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Small Animal Emergency and Critical Care: Case Studies in Client
Communication, Morbidity and Mortality provides a unique
opportunity to learn from real-life case examples. Presented as a
collection of short case studies, the book examines a wide range of
situations likely to arise in emergency practice.
The approach is modeled on the Morbidity and Mortality
Conferences which were first established as a training and
educational tool for medical doctors. They have now been
successfully adopted in veterinary medicine as a forum for case
review and learning opportunities, encouraging thorough review from
different perspectives.
Each chapter presents a real case, and highlights the pitfalls
that both novice and experienced veterinarians can encounter. A key
theme of the book is on communication issues. Owner perspectives
are discussed, as well as how communications between
clinicians and owners can be optimized to allow veterinarians to
better meet owner expectations.
The cases were provided by a variety of experienced
veterinarians, primarily specialists in veterinary emergency and
critical care, as well as other specialties, general practice,
universities, and private institutions.
This highly readable book is suitable either to absorb from
cover to cover, or for reference to a specific case or situation.
It highlights a number of common clinical problems and
communication issues that either did or may lead to difficulties in
case management, helping you to avoid these situations.
Auteur
Dr Lisa Powell is a clinical professor at the University of
Minnesota Veterinary Medical Center, US. Dr Elizabeth Rozanski and
Dr John Rush are clinical professors at Tufts University Cummings
School of Veterinary Medicine, US. All three are board-certified
Diplomates of the American College of Veterinary Emergency and
Critical Care, and have 50 years of emergency and critical care
experience between them. The authors have practiced in institutions
that provide advanced diagnostic techniques, 24-hour emergency and
intensive care medicine, and training of both professional
veterinary students and post-doctorate veterinarians seeking
specialty certification in veterinary emergency and critical care.
Dr Rush is also board-certified in veterinary cardiology, and Dr
Rozanski is board-certified in veterinary internal medicine.
Résumé
Small Animal Emergency and Critical Care: Case Studies in Client Communication, Morbidity and Mortality provides a unique opportunity to learn from real-life case examples. Presented as a collection of short case studies, the book examines a wide range of situations likely to arise in emergency practice.
The approach is modeled on the Morbidity and Mortality Conferences which were first established as a training and educational tool for medical doctors. They have now been successfully adopted in veterinary medicine as a forum for case review and learning opportunities, encouraging thorough review from different perspectives.
Each chapter presents a real case, and highlights the pitfalls that both novice and experienced veterinarians can encounter. A key theme of the book is on communication issues. Owner perspectives are discussed, as well as how communications between clinicians and owners can be optimized to allow veterinarians to better meet owner expectations.
The cases were provided by a variety of experienced veterinarians, primarily specialists in veterinary emergency and critical care, as well as other specialties, general practice, universities, and private institutions.
This highly readable book is suitable either to absorb from cover to cover, or for reference to a specific case or situation. It highlights a number of common clinical problems and communication issues that either did or may lead to difficulties in case management, helping you to avoid these situations.
Contenu
Contributor list.
Preface.
Part One: Medical and Treatment Errors.
Coming Up for Air: When equipment failure can be fatal.
Alistair and the UTI: Sometimes antibiotics ARE indicated!
Double-Check the RX: How a simple math error cost a dog his life.
Holey Chest Tube!: How some inadvertent complications led to a change in standard operating procedure.
Count Your Sponges: A simple procedure can sometimes result in disaster.
First Off, Do No Harm: Always check tube placement, by many methods!
Right is Wrong: An example of a tragic outcome due to unmarked radiographs.
Sabrina the Good Witch: The importance of using the correct syringe.
Friends in High Places: An illustration of how imperative it is to correctly prepare and administer medications.
Midnight: A case describing the consequences of technical complications.
Sam and the Muscle Medicine: When you should listen to your gut and not your clients' wishes.
A Shot in the Dark: The importance of discussing all potential complications prior to performing the procedure.
Part Two: Medical Judgment Errors.
Another Down Dog: Sometimes things are not as they seem!
It HAS to Be Blasto!: Surprise endings.
Can You Tap that Cat for Me?: Complications of common procedures.
Chief's Complaint: Always suggest further diagnostics, and consider all differential diagnoses in a patient.
But He's Been Fine!: The importance of assessing thoracic radiographs in patients experiencing blunt force trauma.
Would You Like Water with That? A Tale of Two Dogs: The dangers of hypernatremia!
The Great Pretender: ALWAYS consider hypoadrenocorticism as a differential diagnosis in dogs with nonspecific symptoms
A Lack of Concentration: Another example of how Addison's disease can masquerade as a disease with a much worse prognosis.
Unlucky Lady: Remember to consider ALL possible differentials for your patient!
But She Has Heart Disease!: All aspects of a patient's history should be carefully considered when presenting for an illness.
Pennies From Heaven: ALWAYS perform abdominal radiographs in patients presenting with signs of immune-mediated hemolytic anemia!
Seeing Red!: All ocular abnormalities should be examined promptly and completely, as irreversible disease may be present.
Sepsis the Next Day: An illustration of the importance of analyzing effusions yourself if the results will not be reported the same day, and to ALWAYS look under the tongue of a vomiting cat!
Anxious to Breathe: Care must be taken when performing diagnostics on brachycephalic, apprehensive dogs.
The Lost Acorn: A complicated case gets more perplexing!
The Lost Puppies: How the inexperience of a junior veterinarian caused the demise of two puppies.
Don't Be Too Cavalier: A full abdominal exploratory should always be performed during an abdominal surgical procedure.
Too Much Sugar: All causes, pulmonary and extrapulmonary, should be investigated in patients with respiratory distress.
Tyler: Dehiscence of enterotomy sites should always be considered as a cause of illness in the 35 days following the operative procedure.
Whiskers: Immunosuppression from administered medications can result in the development of secondary infections.
Would You Like Some Salt?: The importance of monitoring fluid therapy.
Bambi?: Things to think about when coming into contact with wild animals.