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For Veterinary Staff


Resources for Veterinary Staff

Vancouver Animal Emergency Clinic Referral Forms
Patient Referral Form
Radiography Referral Form
Ultrasound Referral Form

Veterinary Emergency and Critical Care Society
www.veccs.org

Veterinary Information Network
www.vin.com
The premium information site for Veterinarians Only

Veterinary Support Personnel Network
www.vspn.org
For people working with, for or in the field of veterinary medicine. Membership is free. In order to access site features including message boards, chats and CE, you will need to register. Veterinarians should register at VIN, the premier site for veterinarians.

Vet Med Team
www.vetmedteam.com
A site for veterinary support staff. Has CE and discussion boards

BC Veterinary Medical Association
www.bcvma.org
There is a public and veterinary section. The public section has a lost/stolen pet bulletin, a directory for veterinary hospitals by location and links to other Canadian associations

BC Animal Health Technologists Association
www.ahta.bc.ca

Canadian Association of Animal Health Technologists and Technicians
www.caahtt-acttsa.ca

Plants Toxic to Animal
www.library.uiuc.edu/vex/toxic.htm
Site created by the University of Illinois, complete with photos

National Animal Poison Control Center (US)
www.napcc.aspca.org
The premier animal-oriented poison control center in North America. Learn about household items that can be dangerous for your pet. Phone consultations are available for a professional fee

Case Studies in Small Animal Cardiovascular Medicine from UC Davis
www.vmth.ucdavis.edu/cardio/cases/

Colorado State University College of Veterinary Medicine
www.cvmbs.colostate.edu/clinsci/wing/arrhyth/index.html
A great page on emergency medicine from Wayne Wingfield, DVM. A must visit site for all techs and DVMs. It includes interactive info on CRI’s, an Emergency Drug Calculator, an Enteral Feeding calculator, case studies on blood gases, cardiac arrhythmias and fluid therapy

Canadian Animal Blood Bank
www.rrc.mb.ca/abb/cabb.htm
Provides blood products and transfusion supplies to veterinarians across Canada

Canada West Veterinary Specialists
www.accg.com
Referral hospital located in Burnaby, BC

Net Vet
netvet.wustl.edu
This site that has a vast range of links. There are links to universities, organizations, career resources, and endless links to info on any species you can think of. It is great site to surf if you have the time to look around

North West Nuclear Medicine for Animals
www.iodinecafe.com
Drs Teresa Hall and Sheila Rusticus are the experts when it comes to feline hyperthyroidism. Their facility is contained within Animal ER’s building. We value our close association with NWNM and know that Dr. Hall and Dr. Rusticus feel their hospitalized kitties are safer being lodged within the walls of Animal ER.

 
Vancouver Animal Blood Services
VABS Donors
VABS Blood Products Overview
Ordering
Shipping
Billing
Product List

Introduction

Why use component therapy instead of whole blood?

It makes sense to utilize the valuable resource of donated blood as efficiently as possible. It is also good medicine to minimize treatment risks whenever possible.

Toward these ends, the VABS separates blood into component products. This allows the storage of plasma far beyond the shelf-life of red blood cells (RBCs). It also decreases the risk of transfusion reactions by giving plasma instead of whole blood when plasma only is needed, as the RBC is the most antigenic portion of blood. Similarly, the risk of volume overload is lower if Packed RBCs are used rather than Whole Blood when treating an anemia unaccompanied by hypoproteinemia or hypovolemia.

VABS Donors

Blood and components have been collected from pet canine donors who have been volunteered by their owners. The donors have received vaccinations for at least their first 3 years of life, and are current on immunization for Canine Distemper, Adenovirus type 2, and Leptospirosis, Parainfluenza, Canine Parvo Virus and Rabies based on their family veterinarian’s recommendations.

VABS donors undergo extensive screening through Central Laboratory for Veterinarians, including CBC/chemistry, U/A and fecal ova/parasite. They have been tested for von Willebrand Factor (vWF), canine Brucella, Lyme disease, EhrIichia canis, Babesia canis and gibsonii, and Dirofilaria immitis. They have been fully typed for DEA 1.1, 3, 4, 5,
(+/- 7). Donors classified as “Universal” are negative for all antigens except DEA 4. The donor’s blood type is indicated on the PRBC label.


VABS Blood Products Overview

Packed Red Blood Cells (PRBCs) (~ 120 per unit)
The PRBCs have been separated from the plasma portion of the blood. This allows delivery of red blood cells with reduced risk of volume overload. PRBCs may be stored at refrigerator temperature for up to 42 days. The expiry date will be noted on the unit. This product is more likely to induce hypersensitivity reactions than plasma products, so VABS strongly recommends blood typing and cross-matching recipients before transfusion. (In-house cross-matching instructions are available upon request.)

Fresh Frozen Plasma (FFP) (~ 120 ml per unit)
FFP is plasma that has been separated and frozen within 6 hours of collection. FFP contains labile and stable clotting factors, albumin, alpha-macroglobulins, antithrombin III, electrolytes, and other plasma nutrients. It can be stored up to 1 year in a standard freezer. After 1 year, it can be stored for an additional 4 years, but it is considered frozen instead of fresh-frozen and is not recommended if labile clotting factors are needed. Common indications for FFP include: coagulopathies due to Vitamin K toxicosis, vWD, pancreatitis, DIC, hypoalbuminemia.
Platelets are not viable in refrigerated or frozen blood products.

Fresh Whole Blood (~200 ml / ~ 400 ml per unit). Sometimes a dog just needs it all – red cells, fresh plasma, and platelets. Freshly collected blood (less than 6 hours since collection) is a “special needs” product. Call VABS when you need it. We will make every effort to obtain a donor.


WARNING:
As described above, VABS takes every precaution to ensure all donors are carefully screened and that each blood product is processed and handled with the utmost care. Despite these measures, such hazards as bacterial contamination of a product could occur. The effect of such products on the recipient could be life-threatening.

The recipient’s circumstances (e.g., immune status and presence of undetected antibodies to untested factors of the donor) could cause the recipient to undergo a mild to serious transfusion reaction. While we recommend crossmatching prior to transfusion of red cells, a "match" does not completely remove the risk of an immune response and the destruction of red cells. Plasma MAY contain red cells and platelets.

Veterinarians who have ordered products are ultimately responsible for the wise handling and use of the products. Clinical vigilance is the best assurance your patients will be safe.

Product insert(s) are not intended to be a written guarantee of the safety of blood and blood components.

Ordering

Requests for blood products and supplies can be made at any time.
Please call 604-734-5104

The price of blood products does not include shipping or taxes.

Shipping

Our staff will package products in the correct manner for transport to your facility. You are responsible for choosing and arranging the method of transportation (e.g. courier*, taxi, staff member, owner of recipient).

* We have had good experience with Novex Clean for same day courier service.

Vancouver Animal Blood Services is not responsible for damage or deterioration sustained after the product(s) leave 1590 W. 4th Avenue in Vancouver.

Billing

VABS will include an invoice with each order. Visa or MasterCard may be used at the time of order or credit card information may be left on file with us. Please contact our staff for more details. If not using a credit card, please remit payment when invoiced.

Product List

(Click on product for product information)
Plasma Fresh Frozen ~120 ml
Plasma Fresh Frozen ~180 ml

Packed Red Blood Cells DEA 1.1+ ~120 ml
Packed Red Blood Cells Universal ~120 ml

Whole Blood ~200 ml
Whole Blood ~400 ml


VABS Blood Typing In-House

Transfusion Supplies:

Fenwal® Straight Type Blood Set
Hemo-nate® Filter
Hemo-tap® Blood Bag Spike

 

References

Kidd, Linda, D.V.M. Canine And Feline Transfusion Medicine. Veterinary
Information Network Database. August 14, 2003. Aug 16, 2003. http://www.vin.com/Members/SearchDB/misc/m05000/m03581.htm

(Go to http://www.vin.com/promo/join.htm to sign up for a 30 day free trial of VIN)

Lanevschi A, Wardrop KJ. Principles of transfusion medicine in small animals. Can Vet J Volume 2001; 42:447-454.

Mathews KA. Blood/Plasma Transfusion. In: Mathews, KA ed. Veterinary Emergency and Critical Care Manual. Lifelearn 1996; 28: 1-15

 
Endoscopy

Eugene Gorodetsky D.V.M. - Mobile Endoscopy Services


Dr. Gorodetsky provides on-call endoscopy services for our emergency patients. A typical case would be a dog who has swallowed a foreign object such as a toy. The patient is spared a major operation by having the object retrieved using a flexible endoscope.

Examples of procedures which can be done with an endoscope are:

  • upper gastro-intestina study (examination of the oesophagus, stomach, and part of the small intestine)
  • colonoscopy (examination of the colon and rectum)
  • rhinoscopy (looking up the nasal cavity)
  • bronchoscopy (examining the airways).

Endoscopy often includes collecting samples such as biopsies; these samples are sent to a pathology laboratory for further evaluation.

Dr. Gorodetsky will visit other hospitals in British Columbia to perform endoscopy.  You can contact him through the Vancouver Animal Emergency Clinic, or you can reach him directly on his cell or by email.