care2.com - Most pet guardians recognize the obvious signs of a pet in distress and would seek veterinary care for all the obvious signs of illness or injury such as bleeding or an animal who can not stand. Bu...
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Among the recommended practices:
- Perform 100-120 chest compressions per minute of one-third to one-half of the chest width, with the animal lying on its side.
- Ventilate intubated dogs and cats at a rate of 10 breaths per minute, or at a compression to ventilation ratio of 30 to 2 for mouth-to-snout ventilation.
- Perform CPR in 2-minute cycles, switching the “compressor” each cycle.
- Administer vasopressors every 3–5 minutes during CPR.
Other guidelines pertain to how clinicians should be trained, how to perform CPR on dogs of different breeds and sizes, what drugs to give when and what follow-up care to provide.
“We identified two overarching goals for our research: first to devise clinical guidelines establishing how to best treat cardiopulmonary arrest in dogs and cats, and second to identify important knowledge gaps in veterinary CPR that need to be filled in order to improve the quality of recommendations, and thus the quality of patient care in the future,” said Fletcher. “With this knowledge we can construct and implement educational initiatives that are evidence-based.”
The RECOVER guidelines represent a unique partnership between veterinary experts and physician-scientists who study and treat cardiac arrest in humans. The initiative exemplifies an effort to provide the same evidence-based care for family pets that physicians employ to save human victims of cardiac arrest, which remains one of the nation’s leading killers.
“When you look at guidelines for human CPR, they have been heavily informed by research done with animals, which forms the fundamental concepts to build clinical trials on,” said Boller, who works closely with leaders of Penn Medicine’s Center for Resuscitation Science to develop new techniques for cardiac arrest treatment. “Now, what we’re doing is turning things around by using the clinical research that was conducted in humans to inform how we should do CPR to help our animals. It’s really getting something back from this process of helping humans.”
By identifying the gaps in knowledge of how to best perform CPR, Boller said, RECOVER should inspire new research.
“Ultimately I hope RECOVER will lead to novel interventions and really move the field forward,” he said.
Using the new guidelines, the RECOVER team is developing an Internet-based training curriculum to certify clinicians in veterinary CPR. This certification is being peer-reviewed by the American College of Veterinary Emergency and Critical Care, much as the training materials for human CPR are accredited by the American Heart Association. The guidelines will be updated regularly, with the next RECOVER planned for 2017.
a series of articles outlines the new guidelines as well as the method by which they were identified. The articles also include algorithms and drug-dose charts for practitioners to follow.
The need for pet-CPR guidelines became obvious when Boller and colleagues surveyed veterinarians on how they treated dogs and cats in cardiac arrest. The results, compiled from more than 600 practitioners, showed a large amount of variation.
“What we found was that there was really no consensus on how to do that best,” Boller said. “There may have been a cohort, for example, that recommended 60-80 compressions per minute and another that thought 120-150 compressions per minute was the right thing.”
Boller and Fletcher recruited more than 100 board-certified veterinary specialists from around the world who systematically reviewed more than 1,000 scientific papers related to CPR. Weighting the studies by their rigor and relevance to dogs and cats, the committee ended up with 101 specific clinical guidelines. Each has a rating based on the strength of the evidence backing it.
Penn and Cornell Researchers Spearhead the Development of New Guidelines for Veterinary CPR
PHILADELPHIA — For nearly 50 years, the American Heart Association, with the help of researchers and physicians from across the nation, has developed and disseminated guidelines on how best to perform cardiopulmonary resuscitation on patients experiencing cardiac arrest. But no such evidence-based guidelines existed in the veterinary world. Perhaps as a result, while more than 20 percent of human patients who suffer cardiac arrests in the hospital survive to go home to their families, the equivalent figure for dogs and cats is less than 6 percent.
Now the Reassessment Campaign on Veterinary Resuscitation, or RECOVER, a collaborative effort of the American College of Veterinary Emergency and Critical Care and the Veterinary Emergency and Critical Care Society, has arrived at the first evidence-based recommendations to resuscitate dogs and cats in cardiac arrest.
The RECOVER initiative was spearheaded by Manuel Boller, a senior research investigator in the University of Pennsylvania School of Veterinary Medicine and the Center for Resuscitation Science of Penn’s Perelman School of Medicine, and Daniel J. Fletcher, an assistant professor in veterinary emergency and critical care at Cornell University’s College of Veterinary Medicine. RECOVER aims to standardize treatment of cardiac arrest in pets, ultimately leading to improved outcomes.
In a special issue of the Journal of Veterinary Emergency and Critical Care published today, a series of articles outlines the new guidelines as well as the method by which the
Vaccine Good News -- Bad News
by Marina Zacharias
First the "good" news. For those of you still into the mind set of vaccinating your dogs, there is a new parvo vaccine for puppies!
As we mentioned in Issue #8, young puppies are vulnerable to parvo when the immunity from the mother is declining but is still sufficient to effectively inactivate the type of vaccines previously available. Thus the four to eighteen week period is called the "window of susceptibility".
Pfizer Animal Health has come out with a new parvo vaccine called "Vanguard®Puppy" that they say can better protect pups 12 weeks of age or younger in spite of passive immunity derived from the mother.
The new vaccine has been previously tested in Europe and is now licensed in the U.S.A. for vaccination of pups six weeks of age or older.
It should be given in three doses at three week intervals and the vaccine is said to shed only negligible amounts of virus.
According to Dr. Laurie J. Larson and Dr. Ronald D. Schultz of the University of Wisconsin, the new vaccine protects against the two variant strains of parvo virus.
As with any vaccination, please remember that Thuja 30c and Sulphur 30c are a great help to detoxify from the side effects of vaccinations. They do not nullify or affect the efficacy of the vaccine. One dose of Thuja 30c should be given immediately after the vaccine has been administered.
The bad news is that the "Fort Dodge" boys have launched a massive advertising campaign to "educate" dog owners and "develop an awareness" of Lyme disease!
While you are looking at Issue #8 mentioned above, please refer to Dr. Jean Dodds comments (page 3) that amongst totally unnecessary vaccinations she heads the list with -- Lyme disease!
Veterinarians across the country recently received advance notice of the campaign so they could ‘stock up’ on the Fort Dodge version of this vaccine and order a free supply of "education" pamphlets for the clinic.
The ‘hype’ involved to the vets is very cleverly designed to skillfully mislead them by innuendo rather than cold, hard facts.
For example, they point out that "the Center of Disease Control and Prevention reported the incidence of Lyme disease in humans increased by 58% over the previous year, with more than 13,000 cases reported". (Hmmm! Lets see. That’s 13,000 people in a population of let’s say 300 million -- yeah, sounds like a good enough reason to vaccinate everybody doesn’t it?). They go on to say that "although Lyme disease in dogs is not tracked by the CDC (or anybody else for that matter!) dogs are more likely to become infected with the Lyme disease organism because of their lifestyle". And still more: "Fort Dodge is dedicated to help you (the vet) reverse this trend by educating dog owners on Lyme disease prevention".
Dogs are more likely to become infected than people? Based on what? What do they mean by "lifestyle"?
What trend? How do you reverse a "trend" when nobody is tracking the statistics in the first place? Because more cases were "reported" concerning people, do we then take as fact that the same must be true with dogs? Gee, maybe we should vaccinate our dogs against measles?
Here’s the really sad part: "Our radio campaign begins in mid August and will run for four weeks. During this time, we will reach more than 80% of pet owners with a message of why they should vaccinate their dogs in early fall. The 60 second radio commercial ends with a request to ask your veterinarian today for Lyme Vax® from Fort Dodge Animal Health".
Is it any wonder that the "belief" in vaccinations is so strong? Of the 80% of pet owners "reached" by the campaign, how many do you think would ever question the "need" to get their dog vaccinated? Of course every one of these dogs will be examined to make sure they are in "good health" before being vaccinated, won’t they?
It’s worth repeating the April/93 Cornell University Newsletter item concerning a study of dogs with a clear history and diagnosis of Lymes. Through testing they proved that more than half had Lyme disease because of the vaccine used, and almost a third had Lymes, despite the vaccine!! I doubt that the Fort Dodge boys would like this report to be mentioned during their big campaign but you may want to tell just a few of those 80% pet owners. Maybe one or two will listen and save some needless suffering with their dogs.
(Marina Zacharias is a breeder/handler of Basset Hounds and has been using natural methods of health care for all her dogs for over ten years. She is a Natural Rearing consultant, author, Editor of the Natural Rearing newsletter and founder of the NR Breeder Directory.
Owning a dog probably looks easy until you start thinking about bringing one home. Opening your heart and home to a dog is a huge gift and means accepting a lot of responsibility, hopefully, for a lot years. Rather than becoming overwhelmed, do the following 6 things below and bringing your pooch home will be a happy homecoming for all.
Make the vet your friend. One of the best things you can do is take your dog to a veterinarian. This person should be a good fit for your pooch and you. Trying to pick a vet randomly is probably the least effective way to approach your search.
Word of mouth recommendations from friends, family, and/or co-workers are a much more reliable way to decide. Once the veterinarian knows that they have been recommended by existing clients, it's often a win-win situation for everyone involved.
Have a comfortable space ready. Once you know the exact date of arrival, create the space you want your pet to be able to call its own. If you are adopting a puppy, consider crate training. While this enclosed space may seem limiting to you, it gives a puppy a feeling of security and often helps house training happen easier, and faster.
If you are adopting an older friend, creating a small area with a special blanket, bed, and toys can make the transition to a new home easier.
Establish a schedule. Most pets like a routine. Decide when and where in the house your pet will eat. Decide whether his meals will happen before, after, or with yours. Set dates for giving heartworm medication, and flea and tick preventative. If your pooch needs medications on a regular basis be sure to stay consistent with when and where it is done. Once your pet knows what to expect, it will often remind you if you forget.
Sign up for training. If you are a newbie training will not only be good for your pooch, but for you as well. Your veterinarian and friends with dogs are excellent resources for the best places to go. Socializing your dog is vital if it is to become comfortable around people and other dogs.
Attending these classes will open up a whole new world for you and give you exposure to others who can give you lots of advice and recommendations for services and products that you will need. But best of all, understanding the leadership that your dog needs from you and being able to provide it will be the start of a deep and lasting bond. You'll be amazed.
Provide opportunities to exercise. Depending on your life style you may be able to do this with your dog. Your canine companion will cherish a daily walk, or swim, retrieving the Frisbee or ball. But if your schedule does not allow this, an outside area where your pooch can safely entertain itself by chasing birds, squirrels, or toys that you've bought is essential.
A fence and dog door will give your dog the freedom to come and go as it pleases without you having to do a thing. This also means that you don't have to get home by a certain time each day to avoid accidents (by your pet).
Give of yourself. Dogs that make great pets are social creatures. They want to be a part of your life. And once you let them in, there is no greater friend to have. So spend quality time every day interacting one-on-one with your pet. Train them to sit, or stay and reward them with love and affection. Their eyes will shine, and you will find that they will do anything for you and you for them. I have found that the really tough part about this whole relationship will be to actually become the person they think you are.
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As an elderly caregiver, it is truly recommended that the elderly individuals have the love of a pet to keep them company when there is no one else around to provide that constant love and comfort that the elderly need to keep them going. Pets, especially canines, tend to afford seniors with companionship. With that type of friendship, depression becomes minimal, self-confidence about their lives improves and the seniors tend not to feel as lonely or bored as before they had a pet.
As has been stipulated over and over by doctors, scientist and other caretakers, the benefits of the elderly having a dog to care for and receive care from include emotional, physical and mental benefits! Not only do the elderly individuals feel love and friendship, they also feel more secure and responsible – as though their sense of purpose has increased. In fact, elderly individuals that have a pet are less likely to visit the doctor and are much more positive about life in general since they want to make certain that their animal is well cared for.
It is not necessarily recommended that a senior adopt a puppy, but taking in a neglected junior or senior canine, one that is adept at bathroom rituals, how to act in a home setting, and are simply looking to give the same companionship that they desire would be perfect! Puppies require a lot of energy and attention; patience and training whereas a dog that has already been a part of a family before or has received training would be much more established. Besides that junior and senior dogs are in constant need of a home – especially around holiday time – before their time runs out!
The Journal of the American Geriatrics Society published a study in 1999 that revealed that independently living seniors tend to be in better physical health and are more emotionally stable if there happens to be a crisis. Another study appearing in the American Journal of Cardiology showed that elderly individuals that had companion pets had lower systolic blood pressure and cholesterol levels than those without a companion pet; animals just seem to have that special affect!
It is much easier to reach out and talk to others about a pet or to visit with others that have a pet. Seniors also seem to smile much more, be more alert, seem to have a sense of well-being and less depression when accompanied by a pet. Many times this is because a dog requires walks and walks can lead to meeting other individuals with pets and also the dog needs to eat and go to the vet, so it is as if the person is still needed.
Think about this information when you are looking for that really special gift this holiday season. Wouldn’t you just love to provide much more than a gift to a senior member of your family? Wouldn’t it be great to provide a longer life with better health, too? And to save a dog along the way?
Simply put, older dogs can enjoy many years of active life when owners pay close attention to their changing health needs. Jean Callahan in her great resource book, "Your Older Dog", advises us to start paying close attention to our dogs' aging process as they reach middle age. Some changes are preventable; others are not. As your dog gets older, two types of changes will occur; age related problems and true illnesses. Be aware of the life expectancy of all the different breeds because they are varied.
Below is a helpful list of things you can monitor at home on a monthly basis. Depending on your dog's age and health condition, you may want to run through this checklist on a weekly basis. Date your health checks and take any concerns to your veterinarian right away.
- Appetite normal-no problems chewing or swallowing
- Drinks normal amounts of water
- Nose moist and free of discharge
- Teeth clean-no bad breath; gums pink and moist
- Eyes bright and clear, free of matter and ears clean with no odor
- Breathes without difficulty or excessive panting
- Coat shiny; skin free from itching
- No lumps or bumps on body; no fleas, ticks or mites
- Walks without pain
Look for Jean Callahan's book,"Your Older Dog" at: barnesandnoble.com
Is your FFBF getting older and starting to show some signs of arthritis or stiffing in their joints? Though their whole life they have given us their all, being their when we were down, when our world was coming apart, they have seen the kids grow and leave on their own, they have seen all of our vacations and have enjoyed all of our holidays, so what can we do for them at this time in their life.
Pet Stores have a variety of supplements to help with this problem. Sasha has suffered from this from time to time, and I have used supplements from our Vet as well as over-the-counter. Another trick is to warm their bed some for them. Opening a two inch hole in the bedding and putting in a pocket for a hand warmer or heating the bedding with a heating pad is a good choice. Everyone of knows our own pet better than anyone else. Please take the time to be sure the new heat is not a cause for digging or rooting to determine what this new thing is. Also, make sure that what you are using to warm the bed will not burn the skin of our FFBF. There are warmers you can purchase for small amounts of money, but we must remember the consequences of what happens if the warmer is bitten into or scratched open. Supplements are also small in cost; however these will need replacing, as our friend using them.
Here are some of the places you can look into supplies, which you may not have considered. www.rei.com (in the area mark dog supplies) www.walmart.com (in the orthopedic area of the pharmacy) And of course you can always go to www.petmed.com and look at your local pet stores.
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