Cat owners do not provide more reliable weight estimates for cats compared with veterinary professionals in an emergency setting.

OBJECTIVES: The aim of the present study was to assess the accuracy of weight estimation in cats provided by pet owners, veterinary technicians, house officers (interns and residents) and attending clinicians in an emergency room (ER). An additional objective was to determine whether carrying the cat contributed to a more accurate weight estimate. METHODS: A total of 72 cats presented to an ER and were enrolled in the study. Pet owners, veterinary technicians, house officers and attending clinicians were asked to record the cats' estimated weights on individual data collection cards. The actual weights of the cats were then obtained and compared with participants' estimations. RESULTS: There were no significant differences between weight estimates provided by pet owners, veterinary technicians, house officers and attending clinicians. Similarly, neither the length of experience of the veterinary staff nor carrying the cat had an effect on the provision of a more accurate weight estimate. CONCLUSIONS AND RELEVANCE: Pet owners are no better at weight estimation of cats in the ER setting compared with veterinary professionals. Carrying the cat did not improve the accuracy of weight estimation among veterinary professionals. The mean cat weight of 4.9 kg could be used as an average cat weight in an emergency situation for an adult cat.

Pet owners provide a more reliable weight estimate for dogs compared to veterinary professionals in an emergency setting.

OBJECTIVE: To determine the accuracy of pet owners, veterinary technicians, house officers (interns and residents), and attending clinicians at estimating dog weights in a veterinary emergency room. ANIMALS: 272 dogs weighing over 2 kg presenting to the emergency room between June 1 and July 29, 2022. METHODS: Pet owners, veterinary technicians, house officers, and attending clinicians recorded the dogs' weight estimations on individual data collection cards. Pet owners were also asked to estimate their dogs' weight during the triage period. The dogs' actual weights were then obtained and recorded. RESULTS: Pet owners were more accurate than veterinary professionals at providing weight estimates for dogs. Weight estimates were accurate to within 10% of the dogs' actual weights for 67.9% (181/267) of pet owners. Forty-one percent (112/270) of attending clinicians, 35.3% (95/269) of house officers, and 35.4% (96/271) of veterinary technicians' weight estimates were within 10% of the dog's actual weight. There was no difference noted in the length of veterinary experience and ability to closely estimate the patient's weight. Overall, veterinary professionals were more likely to closely estimate the weight of large dogs compared to small dogs. CLINICAL RELEVANCE: The pet owner is most likely to provide an accurate weight for dogs and questions about the dog's weight should be directed to the client for situations in which a weight cannot be rapidly obtained.

Psychological implications of humane endings on the veterinary profession.

The veterinary profession has a unique responsibility to animals during the final stages of their lives. The veterinarian's obligations extend to humane endings, involving all species of animals in a range of circumstances including, but not limited to, euthanasia of individually owned animals, euthanasia of animals for research purposes, depopulation of animals during emergencies, and slaughter of animals raised for food. The veterinary profession continues to improve animal welfare through advances in end-of-life decision-making and humane killing techniques,1-3 but the psychological impacts on veterinarians have not received the same level of consideration. Building on the influential AVMA Humane Endings Guideline, the AVMA recognizes that support for the mental health of veterinarians engaged in such activities needs to be a priority. This article aims to provide the foundation and rationale for improved preparation and establishment of sustainable mental health resources and to offer recommendations on pragmatic solutions to support and prepare veterinary professionals as leaders impacted by participation in humane endings-related activities. While end-of-life decision-making and implementation may present mental health challenges to veterinarians, it is crucial to recognize that there are stressors specific to each situation and that every individual's experience is valid. Addressing the mental health issues surrounding the decision-making process and implementation of humane endings activities start with a comprehensive understanding of each activity's unique context and the veterinarian's leadership role. Therefore, this article highlights the psychological impact of depopulation and its similarities and exclusive challenges compared with euthanasia and humane slaughter.

Virtual Clinics: A Student-Led, Problem-Based Learning Approach to Supplement Veterinary Clinical Experiences.

The COVID-19 pandemic created an abrupt need for effective remote clinical experiences for senior clinical veterinary students. Subsequently, the authors created virtual clinics. This activity was derived from a problem-based learning (PBL) model wherein students designed clinical cases and participated through virtual role play as clients and clinicians. The purpose of this article is to describe virtual clinics and to report data from focus groups of participating students and faculty facilitators from two institutions regarding the positive and negative aspects of the shift in practice. A few common emerging themes included that case rounds were fun and engaging, students could learn at their own pace, and peer-to-peer learning opportunities had perceived value. Themes are reflected against the pedagogical literature to draw out areas that resonated. Students felt this activity was more engaging than listening to a discussion of a case they had no ownership of, and facilitators agreed that the peer-to-peer interactions added to student engagement. Additionally, students developed deeper knowledge about the underlying disease process and clinical presentation of their case, which required independent and self-directed learning, enabling students to think about a case from a client's perspective. By participating in these activities, students developed skills of classroom-to-clinic transitional value. While virtual clinics should not replace in-person clinical experiences, this activity might be useful to facilitate students' transition from a structured classroom setting to a less-structured clinical experience.

Facing the "Fear of Failure": Veterinary Students in Clinical Rotations.

Failing a student is difficult for both educator and student, but administering a failing grade is critical for protecting and ensuring adequate learning for an unsafe student. The failure to fail clinical students has been commonly reported and explored among educators in the human health professions but has not been formally addressed in veterinary education. Forty-three participants attending the Veterinary Educators Collaborative symposium were surveyed concerning their attitudes and experiences failing clinical veterinary students. Results indicated that the failure to fail phenomenon exists among veterinary educators, as the majority of veterinary educators often felt reluctant and unprepared to fail a student on clinical rotations. The most common barriers to failing students were institutional culture and unsatisfactory assessor development or evaluation tools. Veterinary educators must face this fear of failure and explore strategies to overcome existing barriers that can ultimately transform student failure into success.

Pet Ownership and Quality of Life: A Systematic Review of the Literature.

Pet ownership is the most common form of human-animal interaction, and anecdotally, pet ownership can lead to improved physical and mental health for owners. However, scant research is available validating these claims. This study aimed to review the recent peer reviewed literature to better describe the body of knowledge surrounding the relationship between pet ownership and mental health. A literature search was conducted in May 2020 using two databases to identify articles that met inclusion/exclusion criteria. After title review, abstract review, and then full article review, 54 articles were included in the final analysis. Of the 54 studies, 18 were conducted in the general population, 15 were conducted in an older adult population, eight were conducted in children and adolescents, nine focused on people with chronic disease, and four examined a specific unique population. Forty-one of the studies were cross-sectional, 11 were prospective longitudinal cohorts, and two were other study designs. For each of the articles, the impact of pet ownership on the mental health of owners was divided into four categories: positive impact (n = 17), mixed impact (n = 19), no impact (n = 13), and negative impact (n = 5). Among the reviewed articles, there was much variation in population studied and study design, and these differences make direct comparison challenging. However, when focusing on the impact of pet ownership on mental health, the results were variable and not wholly supportive of the benefit of pets on mental health. Future research should use more consistent methods across broader populations and the development of a pet-ownership survey module for use in broad, population surveys would afford a better description of the true relationship of pet ownership and mental health.

The New Status Quo: Enhancing Access to Human-Animal Interactions to Alleviate Social Isolation & Loneliness in the Time of COVID-19.

Access to human-animal interactions (HAI) have been influenced by the COVID-19 pandemic. Service animals that were trained and accustomed to daily access to public places had to adjust to staying at home. Therapy animals and their handlers who previously visited with many of the populations most vulnerable to the virus have had to halt their programming. Professionals who utilize animal-assisted interventions (AAI) have had to develop new strategies for providing goal-oriented care. Even the landscape for companion animals has been significantly altered, leading to behavioral changes and new practices for pet owners and veterinarians. While animals and their human companions face new challenges, our recognition of the power of the human-animal bond (HAB) has grown, as it provides a vital need for connection during this time of isolation. In this paper, we will not only focus on describing the new status quo related to various kinds of animals and the public's access to HAI, but will also offer suggestions for sharing the human-animal bond during a time in which physical connections are limited. Organizational insights from the service and therapy animal fields will be explored, and findings related to the auspiciousness of new initiatives, such as animal-related engagement (ARE), will be presented. Recommendations for people who share their lives with any of these kinds of animals will be made to ensure both human and animal welfare. Finally, future research and best practices will be suggested, so we can empirically understand and develop these revised offerings to ultimately bring HAI to a wider audience than ever before.

2021 AAHA Working, Assistance, and Therapy Dog Guidelines.

The guidelines are the first comprehensive consensus report on veterinary healthcare recommendations for working, assistance, and therapy dogs. This category of canine patients includes a broad assortment of animals, some with well-defined functions and others that provide a more generalized support role. The guidelines discuss recommendations for dogs trained for protection, odor/scent detection, service functions for people with diagnosed disabilities or physical limitations, emotional support, and therapeutic intervention. Although the term is often used to describe dogs providing animal-assisted activities, true therapy dogs provide goal-directed therapy, often under the supervision of a healthcare professional such as an occupational therapist or psychologist. Many working dogs undergo extensive training and have rigorous physical demands placed upon them. These factors make working, assistance, and therapy dogs inherently valuable and impose a need for a high level of primary veterinary care as described in the guidelines. Because working dogs have a particularly close relationship with their handlers, a trust relationship between the practice team and the working-dog client is imperative.

Valuing Diversity in the Team.

One of the most impactful ways to create a dynamic team is to foster diversity and inclusivity within the workplace. Workplaces have become more heterogenous as advances in human, women, and civil rights group have spurred greater labor force participation by members of historically underrepresented groups. Studies have shown that leveraging diversity has important implications for the promotion of positive organization change through facilitation of individual and organization performance. Diverse clientele may be more comfortable and feel more welcome working with people in a diverse workplace.

Current Standards and Practices Within the Therapy Dog Industry: Results of a Representative Survey of United States Therapy Dog Organizations.

Organizations that deliver animal-assisted interventions (AAIs), as well as those that train, evaluate, and register therapy dogs, have proliferated in recent decades in the United States (U.S.). Each of these organizations has its own policies and procedures for screening, evaluating, and instructing dogs and their owners/handlers, but little is currently known about the range of different practices that exist nationwide. The aim of this project was to survey a representative, national sample of U.S. therapy dog organizations to investigate commonalities and differences in the types of practices in current use and to compare these to recommendations in existing published guidelines. The findings suggest the need for further research, and highlight a number of areas relating to dog welfare, human safety, and infection control in which many organizations were inconsistent in their adherence to existing guidelines. Of particular concern with regard to animal welfare was the finding that approximately half of the organizations surveyed imposed no time limit on the length of visits. Also, given the potential for zoonotic disease transmission, the finding that only a small minority of organizations prohibit the feeding of raw meat diets and treats to visiting dogs is concerning. This information will help to raise awareness among facilities with therapy animal programs and assist in the development of future best practices within the therapy dog industry.

Considerations for the Retirement of Therapy Animals.

With the growth of animal-assisted interventions, the number of animals designated to work as therapy animals continues to increase. These animals participate in this work in varying capacities during life, but there will be a point in time when the animal can no longer engage in these activities. The concept of retirement, or withdrawing the animal from its working life, is an important phase of life that every therapy animal will inevitably face. Retirement is typically regarded as a well-deserved reward earned after a lifetime of work, but this termination of an animal's career has potential positive and negative implications for animal, handler, and human participants in these interventions. The question of precisely when and how to appropriately retire an animal is usually answered at the discretion of the handler; however, the validity of this question remains largely unanswered without scientific evidence. The purpose of this review is to describe the implications of therapy animal retirement for the handler, participant, and animal and to discuss the challenges in determining when to retire a therapy animal.

The State of Animal-Assisted Interventions: Addressing the Contemporary Issues that will Shape the Future.

As the worldwide popularity of animal-assisted interventions (AAIs) increases, the fieldis quickly approaching a paradigm shift, adjusting its image to incorporate more evidence-basedresearch and aligning its purpose for advancing a new future. Contemporary critical issues thatconfront the field today include, but are not limited, to research, animal welfare, practice guidelines,and public policy. This article will provide an overview of the history of AAI and the majormilestones that the field has undergone. The current state of AAI research will be scrutinized, andthe areas that warrant further study will be recommended. Special attention will be given to thecurrent state of animal welfare in AAI, the research that has been done in the area, and practiceguidelines that safeguard animal wellbeing. This article will then discuss how evidence-basedresearch and animal welfare guidelines inform the development of comprehensive professionalstandards and influence changes in public policy regarding AAI. The authors' perceptions for thefield's future trajectory will be presented, which will include solutions to move the field in thedirection that best advances the human-animal bond in research, practice, and public perception.

Paving the Path Toward Retirement for Assistance Animals: Transitioning Lives.

Assistance animals play significant roles in human therapy and well-being and represent a rapidly growing demographic of animals in society. Most research in the field of assistance animals has been focused on the effect of these animals on people. Only recently has there been a growing interest in the welfare and well-being of these animals and the effect of the work on the animals themselves. The concept of retirement, or withdrawing the animal from its working life, is an important welfare consideration that has received minimal discussion in the scientific literature. The notion of retirement is typically regarded as a reward earned after a lifetime of work, but this inevitable phase of an animal's working life has positive and negative implications for both animal and handler. Some of these implications include recognizing the emotional impact of this life-altering event on both animal and handler. The decisions of when and how to appropriately retire an animal are typically made at the discretion of the assistance animal agencies and handlers, but standard evidence-based guidelines for the proper retirement of assistance animals are currently unavailable. This review will provide considerations and recommendations for the retirement that assistance animals deserve.

Describing the Use of Animals in Animal-Assisted Intervention Research.

Currently, there has been growing attention to animal welfare in animal-assisted interventions (AAI). However, there is a lack of scrutiny regarding what steps to take to ensure animal wellbeing during AAI research. The Institutional Animal Care and Use Committee (IACUC) reviews, monitors, and approves all research involving animal subjects in order to ensure an animal's ethical and humane treatment. However, AAI publications rarely report IACUC approval. The purpose of this critical review was to determine the frequency of IACUC approval and to report the descriptions of animal use in AAI research publications. In the 139 articles reviewed, 14 (10%) studies reported attaining IACUC approval; 4/139 (3%) reported an adverse outcome on at least one animal used in the study. The publications inconsistently reported the training or certification and veterinary care of the animals. Lacking IACUC approval in AAI studies indicates that the field underutilizes this method of monitoring animal health and welfare. The IACUC should assess, approve, and monitor research protocols involving animals prior to conducting every study to safeguard AAI animal welfare.

Effect of environmental noise and music on dexmedetomidine-induced sedation in dogs.

BACKGROUND: Previous studies in human patients suggest depth of sedation may be affected by environmental noise or music; however, related data in domestic animals is limited. The objective of the current study was to investigate the effect of noise and music on dexmedetomidine-induced (DM- 10 µg/kg, IM) sedation in 10 dogs. METHODS: In a crossover design, post-DM injection dogs were immediately subjected to recorded human voices at either 55-60 decibel (dB) (Noise 1) or 80-85 dB (Noise 2); classical music at 45-50 dB (Music); or background noise of 40-45 dB (Control+). Control- included IM saline injection and exposure to 40-45 dB background noise. Sedation was assessed via monitoring spontaneous behavior and accelerometry (delta-g) throughout three 20-min evaluation periods: baseline, noise exposure, and post-treatment. Sedation was further assessed during two restraint tests at 30 min (R1) and 40 min (R2) post-injection. A mixed model for crossover design was used to determine the effect of noise exposure and time on either spontaneous behavior scores or delta-g. The restraint scores were analyzed using a two-way repeated measures ANOVA. RESULTS: Spontaneous behavior scores indicated less sedation during Noise 2 compared to Control+ (P = 0.05). R2 restraint scores for all DM treatments except Noise 2 indicated significantly higher sedation than Control- [C+ (P = 0.003), M (P = 0.014) and N1 (P = 0.044)]. DISCUSSION: Results suggest that the quality of sedation is negatively impacted by high-intensity noise conditions (80-85 dB), but exposure to music did not improve sedation in this population of research dogs.

Cryopreserved platelet concentrate transfusions in 43 dogs: a retrospective study (2007-2013).

OBJECTIVE: To clinically characterize a group of thrombocytopenic dogs that received cryopreserved platelet concentrate (cPC) transfusion, assess efficacy of cPC treatment in improving patient outcome, and compare treated dogs to a control population of thrombocytopenic dogs that did not receive cPC transfusions. DESIGN: Retrospective study. SETTING: University teaching hospital. ANIMALS: Eighty-six client-owned dogs (43 in treatment group, 43 in control group). INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Medical records of thrombocytopenic dogs that received cPC transfusions and those of thrombocytopenic dogs that did not receive cPC (control population) from January 2007 through March 2013 were reviewed. Dogs receiving cPC were statistically more likely than controls to have a platelet trigger for cPC transfusion (P = 0.01), lower platelet count (P = 0.009) and hematocrit at presentation (P = 0.001), and lower hematocrit after cPC (P = 0.02). Although there was a statistically significant increase in platelet count from pre- to post-cPC transfusion (P = 0.002), cPC was not found to be effective in improving clinical bleeding or increasing survival compared to the control group. No other characteristics were statistically different between groups. No dogs receiving cPC had an acute transfusion reaction during hospitalization. CONCLUSIONS: In the population described in this study, cPC was not found to increase survival, but was well tolerated. Controlled, prospective studies are necessary to determine indications for and efficacy of cPC transfusions.

Probable vasovagal reaction following cystocentesis in two cats.

CASE SUMMARY: This case report describes an acute reaction, thought to be vagally mediated, in two cats immediately following cystocentesis. Both cats were being evaluated for feline idiopathic cystitis and developed bradycardia, hypersalivation, urination and weakness after a blind cystocentesis. Both cats recovered uneventfully with supportive care. RELEVANCE AND NOVEL INFORMATION: A vagally mediated response may occur in cats after cystocentesis, which is a common procedure performed by veterinary professionals in cats. This response may be very profound and dramatic. Affected cats will likely make an uneventful recovery. This vagally mediated response to cystocentesis, though reported by word of mouth among veterinarians, has not been described in the literature. This is the first documentation of its occurrence in cats.