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Session 3: Cardiovascular Point-of-Care Ultrasound
Species

Small Animal

Contact Hours

2 hours

Language

English

Discipline

Diagnostic Imaging

Internal Medicine – Endocrinology, Haematology, Infectious Diseases, Parasitology & Oncology

Online Lectures – Session 3: Cardiovascular Point-of-Care Ultrasound (Recorded December 2020)

Part of the Online Lecture Series on Point-of-Care UltrasoundRapid practical Ultrasound for everyday General & Emergency Medicine

CONTENT DESCRIPTION

Lecture 1 (60min): Point-of-Care Ultrasound in Small Animal Practice Made Easy:  Cardiac Ultrasound made easy!

Ever struggle with deciding if the dyspneic cat or dog should receive furosemide for possible congestive heart failure or wonder if maybe steroid administration for feline asthma would be more appropriate? What about differentiating pericardial effusion from dilated cardiomyopathy on thoracic radiographs, or trying to decide if that fluid seen on ultrasound is pleural or pericardial? What about differentiating pseudohypertrophy and hypovolemia from hypertrophic cardiomyopathy in the cat? Ultrasound can help! This co-lecture (if you make it this far with the contrasting approaches of a criticalist and an internist) will build on each prior lecture and continue the binary approach to answering clinically relevant and appropriate questions to ask. The best part of POCUS is that you do not have to be a cardiologist or radiologist to perform these techniques! The principles of cardiac anatomy with an emphasis on the key cardiac windows to assess (there are 3 that answer most clinically relevant questions), being able to confidently identify pericardial effusion, and cardiac volume status will be presented.

OBJECTIVES:

  • Describe the 3 key cardiac windows when performing cardiac POCUS
  • Describe how the left atrial aortic ratio is used in point-of-care ultrasound
  • Describe echocardiographic variables that are used to assess hyper and hypovolemia
  • Describe windows used to identify pericardial effusion
  • Explain how the pericardio-diaphragmatic window can be used to help differentiate pericardial from pleural effusion

 

Lecture 2 (60min): Point-of-Care Ultrasound in Small Animal Practice Made Easy:  Vascular Ultrasound – Estimating Fluid Status, Fluid Responsiveness & Fluid Overload

A patient presents collapsed, it has poor pulses and a prolonged capillary refill time – it is in cardiovascular shock(the internist runs away)! Should an IV fluid bolus be given, and if so, how much and how will the patient likely respond to IV fluid therapy (the criticalist is super excited)? Where and how can you look at the vascular system to estimate intravenous volume status and fluid responsiveness? What is a flat vs. fat vena cava tell you? One last question: have you ever struggled to place an IV catheter in a patient that is dehydrated, has hematomas, thick skin or edema? You guessed it, ultrasound can help, and we will show you how!

OBJECTIVES:

  • Describe where to assess fluid responsiveness using POCUS
  • Explain how the caudal vena cava is used to estimate intravascular volume status
  • Describe the difference between in plane and out of plane ultrasound guided vascular access
  • Tie together cardiac POCUS, lung ultrasound, and vascular POCUS to estimate and differentiate hypovolemia from volume overload

 

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Born and raised in Montreal, Dr. Chalhoub completed a Bsc. In Honours Biology at Bishop's University in Lennoxville, QC. He was then admitted to the Faculté de médecine vétérinaire at the Université de Montréal and completed his DVM and internship at this university. Dr. Chalhoub then practiced in Montreal as an emergency doctor for two years at the DMV Centre before moving to New York City to pursue a residency in small animal internal medicine at the Animal Medical Center. Once completed, he became their first ever nephrology/urology fellow and was trained in advanced urinary procedures, dialysis, and interventional medicine. After being a staff doctor and supervising students, interns, and residents for a year, he moved to Charleston, SC where he continued to be an internal medicine clinician.

Since July 2012, Dr. Chalhoub has been an instructor at the University of Calgary’s Faculty of Veterinary Medicine in the Department of Veterinary Clinical and Diagnostic Service. His clinical home is C.A.R.E. Centre Animal hospital where he practices internal medicine. He was the recipient of the 2013 Canadian Veterinary Medical Association’s Teacher of the Year Award and the 2015 University of Calgary Team Teacher of the Year Award along with Dr. Søren Boysen. Dr. Chalhoub has been extensively involved in communication and professional skills at the UCVM.

He is the co-coordinator of the UCVM-CUPS Pet Health Clinics for disadvantaged Calgarians, which promotes 3rd year DVM students practicing their professional skills and wellness exams with the pets of the tenants of the Calgary Urban Project Society. Dr. Chalhoub is also the Chair, of the UCVM-DVTH Internship Program.

Dr. Chalhoub teaches Internal Medicine and is extensively involved in communication and professional skills at the UCVM.

Dr Boysen graduated from the Western College of Veterinary Medicine (WCVM), Saskatoon, Saskatchewan in 1996, worked in private practice for a year and then completed an internship at the Atlantic Veterinary College in Prince Edward Island. He spent a year as an emergency clinician in Chicago before completing a residency in small animal emergency/critical care at Tufts University in Massachusetts. He became a diplomate of the American College of Veterinary Emergency and Critical care in 2003 and worked at the University of Montreal veterinary teaching hospital from October 2003 to December 2008.

Dr. Søren Boysen joined UCVM in January 2009. He is a Professor in small animal emergency and critical care in the Department of Veterinary Clinical and Diagnostic Sciences. His clinical home is predominantly based out of Western Veterinary Specialist and Emergency Centre, although he also contributes to student teaching and case consultation at the CARE Centre. He is actively involved in both the American and European veterinary emergency and critical care societies, as well as the Veterinary trauma initiative, serving on several committees for these organizations.

He is an internationally recognized lecturer, speaking at numerous international conferences around the world. Although he is happy to speak on any small animal emergency and critical care topic his true passion lies within emergency point of care ultrasound, perfusions, hemorrhage and shock.

Dr. Boysen is also heavily integrated in teaching and learning within the UCVM program, teaching across all 4 years of the undergraduate program, as well as working with the interns and being a member of the Teaching Academy for the University of Calgary. He has received several teaching awards over the years for his contribution to higher education within the veterinary curriculum.

Veterinary Student

Online Lecture Series

USD 30.00

Qualified Vet

Online Lecture Series

USD 130.00

Intern/Resident (Requires proof of status)

Online Lecture Series

USD 100.00

Vet Nurse/Vet Tech (Requires proof of status)

Online Lecture Series

USD 100.00

Vet & Vet. Nurse / Vet. Technician

Online Lecture Series

USD 225.00

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