This document summarizes the background and experience of Dr. Philomena Kwong, an emergency and critical care veterinarian. It discusses her training and career path, including veterinary nursing, internships focusing on emergency medicine, and current work as an emergency vet since 2010. It then compares and contrasts the differences between emergency veterinary work and general practice, covering topics like hours, responsibilities, stress levels, and relationships with clients and patients.
Respiratory Distress in the Small Animal Patientupstatevet
Danielle Berube, DVM, DACVECC
This presentation will review the many differentials for patients presenting in respiratory distress. The lecture will be organized based on anatomic locations within the airway, including upper airway disorders, pulmonary causes of respiratory distress, and diseases of the pleural space. Within each section, we will focus on the physical examination findings, diagnostic options to localize the disorder, and stabilization techniques for the patient. We will also discuss less common causes of respiratory distress such as acute lung injury (ALI), acute respiratory distress syndrome (ARDS), transfusion related acute lung injury (TRALI) and even some examples of nonrespiratory look-alikes.
Presenter: Dr. Andrew Waxman, DVM, DACVIM (Cardiology)
Hosted by Upstate Veterinary Specialties
Session Description:
Congenital heart diseases are abnormalities of the cardiovascular system which are present at birth. The exact underlying factors are not always understood but are suspected of genetic origin in dogs and cats. Some of the most common diseases include patent ductus arteriosus, pulmonic stenosis, subaortic stenosis, tricuspid valve dysplasia, and ventricular septal defects. These conditions can vary from innocent to life-threatening. This lecture will help participants understand the examination findings, the most common treatment options (if available), and breeding considerations regarding congenital heart disease in dogs and cats. There will also be some discussion about innocent murmurs in young patients.
Respiratory Distress in the Small Animal Patientupstatevet
Danielle Berube, DVM, DACVECC
This presentation will review the many differentials for patients presenting in respiratory distress. The lecture will be organized based on anatomic locations within the airway, including upper airway disorders, pulmonary causes of respiratory distress, and diseases of the pleural space. Within each section, we will focus on the physical examination findings, diagnostic options to localize the disorder, and stabilization techniques for the patient. We will also discuss less common causes of respiratory distress such as acute lung injury (ALI), acute respiratory distress syndrome (ARDS), transfusion related acute lung injury (TRALI) and even some examples of nonrespiratory look-alikes.
Presenter: Dr. Andrew Waxman, DVM, DACVIM (Cardiology)
Hosted by Upstate Veterinary Specialties
Session Description:
Congenital heart diseases are abnormalities of the cardiovascular system which are present at birth. The exact underlying factors are not always understood but are suspected of genetic origin in dogs and cats. Some of the most common diseases include patent ductus arteriosus, pulmonic stenosis, subaortic stenosis, tricuspid valve dysplasia, and ventricular septal defects. These conditions can vary from innocent to life-threatening. This lecture will help participants understand the examination findings, the most common treatment options (if available), and breeding considerations regarding congenital heart disease in dogs and cats. There will also be some discussion about innocent murmurs in young patients.
Respiration, types of respiration, examination of mucous membrane, changes of color , examination of lymph-nodes, examination of skin and associated structures
APPROACH TO A NEUROLOGICAL EMERGENCY CASE STARTS WITH THE BASIC TRIAGE APPROACH AS IN ANY OTHER EMERGENCY CASE. A NEUROLOGICAL ASSESSMENT IS ONLY DONE AFTER THE STABILIZATION OF THE PATIENT. THERE CAN BE MANY DIFFERENT APPROACHES BUT ALL BASICALLY AIM AT FIRST CONFIRMING IF AT ALL IT IS A NEURO CASE AND IF YES, WHERE IS THE LESION..IS IT IN THE CRANIUM OR BRAINSTEM OR THE SPINAL CORD? LESION LOCALISATION WILL NOT ONLY HELP TO UNDERSTAND BETTER THE TYPE OF THERAPY TO BE CHOSEN BUT WILL ALSO HELP TO TELL ABOUT THE PROGNOSIS OF THE CASE. MOST COMMONLY WE GET STATUS EPILEPTICUS, TRAUMATIC BRAIN INJURY, POISONING, SPINAL CORD INJURIES AND ACUTE VESTIBULAR DISEASES AS THOUGHT TO LINKED WITH NEUROLOGICAL EMERGENCY SITUATIONS. AN EMERGENCY MUST BE FAMILIAR WITH WITH THE RELEVANT HISTORY OF THE PATIENT. HE SHOULD ALSO BE KEEP A TEAM READY WHO CAN HELP HIM PUT THE IV ACCESS AND SEDATIONS WHILE HE CAN COLLECT THE BLOOD FOR BASIC ROUTINE BLOOD ANALYSIS. COUNTERING THE ONGOING STAGE OF SHOCK TO BRING IT TO NORMAL, CHECKING THE SYSTEMIC BLOOD PRESSURE, RECTAL TEMPERATURE AND OXYGEN CONCENTRATION ARE FEW OF THE MOST IMPORTANT FACTORS A CLINICIAN HAS TO DO WHILE ADMINISTERING THE MEDICS. SCORING SYSTEMS LIKE MODIFIED GLASSGOW COMA SCALE AS SUGGESTED BY DR PLATT ARE REALLY HELPFUL TO GIVE A PROGNOSTIC IDEA IN CASES LIKE CRANIO-CERBRAL INJURIES. RECENT TREATMENT UPDATES ARE REALLY HELPFUL TO KEEP HAVING BETTER OPTIONS IN CASE THE ROUTINE PROTOCOL FOR STABILIZING A SEIZURE PATIENT IS NOT WORKING.
Respiration, types of respiration, examination of mucous membrane, changes of color , examination of lymph-nodes, examination of skin and associated structures
APPROACH TO A NEUROLOGICAL EMERGENCY CASE STARTS WITH THE BASIC TRIAGE APPROACH AS IN ANY OTHER EMERGENCY CASE. A NEUROLOGICAL ASSESSMENT IS ONLY DONE AFTER THE STABILIZATION OF THE PATIENT. THERE CAN BE MANY DIFFERENT APPROACHES BUT ALL BASICALLY AIM AT FIRST CONFIRMING IF AT ALL IT IS A NEURO CASE AND IF YES, WHERE IS THE LESION..IS IT IN THE CRANIUM OR BRAINSTEM OR THE SPINAL CORD? LESION LOCALISATION WILL NOT ONLY HELP TO UNDERSTAND BETTER THE TYPE OF THERAPY TO BE CHOSEN BUT WILL ALSO HELP TO TELL ABOUT THE PROGNOSIS OF THE CASE. MOST COMMONLY WE GET STATUS EPILEPTICUS, TRAUMATIC BRAIN INJURY, POISONING, SPINAL CORD INJURIES AND ACUTE VESTIBULAR DISEASES AS THOUGHT TO LINKED WITH NEUROLOGICAL EMERGENCY SITUATIONS. AN EMERGENCY MUST BE FAMILIAR WITH WITH THE RELEVANT HISTORY OF THE PATIENT. HE SHOULD ALSO BE KEEP A TEAM READY WHO CAN HELP HIM PUT THE IV ACCESS AND SEDATIONS WHILE HE CAN COLLECT THE BLOOD FOR BASIC ROUTINE BLOOD ANALYSIS. COUNTERING THE ONGOING STAGE OF SHOCK TO BRING IT TO NORMAL, CHECKING THE SYSTEMIC BLOOD PRESSURE, RECTAL TEMPERATURE AND OXYGEN CONCENTRATION ARE FEW OF THE MOST IMPORTANT FACTORS A CLINICIAN HAS TO DO WHILE ADMINISTERING THE MEDICS. SCORING SYSTEMS LIKE MODIFIED GLASSGOW COMA SCALE AS SUGGESTED BY DR PLATT ARE REALLY HELPFUL TO GIVE A PROGNOSTIC IDEA IN CASES LIKE CRANIO-CERBRAL INJURIES. RECENT TREATMENT UPDATES ARE REALLY HELPFUL TO KEEP HAVING BETTER OPTIONS IN CASE THE ROUTINE PROTOCOL FOR STABILIZING A SEIZURE PATIENT IS NOT WORKING.
ENT Clinic in Tambaram, ENT clinic in chennai, ENT surgery specialist in chennai, ENT speciality clinic in chennai, ENT treatment clinic in chennai, ENT surgery in chennai, ENT specialist chennai, ENT treatment chennai.
A short talk by Yvonne Bennett, a patient at Amir Hannan's practice in Derbyshire detailing their experience of allowing patient access to health records.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
2. My Background Veterinary nurse at WAEC 2006-2008 Graduation 2008 Rotating internship in emergency medicine, critical care, internal medicine and surgery at Queensland Veterinary Specialists in 2009 Animal Emergency Service 2010 til now
3. So what is it like to work as an Emergency vet?
4. Emergency General Practice Shift time: 8pm-8am* Break when it’s quiet between consults No vaccinations, worming etc Emergency surgeries only (no orthopaedic surgery expect for spinal surgeries) as soon as the patient is stablised. No long term client & patient relationship. Taking on referral cases Going home not having to stress about cases. 8am-5pm Standard lunch hours Vaccinations, worming Routine surgeries at scheduled time of day. Ongoing client & patient relationship. Referral of complicated cases Worrying about cases that are still in hospital as no one is there to look after them. +/- on calls at night Emergency VS General Practice
5. The challenge The instant satisfaction Touches on all the different disciplines of veterinary medicine Constantly learning The flexibility Full time = 3-4days a week Enjoy the day instead of working through it Is encouraged to sleep when work isn’t busy! (there’s usually a bed at the clinic) Make independent decisions The Good…
6. The Bad… Stress with unfamiliar cases or rare cases Angry clients due to waiting time (not uncommon in an emergency center) Talking about money to extremely distressed and emotional clients Abuse- mostly verbal but occasionally physical Higher incidences of litigation Miscommunication more likely when clients are distressed Long hours Unset finishing time Abnormal sleep pattern Working graveyard shifts Working most weekends Days off don’t coincide with people who work normal hours Working by yourself at night- consulting + procedures + looking after hospital patients
7. 2011 @ AES 2009 @ Pet ER Still doing Emergency
31. Treatment 1. Induce emesis (patients that are awake) or gastric lavage 2. Activated charcoal 0.5g-1g/kg PO **not in dogs that have severe somnolence 3. Induce diuresis (fluids @ 2 x maintenance) 4. Place urinary catheter 5. Monitor pCO2 (blood gas) for hypoventilation 6. +/- Ventilation Discharge once mentation returns to normal and urinary incontinence has resolved.
34. COMMUNICATION THE MOST IMPORTANT ASPECT IN VETERNARY MEDICINE Establish trust Emergency treatments usually $$$$ TREATMENT VS EUTHANASIA New grads: 1/10 GDVs will go to surgery Senior vets: 9/10 will go to surgery Complaints & Litigation
35. Salary Every emergency clinic is different Average $400-500/shift Some have floor salary/ commission and is paid based on whichever one is the higher value Commission based only ** Note when on commission based- over treatment (i.e. doing things that could have waited to be done by regular veterinarian)/ unjustifiable treatments or diagnostics will result in termination.
36. How to become an emergency veterinarian Direct Requires previous emergency work experience- veterinary nursing Internship focusing on emergency medicine Must have consulting experience GP to gain experience ER GP doing work experience at ER clinics ER vet
38. ADVICE Veterinary nursing Volunteer/ work experience Hands on experience is by far the easiest way to learn. No matter what field you will be in the future: YOU MUST HAVE INCOME PROTECTION !!! YOU MUST HAVE INDEMNITY INSURANCE !!!
41. Referral If referral is not an option then call the specialists or emergency centers for advice Small Animal Critical Care Medicine VIN If you’re still really stuck
I started nursing in third year after finishing my pre-clinical prac work. I initially did work experience at WAEC where I eventually was offered a job. It was the only job that I could fit in before and after class and on the weekends. I worked all the 3-8am shifts so I could make it to the 8am lectures. I graduated at the end of 2008 and started Pet ER’s rotating internship. Who doesn’t know what an internship is? Ok so an internship is a one year supervised experience where you get to rotate through various disciplines like medicine, surgery, oncology, dermatology, ophthalmology etc. We did focus mainly on doing emergencies so on my first day I had around 16 consults in 5 hours. Doesn’t sound like much but it was quite scary. After that I continued working in emergency at Animal Emergency Service, first at the Cararra clinic and now at Underwood.
Anything an owner perceives as an emergency IS an emergency. But sometimes owners will decide to bring their dogs in that has vomited for 4 days.. Hasn’t eaten for 7 days on a Sunday night at 3am… beats us.
Newbies get all the awesome exotic animals because the people who graduated before you will always claim that they haven’t learnt enough and that their knowledge is outdated.