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1.
Transfusion ; 2024 Aug 30.
Article in English | MEDLINE | ID: mdl-39215380

ABSTRACT

The use of whole blood in the prehospital setting is increasing. Currently available intraosseous and peripheral venous catheters limit the flow of blood products and fluid during resuscitation. Central venous catheters can be effectively placed in the prehospital environment. Rapid, high-volume infusion of blood products can be lifesaving.

2.
J Dairy Sci ; 104(10): 11091-11107, 2021 Oct.
Article in English | MEDLINE | ID: mdl-34218918

ABSTRACT

In 2017, an Austrian dairy company implemented a third-party animal-based assessment of health and welfare to stimulate welfare improvements on farms. Using this cross-sectional data set, we aimed at identifying prevailing welfare problems and associations thereof with main farm and management characteristics. Welfare outcome measures regarding body condition, cleanliness, diarrhea, integument alterations, claw condition, lameness, rising behavior, and avoidance distance toward humans were assessed by 13 trained observers. Data from health recordings and farm characteristics, such as housing system, feeding regimen, and pasture access, were collected via a questionnaire. Analyses included outcome measures from 23,749 individual cows on 1,221 farms [median (M) herd size = 19, interquartile range (IQR) = 16]. Herd-level prevalence of the outcome measures showed a high between-farm variability with highest median values for dirty lower hind leg (M = 46%, IQR = 47), signs of diarrhea (M = 28%, IQR = 39), and hairless patches on the tarsal joint (M = 21%, IQR = 36). Median prevalence of severe welfare problems, such as very lean cows, lesions, lameness, or mastitis treatments, were low compared with previously reported findings (very lean: 0%, IQR = 0; lesion tarsus: 0%, IQR = 4; moderately lame loose-housed: 7%, IQR = 16; mastitis treatments: 10%, IQR = 16). On half of the farms, at least 83% (IQR = 25) of the assessed cows could be touched in a standardized approach test, indicating a good human-animal relationship. Using generalized linear models, we found frequent associations with welfare outcome measures for the amount of milk delivered per cow (e.g., lower risk of very lean cows or dirty hind legs but higher risk of mastitis treatments or antibiotic dry-off with increasing milk delivery), housing system (e.g., loose-housed animals were at lower risk of lesions on the tarsal joint than animals kept in tiestalls, but at higher risk of being classified as very fat), and assessment period (winter vs. summer period). Beneficial associations were consistently found for an increasing number of days with access to pasture (e.g., body condition, integument alterations, lameness) as well as organic compared with conventional farming (e.g., integument alterations, claw health, lameness). Although the latter associations may be especially important for advisory services, in policy making, or when engaging with the public, other farm or management characteristics require careful attention, as they may have both beneficial as well as adverse impacts on welfare, calling for good management skills to avoid undesired effects.


Subject(s)
Cattle Diseases , Dairying , Animal Welfare , Animals , Austria , Cattle , Cattle Diseases/epidemiology , Cross-Sectional Studies , Farms , Female , Housing, Animal , Lameness, Animal/epidemiology
3.
Prehosp Emerg Care ; 24(4): 566-575, 2020.
Article in English | MEDLINE | ID: mdl-31550184

ABSTRACT

Introduction: Beginning in 2017, multiple stakeholders within the Southwest Texas Regional Advisory Council for Trauma collaborated to incorporate cold-stored low-titer O RhD-positive whole blood (LTO + WB) into all phases of their trauma system, including the prehospital phase of care. Although the program was initially focused on trauma resuscitation, it was expanded to included non-traumatic hemorrhagic shock patients that may benefit from whole blood resuscitation.Case Report: We report the case of a patient with severe maternal hemorrhage secondary to placenta accreta who received a prehospital transfusion of LTO + WB. We believe this to be the first reported case of post-partum hemorrhage resuscitated out of hospital with whole blood.Discussion: This case highlights the potential benefits of a prehospital whole blood program as well as the controversy surrounding a LTO + WB program that includes females of childbearing age.


Subject(s)
Blood Transfusion , Emergency Medical Services , Hemorrhage/therapy , Female , Hemorrhage/etiology , Humans , Placenta Accreta , Pregnancy , Texas
4.
J Dairy Sci ; 103(2): 1866-1873, 2020 Feb.
Article in English | MEDLINE | ID: mdl-31759611

ABSTRACT

Play behavior is a promising welfare indicator in dairy calves because it decreases in negative situations such as pain or hunger and increases in positive contexts such as in appropriate social environments. Directly measuring play is time consuming because it is performed in irregular bouts and can be inconsistent over days. To facilitate automatic recording of play, previous studies fitted triaxial accelerometers to the hind legs of calves and measured the velocity of movements in large arenas; high correlations were reported between vertical axis peak duration and the duration of locomotor play. The current study aimed to validate accelerometers for recording spontaneous locomotor play in calves' home pens over longer periods. Data were collected from 48 Holstein Friesian calves, housed in groups of 3 in pens of 10 m2, at either 4 or 8 wk of age. Acceleration at the vertical axis of the hind leg was recorded at a rate of 1 Hz. One active time period for each calf was randomly selected (mean duration ± standard deviation = 34 ± 9 min). From video of the corresponding time period, the frequency of locomotor play events, consisting of run, turn, and buck/buck-kick, was recorded using behavior sampling. Combined counts of play events were highly correlated (Pearson r = 0.91) with counts of acceleration peaks. However, for calves with higher levels of locomotor play, this method underestimated the extent of play. Alternatively, run, turn, and buck events obtained from video were transformed by creating intervals of 10 s and then classifying each 10-s interval as comprising events of play ("play") or not comprising events of play ("no play"). The corresponding accelerometer data for all 10-s periods, equaling 10 consecutive readings each, were classified into play or no play by using quadratic discriminant analysis; 79% of periods with locomotor play were correctly classified. Counts of observed play intervals correlated with the counts of play periods from accelerometers (r = 0.87), but the discriminant analysis consistently overestimated play. In conclusion, accelerometer measurements at 1 Hz (in 1-s intervals) and at the vertical axis cannot be used alone to exactly quantify absolute levels of locomotor play in the home pen. However, counts of peak accelerations can provide a rough estimate of inter-individual differences in play events, and discriminant analysis can be used as a proxy for one-zero sampling of inter-individual differences in locomotor play.


Subject(s)
Accelerometry/veterinary , Animal Welfare , Behavior, Animal , Animals , Female , Locomotion , Male , Random Allocation , Records , Social Environment , Video Recording
5.
J Dairy Sci ; 101(2): 1428-1436, 2018 Feb.
Article in English | MEDLINE | ID: mdl-29224861

ABSTRACT

In the Alps, traditional dairy farms are small-scale operations where vertical transhumance from valley indoor housing systems to highland pasture-based systems is still practiced in summer. Vertical transhumance implies a substantial change of environment, available resources, and management practices from one season to another. In such systems, animal-based welfare measures need to be monitored throughout the year to capture the variation of welfare outcomes, based on which targeted welfare management plans can be implemented. Because the Welfare Quality assessment approach has been tailored to indoor housing and intensive farming systems, the European Food Safety Authority recently developed a welfare assessment protocol for small-scale dairy cattle farms adapted after the Welfare Quality framework. The aim of this study was to assess nonbehavioral animal-based measures as defined by this protocol at different time points for transhumant systems in the Alps. In total, 18 animal-based measures were assessed before, during, and after the mountain pasture period in a sample of 67 small-scale dairy cattle farms practicing vertical transhumance in neighboring provinces of Austria, Italy, and Slovenia. Significant differences between assessments were identified for dirtiness of legs and teats, hairless patches, lesions and swellings, claw condition, ocular discharge, and diarrhea whereas BCS, lameness/severe lameness, vulvar discharge, nasal discharge, and hampered respiration were unchanged between seasons. In addition, a benchmarking exercise was carried out to identify relative boundaries (worst quartile thresholds) for each animal-based measure and to contribute to the discussion about achievable welfare outcomes for the 2 husbandry conditions that characterize a transhumant system. Worst quartile thresholds indicated a high prevalence of dirtiness (>80%) when cows were kept indoors, high prevalence of hairless patches (65%) before pasture turnout, and high prevalence of very lean cows (>13%) throughout the assessments. On the other hand, the best quartile thresholds for most clinical conditions suggested that high welfare standards (zero prevalence) are widely achievable in mountain farms practicing vertical transhumance during all assessments. The thresholds identified through benchmarking should serve as the basis for an effective context-based welfare management strategy promoting continuous welfare improvement on-farm.


Subject(s)
Animal Welfare , Cattle , Dairying/methods , Animals , Austria , Female , Housing, Animal/standards , Italy , Seasons , Slovenia , Surveys and Questionnaires
6.
J Dairy Sci ; 100(8): 6376-6388, 2017 Aug.
Article in English | MEDLINE | ID: mdl-28571983

ABSTRACT

The Welfare Quality (WQ) protocol for on-farm dairy cattle welfare assessment describes 27 measures and a stepwise method for integrating values for these measures into 11 criteria scores, grouped further into 4 principle scores and finally into an overall welfare categorization with 4 levels. We conducted an online survey to examine whether trained users' opinions of the WQ protocol for dairy cattle correspond with the integrated scores (criteria, principles, and overall categorization) calculated according to the WQ protocol. First, the trained users' scores (n = 8-15) for reliability and validity and their ranking of the importance of all measures for herd welfare were compared with the degree of actual effect of these measures on the WQ integrated scores. Logistic regression was applied to identify the measures that affected the WQ overall welfare categorization into the "not classified" or "enhanced" categories for a database of 491 European herds. The smallest multivariate model maintaining the highest percentage of both sensitivity and specificity for the "enhanced" category contained 6 measures, whereas the model for "not classified" contained 4 measures. Some of the measures that were ranked as least important by trained users (e.g., measures relating to drinkers) had the highest influence on the WQ overall welfare categorization. Conversely, measures rated as most important by the trained users (e.g., lameness and mortality) had a lower effect on the WQ overall category. In addition, trained users were asked to allocate criterion and overall welfare scores to 7 focal herds selected from the database (n = 491 herds). Data on all WQ measures for these focal herds relative to all other herds in the database were provided. The degree to which expert scores corresponded to each other, the systematic difference, and the correspondence between median trained-user opinion and the WQ criterion scores were then tested. The level of correspondence between expert scoring and WQ scoring for 6 of the 12 criteria and for the overall welfare score was low. The WQ scores of the protocol for dairy cattle thus lacked correspondence with trained users on the importance of several welfare measures.


Subject(s)
Animal Welfare , Cattle , Dairying/standards , Animals , Logistic Models , Reproducibility of Results , Sensitivity and Specificity
7.
J Dairy Sci ; 98(10): 6886-96, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26233458

ABSTRACT

Within the general aim of developing a Welfare Quality system for monitoring dairy buffalo welfare, this study focused on prevalence and interobserver reliability of the animal-related variables to be included in the scheme. As most of the measures were developed for cattle, the study also aimed to verify their prevalence for buffaloes. Thirty animal-based measures (22 clinical and 8 behavioral measurements) and 20 terms used for qualitative behavior assessment were assessed in 42 loose-housed buffalo farms. All farms were located in central-southern Italy. Two assessors were used (1 male and 1 female). The time needed to record all measures (animal-, resource-, and management-based) was 5.47 ± 0.48 h (mean ± SD). Interobserver reliability of animal-based measures was evaluated using Spearman rank correlation coefficient test (rs). If 0.7 is considered as threshold for high interobserver reliability, all animal-based measures were above this level. In particular, most of the coefficients were above 0.85, with higher values observed for prevalence of animals that can be touched (rs = 0.99) and prevalence of animals with iatrogenic abscess (rs = 0.97), whereas lower coefficients were found for the prevalence of vulvar discharge (rs = 0.74) and dewlap edema (rs = 0.73). Twelve out of the 20 terms used for the qualitative behavior assessment reached a satisfactory interobserver reliability (rs = 0.65). Principal component analysis of qualitative behavior assessment scores was conducted for each assessor. Both principal component 1 and principal component 2 showed high interobserver reliability (rs = 0.80 and 0.79, respectively). In addition, relevant proportions of animals were affected by welfare issues specific to buffaloes, such as overgrown claws (median = 34.1%), withers hygroma (median = 13.3%), and vulvar or uterine prolapse (median = 9.3%). We concluded that most of the investigated measures could be reliably included in the final scheme, which can be used as such to monitor buffalo welfare. However, to inform consumers about the welfare status of the animals, the data should be integrated into a single overall assessment of animal welfare, as already performed in the Welfare Quality project for dairy cattle.


Subject(s)
Animal Welfare/statistics & numerical data , Buffaloes/physiology , Dairying/methods , Animals , Female , Italy/epidemiology , Male , Observer Variation , Reproducibility of Results , Statistics, Nonparametric
8.
J Dairy Sci ; 97(7): 4317-21, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24792807

ABSTRACT

The automated, reliable, and early detection of lameness is an important aim for the future development of modern dairy operations. One promising indicator of lameness is a change in the feeding behavior of a cow. In this study, the associations between feeding behavior and lameness were evaluated. A herd of 50 cows was investigated during the winter season in a freestall barn. Feeding behavior, feed intake, milk yield, and body weight were monitored using electronic feeding troughs and an automated milking system. Gait scoring every second week was used as a measure of lameness. To analyze the effect of lameness on feeding behavior and milk yield, linear mixed models were used. Cows with more severe lameness spent less time feeding per day (104 ± 4, 101 ± 4, and 91 ± 4 min/d for lameness scores 2, 3, and 4, respectively). An interaction between parity and lameness score was detected, with severely lame primiparous cows spending the least time feeding. Severely lame cows fed faster; however, their body weights were lower than for less-lame cows. Increase in lactation stage was associated with longer daily feeding time, longer duration of feeding bouts, and lower feeding rate. Worsening of gait was associated with lower silage intake and less time spent feeding even before severe lameness was scored. The results indicate that lameness is associated with changes in feeding behavior and that such changes could be considered in the future development of remote monitoring systems. It should also be noted that impaired feeding behavior along with lameness can put the welfare of especially early lactating primiparous cows at risk.


Subject(s)
Cattle Diseases/physiopathology , Lameness, Animal/physiopathology , Milk/metabolism , Animals , Cattle , Feeding Behavior , Female , Gait , Lactation , Parity , Pregnancy , Time Factors
9.
Animal ; 18(5): 101155, 2024 May.
Article in English | MEDLINE | ID: mdl-38703757

ABSTRACT

Providing bedding or access to an outdoor run are husbandry aspects intended to improve pig welfare, which is currently financially supported through animal welfare schemes in several European countries. However, they may significantly affect the environment through changes in feed efficiency and manure management. Therefore, the aim of this paper was to compare farms differing in animal welfare relevant husbandry aspects regarding (1) the welfare of growing-finishing pigs and (2) environmental impact categories such as global warming (GW), acidification (AC), and freshwater (FE) and marine eutrophication (ME), by employing an attributional Life Cycle Assessment. We collected data on 50 farms with growing-finishing pigs in seven European countries. Ten animal-based welfare indicators were aggregated into three pig welfare indices using principal component analysis. Cluster analysis of farms based on husbandry aspects resulted in three clusters: NOBED (31 farms without bedding or outdoor run), BED (11 farms with bedding only) and BEDOUT (eight farms with bedding and outdoor run). Pigs on farms with bedding (BED and BEDOUT) manipulated enrichment more often (P < 0.001), pen fixtures less frequently (P = 0.003) and showed fewer oral stereotypies (P < 0.001) than pigs on NOBED farms. There were fewer pigs with a short(er) tail on farms with than without bedding (P < 0.001). Acidification of BEDOUT and BED farms was significantly higher (compared to NOBED farms P = 0.002) due to higher ammonia emissions related to farmyard manure. Also, BEDOUT farms had higher ME than NOBED farms (P = 0.035). There were no significant differences regarding GW and FE between husbandry clusters, due to the large variability within clusters regarding feed composition and conversion. Therefore, both husbandry aspects associated with improved animal welfare have a significant influence on some environmental impacts, such as acidification and marine eutrophication. Nevertheless, the large variation within clusters suggests that trade-offs may be minimised through e.g. AC and ME.


Subject(s)
Animal Husbandry , Animal Welfare , Housing, Animal , Animals , Animal Husbandry/methods , Swine/physiology , Swine/growth & development , Environment , Europe , Global Warming , Eutrophication , Farms , Bedding and Linens/veterinary
10.
JDS Commun ; 5(1): 38-41, 2024 Jan.
Article in English | MEDLINE | ID: mdl-38223376

ABSTRACT

Lameness is an important health and welfare issue that causes considerable economic losses in dairy herds. The objective of this study was to investigate whether the hind feet position score (HFPS) can be used as an auxiliary trait for genetic evaluation of lameness. The HFPS is evaluated by visual scoring of the position of both the hind-digits to the mid-line of the cow's body. The higher the heel height of the lateral claw, the higher is the HFPS, and the higher is the risk for development of lameness. In total, 3,478 records from 1,064 Fleckvieh cows from 35 farms were obtained between September 1, 2021, and March 5, 2022. Data collection was carried out by the regional milk recording organizations. Hind feet position was scored visually by trained personnel during routine milk performance testing in the milking parlor using a 3-class scoring system: score 1 = 0° to <17° indicating a balanced heel height of both the medial and the lateral claw; score 2 = angle of 17° to 24°; score 3 = angle of >24°. After all cows had been milked, locomotion scoring was performed for each animal using a 5-class scoring system with locomotion scores ranging between 1 (normal) and 5 (severely lame). Using HFPS, sensitivity and specificity were 69.5% and 66.8%, respectively, for detecting lameness defined by locomotion score ≥2. For genetic analyses, a bivariate linear animal model was fitted with fixed effects of herd, parity, lactation stage, and classifier, and random effects of animal and permanent environment. Heritabilities for HFPS and locomotion score were 0.07 and 0.10, respectively, and the genetic correlation between the 2 traits studied was 0.80. These results suggest that the HFPS could be used for genetic evaluations to reduce lameness incidence in dairy cattle.

11.
Anim Welf ; 32: e16, 2023.
Article in English | MEDLINE | ID: mdl-38487446

ABSTRACT

[This corrects the article DOI: 10.1017/S0962728600032474.].

12.
J Dairy Sci ; 95(11): 6409-15, 2012 Nov.
Article in English | MEDLINE | ID: mdl-22959941

ABSTRACT

Providing cattle with access to pasture has been shown to yield benefits, including access to more space, fewer agonistic interactions, better air quality, and the ability to perform a greater range of normal behaviors. Preference for pasture appears to depend on several parameters, including weather conditions and availability of shade. The primary aim of this study was to evaluate the preference for pasture versus inside a freestall barn with variable stocking densities at the stalls. We also investigated the effect of temperature-humidity index (THI) and precipitation on this preference. Overall, cows spent on average 13.7±2.6 h/d (mean ± SD) on pasture (ranging from 7.2 to 18.0 h/d across days); at night (between 2000 and 0600 h) cows spent the majority of their time (78.5±27.8%) on pasture. Stall availability had no effect on time spent outside, but time spent on pasture decreased with increasing THI during the day and declined during nights with more rainfall. Stall usage changed depending on stall availability; standing with 2 and 4 feet in the stall and lying time indoors decreased with decreasing stall availability. Indoor lying time also increased with higher THI and more precipitation. In conclusion, cows preferred to be outside at night; they were much more likely to remain indoors during the day, even when overstocked.


Subject(s)
Cattle/psychology , Housing, Animal , Animals , Behavior, Animal , Climate , Eating/psychology , Female , Time Factors
13.
Animal ; 16(3): 100461, 2022 Mar.
Article in English | MEDLINE | ID: mdl-35183010

ABSTRACT

Recently published thresholds allow classifying dairy cattle herds according to target, caution and alert ranges for welfare outcomes. Such normative thresholds provide one way to transparently assess production practices and are a straightforward communication tool with farmers. In an ordinal response case-control study, we investigated associations of animal, management and resource-related indicators with the risk of exceeding thresholds of prevalence for lameness, claw disorders, integument alterations and leg cleanliness. To this end, we used cumulative logistic regression models on 264 tethered and 392 loose-housed Austrian dairy herds. In tethered herds, the risk indicator average lactation milk yield was positively associated with the probability to exceed thresholds for integument alteration prevalence but negatively regarding leg cleanliness. Associations were also found for operation type regarding integument alterations (lower risk on organic vs conventional farms), for herd size regarding lameness (negative association) and dirty upper hind leg (positive association), and for percentage of fifth or higher parity cows in the herd regarding dirty lower hind leg (positive association). Stall type was identified as risk indicator regarding claw disorders (lower risk of long vs short stands). In loose housing systems, none of the analysed risk indicators was associated with the probability to exceed thresholds for total lameness and claw disorder prevalence. Negative associations with the probability to exceed caution or alert thresholds were identified for lifetime milk yield (dirty upper hind leg), lactation milk yield (dirty upper and lower hind leg), percentage of cows in the herd with a fat-protein-ratio <1 (integument alterations), and percentage of cows in the herd with a fat-protein-ratio >1.5 (dirty upper hind leg). Pasture access showed negative (severe lameness, integument alterations) and herd size positive associations (severe lameness) with the probability to exceed thresholds. Deep litter cubicles compared to raised cubicles with rubber mats showed a lower probability to exceed thresholds (integument alterations, dirty lower hind leg) as well as solid rubber compared to concrete slatted flooring in alleyways (integument alterations). Assessments carried out during the pasture period compared to during winter housing were associated with a lower risk of exceeding thresholds for leg cleanliness measures in both, tethered and loose-housed herds, and for integument alteration prevalence in tethered herds. In conclusion, no principal risk indicator was identified which consistently determined the probability of exceeding predefined thresholds of considered welfare outcomes. Nevertheless, outcome-specific factors show sufficient impact on the categorisation of farms according to prevalence ranges.


Subject(s)
Cattle Diseases , Lameness, Animal , Animals , Case-Control Studies , Cattle , Cattle Diseases/epidemiology , Dairying , Female , Housing, Animal , Lameness, Animal/epidemiology , Lameness, Animal/etiology , Pregnancy
14.
Animal ; 16(2): 100446, 2022 Feb.
Article in English | MEDLINE | ID: mdl-35042138

ABSTRACT

Over the last decades, permanent crating of farrowing and lactating sows has led to serious public concerns with regard to sow welfare. As one alternative, it has been suggested to restrict crating to the period when suckling piglets are at the highest risk to die. Therefore, the aim of this study was to investigate live-born piglet mortality with regard to different confinement periods (CFP) as well as farrowing pen types. On three research farms (A, B and C), four confinement periods were compared: In CFP 0 (control), sows were not confined at all, sows in CFP 3 were crated after the end of farrowing for three days. In CFP 4, sows were confined one day before the due date of farrowing until three days after parturition and sows in CFP 6 were crated one day before expected farrowing until five days after parturition. Furthermore, five different pen types designed for temporary crating (PT; 5.5-7.3 m2) were compared. In total, production data from 638 litters were analysed. For each piglet found dead (n = 1 580), the cause of death was determined by the farm personnel and verified by necropsy (all three farms) and additional video analysis (farms A and B only). Data were analysed using logistic mixed models with CFP 0 and pen type Fluegel as reference categories (CFP 0 was control and this pen type was present on all three farms and the largest number of litters was born in this pen type). Live-born piglet mortality was lower in temporarily crated sows than in sows without confinement (CFP 0; P < 0.015). Pairwise posthoc tests did not reveal differences between CFP 3, CFP 4 and CFP 6 (odds ratios 0.75, 0.59 and 0.69), nor between pen types. Additional factors associated with increasing live-born piglet mortality were larger litter size, higher sow parity as well as the administration of hormones around farrowing. Factors influencing mortality due to crushing were similar to those for total live-born mortality with the exception of CFP 3 not differing significantly from CFP 0. It can be concluded, that confinement of the sow for three days after farrowing is an effective measure to reduce live-born piglet mortality in the pen types tested. An extension of the confinement period to five days after parturition does not result in a further reduction of live-born mortality rate.


Subject(s)
Animals, Newborn , Housing, Animal , Immobilization , Mortality , Animals , Female , Lactation , Litter Size , Parturition , Pregnancy , Swine
15.
J Trauma Acute Care Surg ; 93(6): e182-e184, 2022 12 01.
Article in English | MEDLINE | ID: mdl-36044513

ABSTRACT

INTRODUCTION: Firearm-related deaths have become the leading cause of death in adolescents and children. Since the Sutherland Springs, TX mass casualty incident (MCI), the Southwest Texas Regional Advisory Council for trauma instituted a prehospital whole blood (WB) program and blood deployment program for MCIs. METHODS: The program was adopted statewide by the Texas Emergency Medical Task Force, of which Southwest Texas Regional Advisory Council is the lead for Emergency Medical Task Force 8. The recent active shooter MCI in Uvalde, TX was the first time the MCI blood deployment program had been used. To our knowledge, no other similar programs exist in this or any other country. RESULTS: On May 24, 2022, 19 children and 2 adults were killed at an MCI in Uvalde, TX. The MCI WB deployment protocol was initiated, and South Texas Blood and Tissue Center prepared 15 U of low-titer O-positive whole blood and 10 U of leukoreduced O packed cells. The deployed blood arrived at Uvalde Memorial Hospital within 67 minutes. One of the pediatric patients sustained multiple gunshots to the chest and extremities. The child was hypotensive and received 2 U of leukoreduced O packed cells, one at the initial hospital and another during transport. On arrival, the patient required 2 U of low-titer O-positive whole blood and underwent a successful hemorrhage control operation. The remaining blood was returned to South Texas Blood and Tissue Center for distribution. CONCLUSION: Multiple studies have shown the association of early blood product resuscitation and improved mortality, with WB being the ideal resuscitative product for many. The ongoing efforts in South Texas serve as a model for development of similar programs throughout the country to reduce preventable deaths. This event represents the first ever successful deployment of WB to the site of an MCI related to a school shooting in the modern era. LEVEL OF EVIDENCE: Therapeutic/Care Management; Level V.


Subject(s)
Mass Casualty Incidents , Wounds, Gunshot , Adult , Adolescent , Humans , Child , Texas , Resuscitation/methods , Wounds, Gunshot/therapy , Hemorrhage
16.
Animal ; 16(9): 100624, 2022 Sep.
Article in English | MEDLINE | ID: mdl-36049262

ABSTRACT

Although it is still most common to rear dairy calves separately from adult cattle, the interest in prolonged contact between dairy calves and lactating cows during early life is increasing. Previous research has documented positive effects of cow-calf contact (CCC) on for example early calf growth and udder health of suckled cows, but also negative effects such as increased separation distress and reduced weight gains after weaning. The aim of this study was to use information from European farms with prolonged cow-calf contact to identify innovative solutions to common challenges for CCC farms. Commercial dairy farms that kept calves with adult lactating cows for seven days or more after birth were invited to participate, and interviews were performed with 104 farmers from six countries. During interviews, information about farm management, calf rearing, farmers' perception of animal health on their farm, and farmers' drivers and barriers for implementing CCC were collected. We found that CCC was practised in a large variety of housing and management systems, and that calves could be reared together with their dam, with foster cows, or using a combination of the two. The contact period varied considerably (7-305 days) between farms and about 25% of the farms manually milk fed the calves during parts of the milk feeding period. Daily contact time varied between farms, from 30 minutes per day to permanent contact except at milking. Behaviours indicative of separation distress, most commonly vocalisation in cows and calves, were reported by 87% of the farmers. Strategies to alleviate separation distress, for example simultaneous gradual weaning and separation, were used on some farms. Building constraints were most often mentioned as a barrier for implementing CCC. Our findings suggest that CCC is practised in a variety of commonly used husbandry systems. Reported challenges were primarily related to weaning and separation, and to building constraints; these aspects should be areas of future research.


Subject(s)
Dairying , Lactation , Animals , Cattle , Cross-Sectional Studies , Farms , Female , Milk , Weaning
17.
J Dairy Sci ; 93(11): 5129-39, 2010 Nov.
Article in English | MEDLINE | ID: mdl-20965328

ABSTRACT

Lying behavior in dairy cattle can provide insight into how cows interact with their environment. Although lying behavior is a useful indicator of cow comfort, it can be time consuming to measure. In response to these time constraints, using data loggers to automate behavioral recording has become increasingly common. We tested the accuracy of the Onset Pendant G data logger (Onset Computer Corporation, Bourne, MA) for measuring lying behavior in dairy cattle (n=24 cows; 12 in each of 2 experiments). Cows wore the logger on the lateral (experiment 1) or medial (experiment 2) side of the hind leg above the metatarsophalangeal joint. Loggers recorded behavior at 4 sampling intervals (6, 30, 60, and 300 s) for at least 1.5 d. Data were smoothed using 3 editing methods to examine the effects of short, potentially erroneous readings. For this purpose, Microsoft Excel macros (Microsoft Corp., Redmond, WA) converted readings (i.e., lying events bordered by standing or vice versa) occurring singly or in consecutive runs of ≤2 or ≤6. Behavior was simultaneously recorded with digital video equipment. The logger accurately measured lying and standing. For example, predictability, sensitivity, and specificity were >99% using 30-s sampling and the single-event filter compared with continuously scored video recordings. The 6- and 30-s sampling intervals were comparable for all aspects of lying behavior when short events were filtered from the data set. Estimates of lying time generated from the 300-s interval unfiltered regimen were positively related (R(2) ≥ 0.99) to estimates of lying time from video, but this sampling regimen overestimated the number of lying bouts. This is likely because short standing and lying bouts were missed (12 and 34% of lying and standing bouts were <300 s in experiment 1 and 2, respectively). In summary, the data logger accurately measured all aspects of lying behavior when the sampling interval was ≤30 s and when short readings of lying and standing were filtered from the data set.


Subject(s)
Cattle/physiology , Dairying/instrumentation , Posture/physiology , Animals , Dairying/methods , Housing, Animal , Reproducibility of Results , Time Factors , Video Recording/methods
18.
J Anim Breed Genet ; 127(2): 113-8, 2010 Apr.
Article in English | MEDLINE | ID: mdl-20433519

ABSTRACT

Cross-sucking and intersucking are considered abnormal behaviours in cattle and constitute a common problem in dairy farming. Cross-sucking in calves is defined as sucking any body parts of another calf whereas intersucking in heifers and cows is defined as sucking the udder or udder area. The aim of this study was to determine the genetic variability for abnormal sucking behaviour by estimating genetic parameters and examining individual differences between sires with large progeny groups. By means of a questionnaire, cattle breeders in the federal state Lower Austria were requested to identify all currently kept animals which are known of either inter- or cross-sucking (both defined as the same binary trait 'sucking' with 0 and 1 referring to the absence and presence of this abnormal behaviour) or allowing sucking (also treated as a binary trait, scored as 1 if an animal was known of allowing herd mates to suck and 0 otherwise). Records of 1222 farms and 13,332 dual purpose Simmental females aged between 21 and 700 days were investigated applying a linear animal model with fixed herd x year x season and random genetic animal effect and a threshold sire model with the herd x year x season effect being treated as random. In total, 8.6% and 4.1% of all calves/heifers were observed sucking and allowing sucking, respectively. Heritabilities of 0.040 +/- 0.014 and 0.007 +/- 0.006 (linear animal model) and 0.116 +/- 0.041 and 0.026 +/- 0.024 (threshold model) were found for the traits sucking and allowing sucking, respectively. Breeding values were estimated applying the same models for the trait sucking. Taking all 254 sires into account, the Pearson and Spearman correlation coefficients between breeding values estimated by linear animal and sire threshold model were 0.86 and 0.80. Thus, little difference was observed between the two methods.


Subject(s)
Behavior, Animal/physiology , Genetic Variation , Models, Genetic , Sucking Behavior/physiology , Animals , Austria , Cattle , Female , Linear Models , Male
19.
J Dairy Sci ; 92(11): 5476-86, 2009 Nov.
Article in English | MEDLINE | ID: mdl-19841210

ABSTRACT

Lameness poses a considerable problem in modern dairy farming. Several new developments (e.g., herd health plans) strive to help farmers improve the health and welfare of their herd. It was thus our aim to identify lameness risk factors common across regions, breeds, and farming systems for freestall-housed dairy cows. We analyzed data from 103 nonorganic and organic dairy farms in Germany and Austria that kept 24 to 145 Holstein Friesian or Fleckvieh cows in the milking herd (mean = 48). Data on housing, management, behavior, and lameness scores for a total of 3,514 cows were collected through direct observations and an interview. Mean lameness prevalence was 34% (range = 0-81%). Data were analyzed applying logistic regression with generalized estimating equations in a split-sample design. The final model contained 1 animal-based parameter and 3 risk factors related to lying as well as 1 nutritional animal-based parameter, while correcting for the significant confounders parity and data subset. Risk for lameness increased with decreasing lying comfort, that is, more frequent abnormal lying behavior, mats or mattresses used as a stall base compared with deep-bedded stall bases, the presence of head lunge impediments, or neck rail-curb diagonals that were too short. Cows in the lowest body condition quartile (1.25-2.50 for Holstein Friesian and 2.50-3.50 for Fleckvieh) had the highest risk of being lame. In cross-validation the model correctly classified 71 and 70% of observations in the model-building and validation samples, respectively. Only 2 out of 15 significant odds ratios (including contrasts) changed direction. They pertained to the 2 variables with the highest P-values in the model. In conclusion, lying comfort and nutrition are key risk areas for lameness in freestall-housed dairy cows. Abnormal lying behavior in particular proved to be a good predictor of lameness risk and should thus be included in on-farm protocols. The study is part of the European Commission's Welfare Quality project.


Subject(s)
Animal Husbandry/methods , Breeding , Cattle Diseases/epidemiology , Housing, Animal/standards , Lameness, Animal/epidemiology , Animals , Austria , Cattle , Cattle Diseases/prevention & control , Female , Germany , Lameness, Animal/prevention & control , Reproducibility of Results , Risk Factors
20.
J Dairy Sci ; 92(4): 1567-74, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19307637

ABSTRACT

Identifying lame cows and quantifying the prevalence of lameness are important elements of cattle welfare assessment that are generally achieved by methods involving observations of each animal walking. There is no published method for assessing lameness in cows confined in tie-stalls. The objective of this study (carried out within the European Commission's Welfare Quality(R) project) was to develop a suitable method and validate it for lameness detection against a published locomotion score. A series of indicators of lameness visible in tied cows was formalized into a stall assessment protocol. This was validated against a traditional locomotion score and tested for repeatability between 2 observers. A total of 98 cows on 4 farms were assessed. Overall interobserver agreement was 91%. Sensitivity compared with locomotion scoring was 0.54 to 0.77, dependent on observer and threshold definition. Assessment in the stall underestimated the herd prevalence of lameness revealed by locomotion scoring by 11 to 37% (mean 27%). The discrepancy between herd lameness prevalence assessed in the stall and by locomotion scoring was not affected significantly by farm or observer. The cases of lameness that were not detected in the stall tended to be the least severe. The proposed method for lameness detection in tie-stalls could be used for herd-level assessment of lameness and detection of individual lame animals by farmers and their advisors, but it is important to remember that it is less sensitive than locomotion scoring.


Subject(s)
Cattle Diseases/diagnosis , Dairying/methods , Housing, Animal , Lameness, Animal/diagnosis , Animals , Cattle , Cattle Diseases/epidemiology , Female , Lameness, Animal/epidemiology , Locomotion/physiology , Observer Variation , Prevalence , Reproducibility of Results , Sensitivity and Specificity
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