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Care Center in Cincinnati has recently adopted a new electronic whiteboard software called Smart Flow Sheet. The software was designed by an emergency vet in Ontario, Canada to streamline ICU sheets in a busy practice. We’re very excited by this technology’s potential for decreasing our use of paper and increasing our efficiency in treating, monitoring, and recording all of our patients’ needs.One of the first (very low-tech, but very real) benefits we have seen is how much more of each patient’s cage or run we can easily view without a clipboard taking up “window space” on the cage door. Also, our specialists have been pleased by the ability to monitor their patients’ actual ICU sheet from a web- connected device, no matter where they are.Smart Flow Sheet seems to be highly adaptable software with potential that we’re still discovering. If you are considering it for your practice, feel free to come by Care Center any time to take a look.Daniel Carey, DVM, Emergency ClinicianCARE CENTER HAS GONE GREEN(ER)New Care Employees & AccomplishmentsWelcome Our New Employees:Rachel KrumpelbeckPR & Marketing CoordinatorJulie WilliamsClient Services TeamCongratulations To:Marly HroschReceived her RVT licenseJennifer EvansReceived her RVT licenseCarisa FraserIs now an ER Charge NurseTECH-TO-TECH TALKUNDERSTANDING THE SEVERITY OF A GDV PATIENTTracy Walters, DVM and Jennifer Riddle, RVTStomach bloat, torsion, and the combination of these two common symptoms of gastric dilatation volvulus (GDV) can quickly become fatal. Owners may notice any one or a combination of these symptoms: bloated or distended abdomen, unproductive vomiting or retching, pacing, and panting.If a GDV patient comes into your clinic:1. Don’t panic.2. Triage the patient—check gum color, mucus membranes, pulse quality, capillary refill time, respiratory rate, and temperature. If pale gums are observed, the patient could be in a state of shock.3. Start fluid therapy: the earlier you start fluids the better (first bolus within a 5-10 minute period).4. Place catheter in one of the front legs, using a large-gauge catheter, and administer pain medication.5. Obtain a right lateral abdomen x-ray diagnostic view. You’ll need to get an x-ray of the stomach on the right side.6. Transfer the patient to an emergency facility* or start fluids and get all vital information to the veterinarian for emergency surgery.*If you are transferring the case to an emergency facility, be sure to provide patient with a fresh bag of fluids so they do not run out on the way.Remember that your patient is in pain and the pet owner is deeply concerned. Your calm demeanor and efficient approach to providing relief quickly is critical.April 2015

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