Assessment of prehospital care in canine trauma patients presented to Veterinary Trauma Centers: A VetCOT registry study.

OBJECTIVE: To analyze the epidemiology of veterinary care in canine trauma patients prior to presentation to a Veterinary Trauma Center (VTC). DESIGN: Retrospective observational cross-sectional study. METHODS:  Retrospective descriptive analysis from 22,998 canine case records from the Veterinary Trauma Registry from September 2013 through April 2018. Analysis was focused on the type of injury, care provider, and care provided prior presentation to a VTC (pre-VTC care). A log-likelihood ratio test was used to test for association of outcome and pre-VTC care. Mann-Whitney U tests were used to compare modified Glasgow Coma Scale and Animal Trauma Triage (ATT) scores between pre-VTC and non-pre-VTC care groups. MEASUREMENTS AND MAIN RESULTS: Pre-VTC care was provided in 5636 out of 22,998 dogs (24.5%) by veterinarians (81%), owners (19.6%), and first responders (0.03%). The most common nonveterinary interventions included wound care and bandaging in 42% and 39% of the patients, respectively. Mortality was higher in the pre-VTC care group (8.7% vs 7.5%); dogs receiving pre-VTC care were 1.5 times (95% confidence interval [CI], 1.15-1.88) more likely to die and 1.2 times (95% CI, 1.07-1.37) more likely to be euthanized. The ATT scores were significantly higher in dogs receiving pre-VTC care (mean = 2.53 vs 1.78; p < 0.0001). CONCLUSION: Our data demonstrate that the majority of more severely injured dogs receiving pre-VTC care obtained care by a veterinarian. Dogs receiving pre-VTC care possessed a greater mortality rate but also a greater ATT score; therefore, mortality rate is more likely related to severity of trauma rather than reception of pre-VTC care. We propose that these data should prompt further research and education about prehospital care in veterinary medicine.

Evaluation of an automated assessment system for ear and tail lesions as animal welfare indicators in pigs at slaughter.

The aim of this pilot study was to develop and evaluate an automated system for the assessment of ear and tail lesions as welfare indicators in pigs at the abattoir. A camera-based system was constructed to enable automatic assessment. This was evaluated in comparison to a standard observer, defined as skilled human veterinary observer, based on 5952 carcasses. We detected significant values for ear lesions (sensitivity, 77.0; specificity, 96.5; accuracy, 95.4%) and good values for tail lesions (sensitivity, 77.8%; specificity, 99.7%; accuracy, 99.5%). The reliabilities of assessments by four individual human observers directly at the abattoir and the camera system were calculated using Krippendorff's alpha. These varied between 0.42 and 0.67 for ear lesions and 0.42 and 0.55 for tail lesions, while better values were reached for the agreement between the system and picture-based evaluation (0.64 for ear lesions and 0.75 for tail lesions). More scientific evaluations at different abattoirs are now needed to further test and improve the camera-based system and its various scopes of application.

ASSESSMENT OF RESIDUAL VASCULARIZATION OF THE LIMB AS A PROGNOSTIC FACTOR TO AVOID SEA TURTLE FLIPPER AMPUTATION.

Entanglement occurs when a marine turtle becomes trapped within anthropogenic materials such as debris or fishery gear, inducing strangulation of anatomical parts such as flippers or the neck, causing deep lacerations, maiming, amputation, or choking. Often, severely entangled flippers in captured or stranded turtles are removed surgically. Turtles with flipper impairment have difficulty in swimming, diving, and feeding. Our aim was to use color Doppler ultrasound and multi-detector computer tomography to evaluate residual vascularization or neovascularization in severely entangled flippers of loggerhead sea turtles (Caretta caretta) to assess viability of flippers, even in the absence of limb sensation. We studied 12 turtles with either unilateral (n=8) or bilateral (n=4) involvement. A total of 14 flippers were severely entangled and two flippers were spontaneously amputated. Only two of the 14 entangled flippers had to be removed surgically. For 12 entangled flippers, after surgical curettage, the treatment protocol was based on the use of a plant-derived commercial dressing. The animals were monitored and treated for 1-3 mo, until the soft tissue defects were completely healed by secondary intention. Interestingly, in the treated animals the healing flippers steadily recovered motility and sensation, restoring the complete functionality of the flipper. Vascularization of the limb was found to be critical to prevent amputation of entangled flippers, preserving the flipper and its functionality with conservative therapy and avoiding amputation as much as possible. Our study showed that in cases of entanglement, amputation does not need to be performed immediately but can wait for nonviability to declare itself following conservative therapy and should be reserved as a last-resort treatment.

Epidermal Lesions and Injuries of Coastal Dolphins as Indicators of Ecological Health.

Humpback dolphins (genus Sousa), obligatory inshore delphinids, are frequently exposed to adverse effects of many human activities. In Hong Kong, one of the world's most urbanised coastal regions, ~ 50% of the dolphins suffer from at least one type of epidermal lesions, likely related to anthropogenically degraded habitat. Furthermore, one in every ten dolphins has physical injuries indicative of vessel collisions, propeller cuts and fishing-gear entanglements. As top predators with long lifespan, dolphins are good "barometers" of marine environment and their compromised health conditions are symptomatic of increasingly degraded ecological conditions of coastal seas, especially in rapidly developing regions of fast-growing economies.

[Deer farming in Switzerland - Current epidemiological situation with focus on husbandry, management and nutrition]. / Gehegewild in der Schweiz ­ Aktuelle epidemiologische Situation mit Schwerpunkt Haltung, Management und Fütterung.

INTRODUCTION: Between September 2016 and February 2017 a survey in Swiss deer farms were conducted to gain information about their husbandry. Questions about the business, feeding, management, health and deworming strategies were asked. 98 (19%) out of 527 registered farms (2016) participated in the survey. The farms were often run on a sideline business, had an average used agricultural area of 7.3 ha with an average of 38 deer. Pasture access was the preferred feeding strategy followed by offering first and second cut hay. Between 2013-2015 the most common causes of death were sudden death and injuries. Parasites were classified as no or rather small problem by 91 out of 102 deer owner. Fecal parasitological examinations of fecal samples were conducted in 36 (35%) of the responding farms. Gastrointestinal roundworms (Trichostrongylidae) were identified as the most common pathogens (in 42-59% of sampled farms), in addition large lungworms (Dictyocaulus sp.) and coccidia were detected. 45% of the participating farmers conducted at least one treatment against parasites between 2013 and 2015.

INTRODUCTION: Dans le but d'avoir une vue d'ensemble sur la détention du gibier d'élevage en Suisse, une enquête a été menée entre septembre 2016 et février 2017, comprenant des questions relatives à l'exploitation, à l'alimentation, à la situation sanitaire et aux stratégies en matière de vermifugation. 98 des 527 exploitations annoncées en 2016 (19%) ont participé à cette étude. Ces exploitations, qui constituent fréquemment un gain accessoire, avaient une surface agricole d'en moyenne 7,3 ha avec 38 cervidés. En matière d'alimentation, c'est le foin et le regain qui étaient le plus souvent utilisés en complément du pâturage. Les causes de pertes dans les troupeaux entre 2013 et 2015 étaient principalement les cas de mort subite ainsi que les blessures. 91 de 102 détenteurs de cervidés considéraient les parasites comme n'étant pas un problème ou n'étant qu'un faible problème. Des échantillons de selles, prélevés dans 36 (35%) des exploitations ayant répondu au questionnaire, montraient que les nématodes gastro-intestinaux (Trichostrongylidae) étaient les plus fréquents (présents dans 42-59% des exploitations testées); des vers pulmonaires (Dictyocaulus sp.) et des coccidies ont également été trouvés. Environ 45 % des détenteurs de cervidés ayant participé à l'enquête avaient effectué, dans la période comprise entre 2013 et 2015 au moins un traitement antiparasitaire.

Animal welfare implications of treating wildlife in Australian veterinary practices.

OBJECTIVE: To evaluate the extent, costs, demands and expectations of Australian veterinary practices in the treatment of wildlife, to identify potential risks to animal welfare based on the current situation and to propose recommendations for improvements. METHODS: A survey was sent to all veterinary practices across Australia identified through the website Yellow Pages®. The survey was designed as a cross-sectional study. Data were collected using an online self-completed questionnaire and analysed using IBM SPSS 19.0. RESULTS: Of the 902 veterinary practices contacted, 132 (14.6%) completed the questionnaire. Most practices (82%) saw less than 10 wildlife patients per week, with birds and marsupials most commonly admitted. Vehicular trauma, trauma (other) and predation made up the majority (82%) of presentations. However, wildlife cases were only examined immediately upon presentation in 20% of practices, with 74% reporting they only attended to wildlife whenever they had spare time. The majority (90%) of veterinary practices never or rarely received reimbursement for their wildlife work, indicating most is performed pro bono. Several barriers to treatment were highlighted, including time and a lack of knowledge/skills. CONCLUSION: Private veterinary practices play a more significant role in wildlife treatment than has been previously thought. The effect of perceived barriers on willingness to treat wildlife requires further research. Further investigation into educational resources to aid veterinary assessment of wildlife should also be considered.

Gone to the dogs: greyhound figures spark new criticism.

As the Greyhound Board of Great Britain releases new figures on injuries and retirement, Matthew Limb explores the reaction of those who work in the industry.

Rapid assessment with physical examination in dyspnoeic cats: the RAPID CAT study.

OBJECTIVES: To determine the underlying disease prevalence in acute feline dyspnoea and to examine whether historical and clinical examination findings can differentiate between acute cardiac and non-cardiac dyspnoea in cats in primary practice. MATERIALS AND METHODS: We prospectively enrolled cats presenting with dyspnoea for the first time to primary practice between June 1, 2011 and October 31, 2016. We collected signalment, historical and clinical data at presentation using a standard form. Cases were investigated by primary clinicians, and the final diagnosis was confirmed by the authors. Records lacking critical data were excluded. Relationships between historical or clinical variables and dyspnoea aetiology were examined. Diagnostic test performance analyses were used to find optimal cut-off values for select historical or clinical variables that could differentiate cardiac and non-cardiac dyspnoea. RESULTS: Participants included 108 cats. A definitive diagnosis was reached in 92 cases; 60 were cardiac (65%), 15 respiratory (16%), 10 neoplastic (11%) and 7 traumatic (8%). Of cats with cardiac dyspnoea, 25% had a history of cough. A gallop sound, rectal temperature less than 37·5°C, heart rate of greater than 200 bpm and respiratory rate greater than 80 per minute were all useful to predict cardiac-associated dyspnoea. A triage algorithm using these findings in combination was designed to optimise the rapid diagnosis of probable cardiac dyspnoea. CLINICAL SIGNIFICANCE: Dyspnoeic cats presenting in practice with hypothermia, tachycardia, gallop sounds or profound tachypnoea are likely to have a cardiac cause underlying their dyspnoea. Although diagnosis requires confirmation, clinicians may be able to stratify risk and prioritise further investigation based on these findings.

Assessment of wound bio-burden and prevalence of multi-drug resistant bacteria during open wound management.

OBJECTIVE: To describe the bacterial bio-burden of open-treated wounds and make comparisons with bite wounds. DESIGN: Retrospective multicentre study. SAMPLE: Microbial culture between 2011 and 2013 from open-treated wounds in dogs and cats (initiation of therapy n=88, follow-up n=52) were compared to those from bite wounds (n=184). PROCEDURES: Bacteria were identified and tested for antibiotic susceptibility by two accredited laboratories. RESULTS: In total, 77/88 (88%) of open-treated wounds yielded positive bacterial cultures at the beginning of treatment, decreasing to 27/52 (52%) during treatment. Upon initial evaluation, 42/88 (48 %) of open-treated wounds were considered infected with multi-drug-resistant bacteria, with a drop to 22/52 (41%) during therapy. Bite wounds yielded fewer positive cultures 88/184 (48%) with only 11/182 (6%) being affected by multi-drug-resistant bacteria. Bacteria found most commonly in open-treated wounds were Enterococcus subspecies, Escherichia coli, Staphylococcus pseudintermedius and Pseudomonas aeruginosa. CONCLUSION: The bacterial populations of open-treated wounds differed markedly from the bite wounds. The high incidence of multi-drug-resistant strains in open wounds highlights the need for alternatives to antibiotics.

ASSESSMENT OF THE RATES OF INJURY AND MORTALITY IN WATERFOWL CAPTURED WITH FIVE METHODS OF CAPTURE AND TECHNIQUES FOR MINIMIZING RISKS.

Swan pipes, duck decoys, cage traps, cannon netting, and roundups are widely used to capture waterfowl in order to monitor populations. These methods are often regulated in countries with national ringing or banding programs and are considered to be safe, and thus justifiable given the benefits to conservation. However, few published studies have addressed how frequently injuries and mortalities occur, or the nature of any injuries. In the present study, rates of mortality and injury during captures with the use of these methods carried out by the Wildfowl & Wetlands Trust as part of conservation programs were assessed. The total rate of injury (including mild dermal abrasions) was 0.42% across all species groups, whereas total mortality was 0.1% across all capture methods. Incidence of injury varied among species groups (ducks, geese, swans, and rails), with some, for example, dabbling ducks, at greater risk than others. We also describe techniques used before, during, and after a capture to reduce stress and injury in captured waterfowl. Projects using these or other capture methods should monitor and publish their performance to allow sharing of experience and to reduce risks further.

Use of Triticum aestivum in open wound healing: a clinical, pathological, and tensiometric assessment in the rabbit model / Uso de Triticum aestivum na cicatrização de feridas: um ensaio clínico, histopatológico e tensiométrico em coelhos

While Triticum sp. has been shown to act in wound healing, stimulating collagen synthesis by fibroblasts, the use of this plant extract has yet to be assessed in vivo, in commercially viable presentations. This study used rabbits and assessed, on days seven, 14, and 21, the presence or absence of granulation tissue and epithelialization, histopathological structures, and scar quality through the breaking and tension strength. Treatments, performed for 21 days, were aqueous extract of T. aestivum at a concentration of 2mg/mL (group I) and 10mg/mL (group II) and a nonionic cream (control group). We demonstrate that the formation of granulation tissue was not significantly different between treatments. In the analysis of epithelial tissue, wounds in group II differed from other treatments by day 7. On days 14 and 21 there was no significant clinical difference between groups. In the histopathological evaluation, scar quality and rupture strength did not differ between the groups in the studied period. In the tension strength evaluation, group I differed from the others, presenting a higher tension strength overall. The studied treatments did not differ regarding healing evolution of the skin wounds, but T. aestivum extract, at 2mg/mL, presents better results in the tension strength evaluation...

O extrato de trigo (Triticum sp.) vem sendo usado na cicatrização de feridas por estimular a síntese de fibroblastos, entretanto a sua aplicabilidade in vivo em apresentações comercialmente viáveis ainda tem de ser demonstrada. Neste estudo, avaliaram-se feridas cutâneas de coelhos tratadas com extrato aquoso de T. aestivum quanto à presença de tecido de granulação e epitelização, estruturas histológicas, qualidade cicatricial, além de ensaio tensiométrico. As feridas foram tratadas diariamente, por 21 dias, com diferentes concentrações do extrato (grupo I = 2mg/mL; grupo II = 10mg/mL) ou apenas o veículo (grupo controle = creme não iônico), e avaliadas nos dias sete, 14 e 21. A formação de tecido de granulação não diferiu entre os tratamentos. A epitelização aconteceu em menor tempo em feridas do grupo II, mas aos 14 dias já não havia diferença neste parâmetro. Na avaliação histopatológica, a qualidade cicatricial e a força de ruptura não diferiram no período estudado, entretanto a resistência tensiométrica das feridas do grupo I foi maior que a dos demais tratamentos. Dessa forma, conclui-se que, mesmo não havendo diferença na evolução cicatricial de feridas tratadas ou não com extrato aquoso de T. aestivum, o uso desse composto, a 2mg/mL, resultou em tecidos cicatriciais mais resistentes à tração...

Serologic, parasitic, and bacteriologic assessment of captive cracids (Aves: Galliformes: Cracidae) in Brazil.

Captive cracids (Aves: Galliformes: Cracidae), including endangered species, were studied (n = 130) for the assessment of health status, including Aburria jacutinga (black-fronted piping-guan, n = 42), Crax blumenbachii (red-knobbed curassow, n = 54), Craxfasciolata (bare-faced curassow, n = 28), and Penelope obscura (dusky-legged guan, n = 6). The exposure to Mycoplasma gallisepticum (MG), Mycoplasma synoviae (MS), Salmonella pullorum (SP), Salmonella gallinarum (SG), avian paramyxovirus-1 (APMV-1), and infectious bursal disease virus (IBDV) were determined by serology, and SG and SP also were evaluated by culture. Ectoparasites and endoparasites were identified using light microscopy. Sera were negative by the hemagglutination inhibition (HI) test for antibodies to MG or MS, although serum was reactive to MG (32%, 42/130) by the rapid serum agglutination test (SAT). Although positive reactions (26.9%, 35/130) for SP and SG were detected by SAT, cloacal swab cultures were negative for SP and SG. IBDV antibodies were detected by enzyme-linked immunosorbent assay in two dusky-legged guans (1.5%, 2/130). HI antibody titers to APMV-1 were found in 20 (15.3%) cracids, with titers ranging from 16 to 1,024. Fifty percent of birds (65/130) had ectoparasites. Lice (Menacanthus spp.) and mites (Astigmata: Analgesidae, Megninidae; Megninia spp.) were found in red-knobbed curassow; Megninia spp. also were found in bare-faced curassow, black-fronted piping-guan, and dusky-legged guan. Eleven black-fronted piping-guans presented dual parasitism by Megninia spp. and Ornithonyssus spp. Endoparasites were detected in 16.1% (21/130) of birds, and some with multiple parasites. Oocysts of coccidia and eggs of Capillaria spp. (Nematoda: Trichuroidea) were found in the feces of red-knobbed curassow. Eggs of Strongyloides spp. were found in the feces of bare-faced curassow, and eggs of Ascaridia spp., Capillaria spp., and Strongyloides spp. were found in black-fronted piping-guan. Cysts of Blastocystis spp. were found in dusky-legged guan. Antibodies to IBDV and APMV-1 indicate previous exposure. However, considering that birds were clinically normal, immune stimulation might have been from live chicken vaccine strain infections that are widely used in Brazilian poultry. The high parasitism levels indicate that a routine inspection for internal and external parasites is warranted.

An ethical issue in biodiversity science: The monitoring of penguins with flipper bands.

Individual marking is essential to study the life-history traits of animals and to track them in all kinds of ecological, behavioural or physiological studies. Unlike other birds, penguins cannot be banded on their legs due to their leg joint anatomy and a band is instead fixed around a flipper. However, there is now detailed evidence that flipper-banding has a detrimental impact on individuals. It can severely injure flipper tissues, and the drag effect of their flipper bands results in a higher energy expenditure when birds are moving through the water. It also results in lower efficiency in foraging, since they require longer foraging trips, as well as in lower survival and lower breeding success. Moreover, due to the uncertainty of the rate of band loss, flipper bands induce a scientific bias. These problems, which obviously have serious ethical implications, can be avoided with alternative methods such as radiofrequency identification techniques.

Abdominal and thoracic focused assessment with sonography for trauma, triage, and monitoring in small animals.

OBJECTIVES: To review the nonradiologist use of ultrasound (US) in the setting of emergency and critical care, the development, clinical applications, and standardization of veterinary abdominal and thoracic focused assessment with sonography for trauma (FAST) techniques. ETIOLOGY: Since the 1990s, the 4-point FAST US technique has been used for injury surveillance in people with blunt and penetrating trauma. FAST screens for free fluid in the abdominal, pleural, and pericardial cavities with high sensitivity and specificity. More recently, an extended FAST scan was developed for the rapid detection of pneumothorax. These techniques and newly created scans have been applied to other critically ill, nontraumatized, subsets of human patients. As a result, the terminology related to this field, eg, extended FAST, HHFAST, FFAST, FAFF, BOAST, SLOH, bedside US, '$ Approach,' protocols, and objectives have become convoluted despite having similar goals. DIAGNOSIS: The importance of US in the setting of emergency medicine is highlighted by the fact that this diagnostic modality has become an integral part of the core curriculum for nonradiologists including the American College of Surgeons, American College of Emergency Physicians, American Board of Emergency Medicine, Society of Academic Emergency Medicine, and all United States Accreditation Council for Graduate Medical Education Emergency Medicine residency programs. THERAPY: Veterinary applications of FAST techniques include an abdominal FAST technique with an abdominal FAST applied fluid scoring system, and a thoracic FAST technique. In an attempt to avoid the creation of numerous acronyms, veterinarians would be well served by making the 'T' in 'FAST' stand for 'Trauma,''Triage,' and 'Tracking.' PROGNOSIS: These veterinary FAST techniques provide an extension of the physical examination for the emergency and critical care veterinarian potentially expediting diagnosis, prompting life-saving maneuvers, and guiding patient management. Further clinical research to determine sensitivity, specificity, and accuracy for specific conditions is warranted.

Evaluation of an abdominal fluid scoring system determined using abdominal focused assessment with sonography for trauma in 101 dogs with motor vehicle trauma.

OBJECTIVE: Evaluate an abdominal fluid scoring (AFS) system using an abdominal focused assessment with sonography for trauma (AFAST) protocol. DESIGN: Prospective study. SETTING: Private veterinary emergency center. ANIMALS: One hundred and one client-owned dogs with motor vehicle trauma. Interventions- AFAST performed on admission and 4 hours post-admission. MEASUREMENTS AND MAIN RESULTS: An AFS was assigned to each dog based on the number of AFAST fluid-positive quadrants identified using a 4-point scale: AFS 0 (negative for fluid in all quadrants) to AFS 4 (positive for fluid in all quadrants). Free abdominal fluid was identified in 27 of 101 dogs (27%). Dogs with AFS scores of 3 or 4 (14/27 [52%] AFS-positive dogs) experienced more marked decreases in packed cell volume and total plasma protein, increases in alanine aminotransferase, and needed more blood transfusions than dogs with lower AFS scores and AFS-negative dogs. Serial AFAST was performed in 71% of dogs (71/101); 17% (12/71) of these cases changed AFS score, and 75% (9/12) of the changes were higher (worsened) AFS, correlating with increasing amounts of free abdominal fluid. Ninety-eight percent of the study population was a primary presentation. Overall, median time from trauma to initial AFAST was 60 minutes, and median AFAST examination time was 3 minutes. CONCLUSIONS: Initial and serial AFAST with applied AFS allowed rapid, semiquantitative measure of free abdominal fluid in traumatized patients, was clinically associated with severity of injury, and reliably guided clinical management. Where possible, AFAST and AFS should be applied to the management of blunt trauma cases.

Health assessment of a spiny-tailed lizard (Uromastyx spp.) population in Abu Dhabi, United Arab Emirates.

A study was conducted to determine the health status of the free-living spiny-tailed lizard (Uromastyx spp.) population at Wrsan, Al Ajban, Abu Dhabi, United Arab Emirates. A total of 90 spiny-tailed lizards, 61 males and 29 females, were examined from June to August 2006. Mean body weights were 1,564.4 g and 809.4 g for males and females, respectively. Mean body lengths were 62.1 cm and 49.4 cm for males and females, respectively. Fourteen lizards were found with abnormalities including abscesses, bite wounds, and deformed or missing tail ends, digits, or claws. Radiographic examination revealed osteomyelitis, arthritis, and healed fractures. Reference hematology and chemistry values were obtained from the 76 clinically normal lizards. Hemoparasitemia included possible new species of Karyolysus and Hepatozoon. The most common oropharyngeal organisms isolated were Escherichia coli, Providencia spp., and nonhemolytic Staphylococcus; and the most common cloacal organisms were E. coli, Proteus spp., Providencia spp., and nonhemolytic Staphylococcus. Ascarids were the only endoparasites found. This is the first biomedical data published for the spiny-tailed lizard.

Evaluation of vehicular trauma in dogs: 239 cases (January-December 2001).

OBJECTIVE: To describe a population of dogs with vehicular trauma and to determine whether age, type and severity of injury, or preexisting disease were associated with outcome. DESIGN: Retrospective case series. ANIMALS: 239 dogs evaluated at a university referral hospital after vehicular trauma over a 12-month period. PROCEDURES: Patient characteristics, including age, outcome, animal trauma triage (ATT) score, treatments performed, hospital stay, cost, and preexisting disease, were recorded from medical records of dogs that had vehicular trauma. Dogs were assigned to a young, middle-aged, or geriatric age group. Categoric and continuous variables were compared between survivors and nonsurvivors to identify possible associations. RESULTS: 239 dogs (126 males and 113 females) were evaluated following vehicular trauma during 2001: young (n = 149), middle-aged (68), and geriatric (22). The median ATT score was 3 (range, 0 to 15). Sixteen dogs had preexisting disease. Hospital stay ranged from < 1 to 28 days (median, 3 days). Cost ranged from $77 to $10,636 (median, $853). Two hundred six dogs were discharged. Twenty-six dogs were euthanatized, and 7 died. Dogs that died or were euthanatized had significantly higher ATT scores. The ATT score also was associated with a significantly higher cost of care. Dogs with multiple injuries had significantly higher ATT scores, had increased cost of care, and were significantly more likely to die or be euthanatized. CONCLUSIONS AND CLINICAL RELEVANCE: Increased injury severity in dogs was associated with increased mortality rates and higher cost of treatment.

Intensive, extensive, expensive. Management of distal limb shearing injuries in cats.

PRACTICAL RELEVANCE: Cats often present with distal limb shearing injuries as a result of road traffic accidents (RTAs). Many apparently unsalvageable limbs can be saved through intensive and appropriate early treatment if the basic principles of good wound management are followed. CLINICAL CHALLENGES: When a limb is crushed under the wheel of a car, the skin, soft tissues and bone can be injured in a variety of ways, and the wounds are invariably heavily contaminated. Management of such cases is intensive, extensive and expensive. As well as the client's financial constraints, the ethics of prolonged treatment versus the alternative of amputation should be carefully considered. This article reviews the priorities for managing these cases, and presents a logical approach for achieving optimal outcomes. PATIENT GROUP: Any cat allowed access to the outdoors is potentially at risk of sustaining RTA injuries, young cats particularly so. EVIDENCE BASE: Many textbooks and original articles have been published on aspects of managing soft tissue injuries and skin grafting. To the author's knowledge, only two peer-reviewed papers have dealt specifically with shearing injuries, both presenting a retrospective analysis of cases in dogs.