the anatomy lab. Materials were donated from the ICU and with the help of Dr. Mann and several surgery/ECC residents, 24 students learned how to do several suture techniques. Quite the highlight, SCVECCS offers its members (mostly first and second year students) the opportunity to attend bi-weekly small animal ICU rounds. Students learn to summarize and present patient cases to a group of peers overseen by Dr. 11 (continued) Mann. Students are encouraged to ask questions about cases in order to build their knowledge of emergency and ICU medicine. Rounds help to familiarize students with commonly encountered ICU cases, treatments and medications. With 57 active members, we are looking forward to next semester as we will be offering another ECC procedure lab and/or a bandaging lab – either way, we’ll keep you updated! Go Tigers! Washington State University By: SVECCS member The 2014 -2015 academic year is going to be an exciting one for Washington State University’s Chapter of SVECCS! The newly elected officers all brought great ideas on ways to revitalize the club and strengthen their presence in the College of Veterinary Medicine (CVM). A number of lectures and wet labs are planned this year, and SVECCS is also planning to host joint lectures with several other clubs, including Ag Animal and Equine Clubs, in order to expand learning opportunities into large animal emergency medicine. Planned lecture topics for the year include: Managing GDV (in conjunction with WSU’s Canine Club) Evaluating and managing emergent neuro cases Transfusion medicine Wound management CPR Wet labs: Emergency procedures lab Wound management and bandaging CPR Washington State's SVECCS chapter will also be starting monthly “rounds” sessions with the CVM’s ECC Clinicians and Interns, and is looking to implement an ICU Shadowing opportunity for members to get time in the ICU. In the spring time WSU’s CVM hosts an annual Open House for the Pullman, WA community to visit the veterinary teaching hospital. The SVECCS Club will have a table showing off some fun things ER doctors do, as well as have an interactive display on common household pet toxins. The officers and members are excited about the club’s upcoming activities and are looking forward to the year to come! Please email us with any questions or concerns. We are here to help you and your chapter! 12