The theme for this year's event, which takes place on 7th November, is the cornea. Lectures will include 'Medical Cornea', 'Cross Linking' and 'Surgical Cornea'. There will be Q&A sessions after each one.
Amongst the speakers are Chris Dixon, CertOphthal MRCVS MRCVS from Veterinary Vision Ophthalmic referrals, Christine Heinrich, RCVS & European Specialist in Veterinary Ophthalmology from the Eye Clinic and Sara Thomasy, Professor of Comparative Ophthalmology at the University of California from UC Davis University.
As is customary, abstracts will be presented throughout the day.
Tickets are £100 +VAT, or £60+Vat for students, interns and veterinary nurses: https://www.thewebinarvet.com/pages/bravo-virtual-winter-conference-2020-tickets/
The modules, which are presented by US veterinary oncology specialists Dr Chad Johannes and Dr Sue Ettinger, are titled: ‘Mastering Mast Cell Tumours’, ‘Treating Canine Mast Cell Tumours’ and ‘Stelfonta’.
Each of the modules offer 30 minutes of bitesize, interactive CPD and are suitable for both veterinary surgeons and nurses.
Dr Neil Mottram MRCVS, Technical Product Manager at Virbac said: ‘We appreciate that for the majority of veterinary teams, finding time for CPD is pretty challenging at present. We therefore hope that the bitesize, on-demand format of these modules can provide the perfect solution, whilst still delivering high quality CPD’.
The modules can be accessed at: vet-uk.virbac.com/stelfonta/education
Virtual lunch and learn meetings are also available from Virbac Territory Managers.
For more information, speak to your Virbac Territory Manager, or visit vet-uk.virbac.com/stelfonta
The two sets of guidance cover:
RCVS President Dr Mandisa Green said: “I would like to reassure my colleagues once again that we understand the extreme challenges and difficult decisions they are facing.
"The College has no interest in taking anyone to task for considered professional judgement, providing they act reasonably in the circumstances, can justify their actions and take reasonable notes.
"Sadly, we’re seeing the pandemic situation deteriorating again in the UK, but to varying degrees across the country. This presents a significant challenge in ensuring our guidance is clear and straightforward, while remaining relevant to as many people as possible.
"We sincerely hope this new guidance achieves that aim and supports veterinary professionals working to uphold animal health and welfare, while maintaining the safety of their teams and clients."
For more information, visit: https://www.rcvs.org.uk/setting-standards/advice-and-guidance/coronavirus-covid-19/
The series looks in detail at some of the most important issues dental specialists are seeing in pets.
The first webinar in the series, which is going live on Tuesday 3rd November at 8:00pm, looks at the impact periodontal disease has on both cats and dogs.
Co-speaker and veterinary dental specialist, Jens Ruhnau DVM, DEVDC (above, left) discusses the importance of understanding and treating the condition: "Research has shown that over 80% of dogs over the age of three, and the majority of cats, are impacted by periodontal disease. Treating the disease early and correctly is key to reducing further spread, secondary infection, and ultimately improving the quality of life of the animal".
The second webinar in the series, which will be live on Tuesday 10th November at 8:00pm, shares advice on treating tooth fractures in pets. Looking at tips on how to perform an effective oral examination, along with reviewing recent studies on the fracture limits of teeth in pet dogs.
Co-speaker and founder of DentalVets, Norman Johnston (above, right) said: "Tooth fractures are very common in both cats and dogs, and can be caused by a variety of reasons. Looking in more detail at the diagnostic process, treatments options and being aware of what objects can cause damage will help veterinary professionals, and in-turn owners, understand more about the risk of fractures."
Both webinars are free to attend, to find out more information and to register click here. https://www.thewebinarvet.com/pages/mars-petcare-free-webinars-tooth-fractures-periodontal-disease
Equipalazone is most commonly used to treat lameness in equines and can be prescribed as a treatment for osteoarthritic conditions, acute and chronic laminitis, bursitis and carpitis as well as to reduce post-surgical soft tissue reaction.
The new apple-flavoured version, which contains no added sugar, is presented in 1.5g sachets which are added to feed. The existing unflavoured product is still available as Equipalazone Original.
Dechra Brand Manager Emma Jennings said: “The new apple flavoured Equipalazone is the same tried and trusted popular product that vets have been using for many years but the enhanced apple flavour should improve compliance amongst even the fussiest of feeders.
"Equipalazone has been a best-selling treatment delivering powerful pain relief since we brought it to the market as the first microencapsulated phenylbutazone more than 45 years ago. The new apple flavoured presentation will give vets even more choice when it comes to providing pain relief and anti-inflammatory treatment for equine conditions."
For more information visit www.dechra.co.uk.
The company highlights figures which show that about 170,000 of calves born alive each year die in their first month of life1 and that up to 50% of deaths are caused by scour2, with over 48% of dairy heifer calves diagnosed with scour preweaning3. ORT, says the company, could help save the industry £60 million a year1.
The new campaign will encourage farmers to use ORT during scouring to provide sufficient essential electrolytes to correct acidosis, while still continuing with milk feeding. The company says milk is the best source of energy and fluid replacement for scouring calves and stopping milk has been shown to have no impact on the resolution of scour. In fact, calves left on milk during scour can continue to gain weight. The Making Milk Matter Against Scour initiative is being backed by a PR and advertising campaign and a social media initiative.
During the campaign Ceva will be running surveys to capture both vets’ and farmers’ experiences of scour and ORT. To take part in the vet survey visit https://www.surveymonkey.co.uk/r/ORTVet. There will be a prize draw from completed entries, with 10 vets receiving a £10 Amazon voucher.
Stephenie Clarke, product manager at Ceva Animal Health said: "The ‘Making Milk Matter Against Scour’ campaign will help highlight the financial and welfare benefits of using ORT at the first signs of scour and the importance of administering it alongside milk which is the best source of energy and will help calves maintain weight gain.
"The scour survey will provide us with an insight into the use of ORT in practice and on farm to help us drive improvements across the industry."
James Adams, BVSc FHEA MRCVS, farm animal lead at Langford Vets, University of Bristol, added: “If I could offer one piece of advice to farmers with scouring animals it would be to ensure hydration as dehydration is what kills! Rehydrating an animal is essential if an animal is to be able to regain its normal function and fend off any disease.
"We’ve been using Rehydion in our vet practice for approximately two years and we mainly recommend that farmers use it in cattle, but our clients also use it in lambs and kids. We get a lot of positive feedback from farmers on Rehydion, as they feel that it is effective and convenient to use, which aids compliance, and it can be given with milk, which is essential for maintaining a positive energy status."
For further information on the ‘Making Milk Matter Against Scour’ initiative visit www.makingmilkmatter.co.uk, contact your local Ceva Account Manager, call Ceva on 01494 781510 or email cevauk@ceva.com.
References
For the survey, 565 respondents ranked their levels of concern about different aspects of veterinary life that may be affected by coronavirus.
The top concerns were:
In addition, 42% were very or quite concerned about contracting Covid-19 in their workplace, rising to 55% amongst those working in mixed practice and 50% in small animal/exotic practice.
Respondents were more concerned about stress and burnout amongst their colleagues (67% very or quite concerned) than the impact on themselves (45%), but more than half (58%) of small animal/exotics vets reported being concerned about their own stress and burnout. Managers and employees reported higher levels of concern around stress and burnout than business owners and those who are self-employed.
When it comes to employment, the profession is a bit more optimistic. 23% of respondents are not at all concerned about job security in the veterinary sector, with 43% a little concerned and 31% very or quite concerned. Equine vets (45%) and charity vets (64%) are very or quite concerned about job security in their own sectors, against an average of 23% across all areas of work.
However, 95% of respondents had some level of concern (a little, quite or very) about the potential impact of a recession on the veterinary sector, with government, equine and charity vets most concerned.
The findings will be used to inform BVA’s work on supporting the veterinary profession as the pandemic continues.
BVA President James Russell said: “Although this is just a snapshot survey, it tells us a lot about how our colleagues are feeling six months on from the national lockdown. It paints a worrying, but not surprising, picture about the health and wellbeing of a profession that has worked incredibly hard and in very difficult circumstances this year.
“I’m incredibly proud of the way the profession has adapted to working safely during Covid-19, but we know that it has taken its toll, for example with consults taking longer, needing to cover staff shortages, and dealing with anxious clients.
“BVA also shares the profession’s concerns about the impact on students and new graduates. EMS is the jewel in the crown of UK veterinary teaching and it’s frustrating that opportunities to gain practical training have been hampered by the Covid restrictions. The issue is at the top of our agenda with the RCVS and Vet Schools Council to make sure we can collectively support the next generation of vets through this difficult time.
“As the UK is braced for the second wave, we know we are much better prepared and far more able to work safely to do our bit to tackle the spread of coronavirus. But it’s vital that we continue to support one another, as well as continuing the spirit of collaboration with neighbouring practices that helped us get through the height of the pandemic.
The snapshot survey on Covid-19 is available to view at: https://www.bva.co.uk/media/3781/voice-covid-survey-2020-results.pdf
Julia, who is a leading exponent of the Brainstem Auditory Evoked Response (BAER) screening test, will also support the small animal referral hospital’s neurology, ophthalmology and dermatology teams with enhanced diagnostics.
Julia was a neurology technician at the Animal Health Trust for 31 years, until it closed in July 2020. With colleagues there she helped to develop and implement BAER testing as a screening process in animals at risk of congenital deafness. Davies says this is now recognised as the gold standard in deafness testing by organisations such as The Kennel Club and various breed clubs in the UK.
Julia said: “I am so happy to be starting a new chapter at Davies. It is really exciting to be establishing the Hearing Assessment Clinic here and continuing to provide this important service both to previous clients and new ones. I am also looking forward to developing a successful, constructive working relationship with my new colleagues."
Tim Richardson, Managing Director of Davies said: "We are delighted to welcome Julia to the team at Davies. As one of the UK’s leaders in this highly specialised field she enables us to offer hearing screening, hearing tests and electrodiagnostics across the relevant disciplines, at the very highest level."
For further information visit www.vetspecialists.co.uk
Sioned Timothy, Ruminant Technical Manager at Boehringer said: "The financial and production impact of liver fluke should not be underestimated. Recent abattoir research in Ireland, published this year, has shown that a fattening steer with fluke infection will put on 36kg less live weight gain over its lifetime versus a healthy steer, costing the producer around £63, per animal.
"Additionally, analysis of data from cattle at a Scottish abattoir showed that animals with 1 to 10 liver fluke present in their liver took an average 31 days longer to reach slaughter weight, while animals with more than 10 liver fluke present took an additional 77 days longer to reach slaughter weight versus animals without any liver fluke infection2.
"Liver fluke infections can also lead to hormonal and metabolic imbalances, affecting reproduction in female animals and extending breeding targets3. Affected animals may also be more susceptible to secondary bacterial infections, such as Salmonella and Clostridial infections3."
Boehringer says that with cattle being brought in for winter housing, now is an ideal opportunity to remove productivity-limiting parasites that were acquired during the grazing season. The main targets for parasite control at this time of year are gutworms, lungworm and liver fluke, however the specific risk will vary from farm to farm.
The company adds that the choice of treatment for liver fluke at housing is complicated by emerging resistance to triclabendazole. This is the only flukicide that treats the early immature stage of liver fluke, responsible for acute disease in sheep but not of clinical relevance in cattle.
Sioned said: "Prescribing an alternative flukicide for cattle at housing will reduce selection for resistance and, by targeting the later stages of the parasite, control the impact of liver fluke on productivity.
"Flukicides containing clorsulon (contained in Ivomec Super) will remove the adult stages of fluke in cattle, while those containing closantel, or nitroxynil (the active ingredient of Trodax), are effective against both late immature and adult stages.
"To ensure that cattle have no residual fluke burden, they may need to be re-treated at an appropriate interval after the initial housing dose. Diagnostic testing can be used to determine whether a second treatment is necessary. This approach will ensure that cattle are turned back out onto pasture fluke free."
For the study, 2,834 seizure incident cases were identified from a population of 455,553 dogs attending VetCompass participating practices in 2013.
The study found that that approximately 1 in 160 dogs under first opinion veterinary care are affected by seizures every year.
Many of those dogs will have underlying epilepsy, defined as dogs with two or more unprovoked seizures at least 24 hours apart. Seizures can be secondary to idiopathic epilepsy, structural epilepsy or epilepsy of unknown cause.
Until now, however, there has been little information on the classifications of seizures, diagnostic approaches, or clinical management of dogs with seizures in the veterinary first opinion population.
The main findings from the research were:
Dr Dan O’Neill, Senior Lecturer in Companion Animals Epidemiology at the RVC, and author of the paper, said: "Watching your dog undergo a seizure can be an incredibly scary moment for any dog owner. It is really important that dogs that seizure are rapidly diagnosed to decide whether they need no further treatment beyond careful monitoring or alternatively require a clinical work-up to define the cause of the seizures.
"There are now some excellent treatments for many seizure-related diseases. This study helps up to understand the current state of play for seizure management in dogs and identifies opportunities for improved care of these affected dogs."
Reference
The full paper is freely available from Journal of Veterinary Internal Medicine and can be accessed here: https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.15911
The company has created a waiting room board kit, social media pack and a video which surgeries can play on waiting room televisions.
The board kit comprises cut out images of items which are commonly found in a typical Christmas shopping basket which can be toxic or dangerous to pets. Meanwhile, the video explains the dangers pet owners need to be aware of throughout the year.
For practices which are limiting the number of people coming into the premises, TVM is also offering waterproof posters which can be displayed outside surgeries, along with Pet Dangers leaflets for clients to take home.
Will Peel, Product Manager of TVM UK, said: ‘We know that poisoning cases increase significantly over the Christmas period and while many pet owners are aware of the items which are toxic to their pets, it’s easy to get distracted during the festive season so the materials we have put together are intended as a reminder to be diligent and keep pets safe from harm.’
To claim your free Pet Dangers practice resource kit, visit https://www.tvm-uk.com/order-your-tvm-uk-christmas-pet-dangers-display-kit, contact your local territory manager, email help@tvm-uk.com or call 0800 0385868.
Generally, veterinary practices may remain open, but there are national variations in what services should be offered and how, including the conditions under which remote prescribing can be used to help support a case.
Wales currently has the tightest ‘firebreak’ restrictions, meaning practices can only provide essential and urgent work until midnight on 8 November 2020, thereafter, returning to usual operations in line with Wales’ standard measures around workplace safety.
England and Northern Ireland are under national restrictions (4 Nov – 2 Dec, and 16 Oct – 12 Nov, respectively), meaning practices can provide treatment essential for maintaining animal health and welfare, along with non-urgent work providing that social distancing measures and safe working can be maintained.
Veterinary surgeons practising in these three countries may also choose to support a case remotely at an earlier stage, for example, through the remote prescribing of POM-Vs without first having conducted a physical examination.
Scotland remains the only country under regional tiered restrictions, meaning practices can continue to provide treatment whilst maintaining social distancing; however, before remote prescribing is offered, veterinary surgeons should first consider whether the animal can be brought under their care.
The full guidance and corresponding flowcharts should be consulted together and are available at www.rcvs.org.uk/covidfaq2and www.rcvs.org.uk/covidfaq4.
The College has confirmed that it has now received an official complaint about the matter and it is now investigating under its normal 'concerns' investigation process.
Professor Argyle made a private statement about the allegations to RCVS Council at its meeting today, having already answered written questions from a number of Council members in the preceding days.
The Council did not ask Professor Argyle to step aside, but acknowledged that this was his choice, made for personal reasons.
The College said that in line with its normal protocols, and to ensure fairness for all parties, it will not make any further public comment about the investigation for the time being. However, it wanted to stress that it remains firmly committed to following due and proper process in all its regulatory activities.
In the video, VetSurgeon.org Editor Arlo Guthrie explains how the site has been developed to overcome various problems with using Facebook for clinical discussion.
One of the biggest problems with Facebook is that it lends itself to large number of short-form quick-fire replies which are often repetitive and can bury any really useful pearls of wisdom. Another issue is that on Facebook, everyone's post is given a misleading equivalence. In other words, it doesn't matter whether you're the leading veterinary cardiologist in the country or someone who left vet school last week, your opinion is given the same prominence. That's misleading.
The VetSurgeon.org discussion platform lends itself to longer, more thoughtful replies, and expert opinion is elevated above the rest. Information is curated by subject area and, using the Claim CPD button, easy to bookmark and refer back to later.
In the VetSurgeon Expert Help Forums, any member can post a question but only experts (those with referral practitioner, academia or industry membership categories) can reply. When you thank the experts for their help, their logo and contact details are embedded within their answer. This overcomes another problem with less tightly-controlled discussion formats, which is that they can occasionally get quite nasty. Aside from the fact that the experts are a fantastically nice and helpful bunch of people, who on earth wants their logo attached to anything less than helpful!
None of this is to say that Facebook doesn't have its place. The large volume of short-form replies make it a great place for non clinical discussion, such as veterinary politics and general banter.
However, when it comes to clinical discussion and information-sharing, VetSurgeon.org sets the standard.
If you agree with the points raise in the video, do press the 'Like' button on YouTube and share it with colleagues.
The company has launched a ‘Vet Show CPD hub’ (www.myelanco.co.uk/brand/lvshub) which, as the name suggests, hosts a variety of CPD presentations accompanied by competitions, including one in which you can win £250 Amazon vouchers.
The CPD hub also has information about the company's range of products, including Credelio, Neptra, Galliprant and Advocate.
From the 10th November, Elanco will also host a series of webinars in partnership with the London Vet Show (https://london.vetshow.com/elanco):
As a thank you, the first people to sign up to the webinars will also get an ‘Elanco Vet Show CPD at home’ box, with goodies to enjoy while tuning into the virtual event.
Tina Hunt, managing director of Elanco UK/Ireland, said: "2020 has been a year of incredible change, which has included our global acquisition of Bayer Animal Health. While we remain physically separated, it is important to us that we continue to engage with our veterinary friends and customers to maintain the sense of community that networking events can be so vital in nurturing.
"We also wanted to take this opportunity to recognise the commitment of veterinary professionals across the UK and thank you for your ongoing support and dedication at the forefront of animal care. Our entire team look forward to you joining us for three exciting webinars and to hosting you on our hub."
Before becoming a dragon, Jenny worked in banking for 30 years and will be sharing her experiences as an entrepreneur and business leader. She became CEO of cash machine company Hanco, bought out the business, turned it around and sold it for £50 million.
Jenny is supportive of the move to host BSAVA Congress online. She said: “Veterinary communities, like other professions, have seen the value that online technologies can offer, both for networking and socials, as well as essential CPD. We should all embrace these changes and look at the value that they can bring.”
The Congress programme is currently being finalised and the organisers say the emphasis is on ensuring the experience is an interactive as possible for each delegate. It will deliver more than 100 hours of CPD, delivered by globally recognised speakers.
BSAVA Congress 2021 Programme Committee Chair Andy Green said: ‘Whether a virtual or a live event our entire programme is proudly created by the profession, for the profession and we are committed to providing unrivalled education, with topical, clinically relevant and evidence-based content.”
There'll be a virtual commercial exhibition, where delegates will be able to chat with exhibitors from the comfort of their home or consult room. There will also be the ability to network with others in the profession, in face-to-face chat rooms. Professor Ian Ramsey, President of the BSAVA said: “BSAVA Congress 2021 is going to be one of the most innovative in the history of our events.
"While the pandemic circumstances we continue to find ourselves in are far from ideal, we must continue to evolve and progress as a profession. BSAVA Congress is a unique highlight in our calendar for next year and it is shaping up to be a truly memorable event."
For further information and to register your interest click here: https://www.bsavaevents.com/bsavacongress2021/en/page/home
The idea is for as many practitioners as possible to come and share their experience, tips or advice in a discussion thread where members can vote for the posts that they think are the most interesting or helpful. The most up-voted reply is highlighted at the start of the discussion thread and will receive an Amazon voucher worth £50 at the end of the week.
The new discussion format highlights some of the great strengths of VetSurgeon.org over other discussion platforms such as Facebook, chiefly that the format on VetSurgeon lends itself to longer, more reflective posts befitting scientific discussion, and also that useful pearls of clinical wisdom don't get lost in a sea of similar replies and remain easy for everyone to refer back to. Not to mention the fact that time spent taking part in clinical discussions on VetSurgeon.org can be logged towards your annual CPD requirement, using the 'Claim CPD' button at the top of the page.
The new discussion format is closely moderated to ensure a collaborative, constructive debate. Do come and take part, or just read the thread and vote for the post you find most helpful or interesting (you'll be helping a colleague on their way to an Amazon voucher!). The vote link is in the bottom right hand corner of each post.
https://www.vetsurgeon.org/001/veterinary-clinical/small-animal/anaesthesia/f/discussions/29467/open-discussion-what-is-the-best-anaesthetic-and-analgesia-protocol-with-reasons-for-routine-neutering-in-healthy-animals.
And if you find it useful, don't forget to press the red 'Claim CPD' button at the top, which also acts as a useful bookmark.
On top of that, over 25% of vets said they don't talk to their farmer clients about the disposal of empty pharmaceutical waste.
The survey also found that while veterinary surgeons are aware that both glass and shatterproof plastic vials are incinerated, over 65% of those questioned believed that glass vials were more environmentally friendly, when in fact, the company says its CLAS (Ceva Layered Anti Shatter) shatterproof plastic vials have 33% less impact on the environment from cradle to grave2.
Ceva is producing a range of support materials, including tailored social media and newsletter content, to help vets to raise awareness of their pharmaceutical waste disposal service and drive improvements across the industry.
Peter Keyte, ruminant business unit manager at Ceva Animal Health said: "As an industry we should be doing all that we can to improve our environmentally friendly credentials.
“Ceva will continue to invest in innovative eco-friendly technology for livestock injectables and pioneer improvements to help ensure best practice throughout the industry.”
For further information, or to request a pharmaceutical waste disposal service support pack, contact your local Ceva account manager or call 01494 781510.
The talk, entitled “Rabbit Dentistry: It Takes Two”, will be co-presented by Craig Tessyman, an exotics veterinary nurse who works alongside Molly at Rutland House Referral Hospital. Their talk will cover the diagnosis and management of dental disease. It is aimed at any veterinary surgeon or nurse who wants to learn more about best practice in rabbit dentistry.
Molly, who holds both a Certificate and Diploma in Zoological Medicine, said: "Dental disease is common amongst pet rabbits, so small animal vets often need to diagnose and treat dental problems.
"It can be challenging to manage these cases. Our aim with this talk is to help vets improve their clinical approach, and also to provide useful tips for nurses – we want to explain how the practice team can work together with these cases, along our theme of ‘it takes two’."
Molly and Craig’s presentation will cover relevant background on the mechanisms of chewing in rabbits and provide practical advice on recognising and diagnosing dental disease. Physical examination and dental charting will be discussed, as well as dental radiography.
Molly said: "Radiography can be a really useful tool to assess dental disease in rabbits. Vets often aren’t as familiar with positioning and evaluating radiographs of rabbits as compared to cats and dogs, so we’ll give some useful tips on what to look out for."
Molly will share some advice on taking good dental radiographs, and then go into the details of interpretation, explaining how to use imaging to gain a more accurate diagnosis and enable more specific treatment. After this, she will discuss how best to plan and perform dental treatment. Incisor removal, cheek tooth extraction and pulpectomy are some of the topics she’ll cover.
The talk counts for 1 hour of CPD and will be held on 11th November at 12:20pm. Those who can’t make the live session can access a recording afterwards. More information and the sign-up link is available here: https://supremepetfoods.com/rabbit-dentistry-it-takes-two/.
The ESVE has become aware through its Endocrine Quality Assurance (EQA) Scheme that there will be a permanent change in the antibody used for the cortisol test for the Siemens Immulite 2000.
The change affects the antibody pool from kit Lot 550 onwards, meaning that it has already affected some laboratories and others will be affected in the next few weeks to months. At present, the new antibody lots are not being released to the USA market. Other analysers are unaffected.
The ESVE has been working with the laboratories in its EQA scheme to quantify the impact on results and reference limits. The Society says an initial review by the ESVE-EQA based on >400 canine serum and >40 urine results suggests that canine serum cortisol results are lower (average bias -23% in canine serum) than diagnostic laboratories and clinicians have been used to in the past. The effect is more marked in canine urine cortisol (average bias -70%).
Since being alerted by the ESVE-EQA, the manufacturer has derived mathematical adjustment factors that laboratories can incorporate into their systems to mitigate the impact on results. If the manufacturer adjustment is used, then the results will be around 8% lower on average in serum and around 60% lower in urine. Cut-offs to diagnose hyperadrenocorticism and rule out hypoadrenocorticism may need to be validated again with the new assay. There is not yet sufficient data in the ESVE-EQA collaboration to assess the impact on feline and equine samples.
Professor Ian Ramsey, President of the BSAVA and one of the founders of ESVE, said: “Individual laboratories may have different ways of dealing with this change and therefore it is important to keep in touch with your laboratory provider concerning their approach. Some may choose to make the mathematical adjustments to results so that common and historic cut-off values can continue to be used. Others may report their results directly but change their guidance on interpretative cut-off values."
Dr Peter Graham, ESVE-EQA Co-ordinator, concluded: “ESVE advises that all cortisol results from Siemens Immulite 2000 assays that are close to a threshold are interpreted cautiously. ESVE also advises that all endocrine results should be interpreted in the light of clinical findings and would like to remind clinicians that spurious results may occur in any assay, though this is rare.”
The BSAVA and ESVE encourage laboratories to tell clinicians which analyser they are using. Suitable wording regarding the interpretation of any values of cortisol based on Siemens Immulite 2000 results should be provided by laboratories for the foreseeable future.
Photo: A dog with hyperadrenocortism, courtesy Professor Ian Ramsey
The webinar, titled: ‘When the coughing won’t stop…. what to do when standard BRD treatment protocols aren’t getting to the bottom of it’, aims help vets manage complex outbreaks that happen despite best practice management and treatment protocols.
The full programme includes:
The event is being held live so you can submit questions to the speakers, but the session will be recorded, so it can be watched again later.
Attendees will receive a certificate for one hour of CPD and the link to the recorded webinar.
To register, email the event team by 27 November 2020 at brdwebinar-group@ceva.com. In the email, please give your name and the email address to which you would like the registration link sent.
Cognitive aids are visual prompts that aim to reduce human error in critical processes by providing a supportive framework that ensures tasks are performed and communicated appropriately. They are designed for use whilst a task is being undertaken and enable individuals to concentrate on problem-solving and decision-making.
The BSAVA Cognitive Aids for Anaesthesia in Small Animal Practice, written by veterinary anaesthesia specialist Matt McMillan, includes both routine checklists, such as pre-anaesthetic assessment, equipment checks and postoperative handover, and crisis checklists for potential complications that may be encountered during surgery, such as hypotension, bradycardia and haemorrhage.
The guide also includes downloadable forms, which can be used in practice to ensure safety checks are completed and help improve clinical outcomes (available from www.bsavalibrary.com).
Ian Self, Principal Clinical Anaesthetist at the University of Cambridge Department for Veterinary Medicine said: "This handbook should be viewed as a ‘second pair of eyes’ throughout a procedure, especially if an anaesthetised patient deteriorates; consider it as having an experienced anaesthetist looking over your shoulder offering words of advice… I am very happy to endorse this exciting new BSAVA resource."
The BSAVA Cognitive Aids for Anaesthesia in Small Animal Practice is now available from the BSAVA website (www.bsava.com/shop) or by phone on 01452 726700 (£25; BSAVA members: £15).
The survey of 812 veterinary receptionists, which was carried out in the autumn, found that only 50% of veterinary receptionists are paid more than the UK minimum/National Living Wage.
33% said they worked longer than their contracted hours and 37% said they didn’t receive overtime pay.
As a result, 64% of those questioned felt they were not paid fairly for the responsibilities they carry, which include ensuring practice protocols, handling veterinary medicines, promoting ‘sales’ eg of healthcare plans and dealing with often challenging clients.
Discontent with salary levels was exacerbated during the COVID-19 pandemic. 49% of respondents were furloughed and 91% of them received no top-up pay from their practice in addition to the government’s 80% contribution.
The BVRA says it recommends that Registered Veterinary Receptionists (RVRs) are paid at least £10 per hour, irrespective of their age.
A lack of access to CPD was also an issue. 56% of respondents wanted to update and increase their knowledge but the same percentage claimed a lack of time was a barrier. With 80% of practices not allocating time for receptionists to undertake CPD and 44% receiving no budget for it, one respondent from a corporate practice confirmed that they could only undertake CPD in their own time, even that required by the company, such as training on health and safety and compliance.
While participants expressed a high level of satisfaction with their relationships with vets (71% were satisfied or very satisfied) and nurses (74% were satisfied or very satisfied), the same cannot be said for their relationships with practice managers. Fewer than half (46%) were satisfied or very satisfied with their relationship with their practice manager and 51% were satisfied or very satisfied with their relationship with the Clinical Director or Partner.
Only 26% were satisfied with their working relationship with head office (if part of a corporate group). Relationships were further strained during the COVID-19 pandemic with 71% of those furloughed saying communication with their practice boss had been average or poor.
As a final question, participants were asked to express their satisfaction with aspects of their role:
The BVRA and VMG are joining forces to host a free webinar to discuss the issues raised by the survey and potential solutions. Called 'Tackling Receptionist Morale Together', it will take place from 2.00pm-4.00 pm on Wednesday 25 November. For more information, visit: http://www.bvra.co.uk/event/bvra-vmg-tackling-receptionist-morale-together/
Brian Faulkner BSc (Hons), BVM&S, CertGP(SAM), CertGP(BPS), MBA, MSc(Psych), FRCVS, founder of the BRVA (pictured right), said: “BVRA is always working to improve the recognition, respect and job satisfaction of its members. We are delighted to team up with VMG as another way of doing this, alongside developing the status of a Registered Veterinary Receptionist.
Rich Casey is President of the Veterinary Management Group (VMG) said: “This report is sobering reading as it concerns the careers and wellbeing of a group of people who are essential to the success of any veterinary practice. The VMG is particularly interested in this research as a significant proportion of our members are practice managers and likely to be line managers of the reception team.
Leadership is about recognising when things aren’t working and putting them right. We commend the BVRA for highlighting these issues and we ask all veterinary leaders and managers to join our webinar as we discuss what can be done to resolve this crisis now, as well as the longer-term steps that are needed.”
Ian, who helped devise the PROTECT ME acronym which is now used worldwide to champion the cause of responsible antimicrobial use, said: "Antimicrobial resistance is one of the greatest threats of our time and it affects all sectors of the veterinary profession.
"While there will always remain a need for the use of antimicrobials for the treatment of bacterial infections, it is the duty of every one of us to continue our good work to protect their usage to ensure they remain effective for the future."
PROTECT ME stands for Prescribe only when necessary, Reduce prophylaxis, Offer other options, Treat effectively, Employ narrow spectrum, Cure appropriately, Tailor your practice policy. Monitor, Educate others.
Ian added: "I discussed the issue of restricted prescribing with my Doctor when he was treating my injury back in 2011
"Discussion on the Small Animal Medicine Society (SAMSOC) forum followed and then we developed a working group.
"I came up the name PROTECT when I was in the shower one day experimenting with acronyms on the shower cubicle wall!
"Collaboration with BSAVA enabled the scheme to launch in 2012 and then BEVA adapted the scheme and added the ME.”
PROTECT ME is now used for BSAVA and BEVA’s antimicrobial resources and campaigns and has also been taken up in New Zealand and been translated into French.
Rachael McGregor, Clinical Director at Calder Vets in Yorkshire asked Ian for help in developing antimicrobial stewardship guidelines for the practice last year. She said: “Ian helped us to set up prescribing guidelines using a traffic light system, supported a programme of CPD and supplied prescribing posters. This has made a significant difference to prescribing behaviour across the practice and over the past two months we haven’t prescribed a single critically important antibiotic.”
Davies has produced a range of resources for vets and for pet owners including an explanatory poster and a webinar series. For further information visit: https://vetspecialists.co.uk/insights/webinars/antimicrobial-webinars/
Dechra Veterinary Products (maker of Cardisure) has launched a new online CPD course which consists of a series of short presentations about treating congestive heart failure in dogs, developed with cardiology consultant Mike Martin.
According to the company, approximately 10% of dogs presented to first opinion practices have heart disease. The majority of cases are suffering with myxomatous mitral valve disease (MMVD) or, less commonly, dilated cardiomyopathy (DCM).
Mike said: "This is a series of short presentations with audio, that covers the common challenges, issues and questions that we all encounter in clinical practice. Aimed squarely at the very busy practitioner, this 'piece by piece' course will help you differentiate between cardiac and respiratory cases, update you on the current ACVIM guidelines on the treatment of heart failure in dogs and how best to monitor your patient in the short to long term. It's been a fun series to put together with the help of Dechra – enjoy."
Craig Sankey, Business Manager for Cardiology at Dechra said: "This series of bite-sized videos highlight the importance of diagnosing, treating and monitoring congestive heart failure in dogs in an interactive e-learning environment, topped with quizzes and drag and drops to test ones knowledge.
"Furthermore, the beauty of this format means Veterinary Professionals can dip in and out of each section depending on the area they need to build their expertise, without the pressure of completing the whole course all at once’.
The course equates to one hour CPD and can be found on the Dechra Academy: https://academy.dechra.com/learn/course/external/view/elearning/718/cardiology-piece-by-piece
More information about Cardisure can be found at www.dechra.co.uk/Cardisure