A retrospective study of the success of medical and surgical treatment of wild Australian raptors

OBJECTIVE: To evaluate the results of medical and surgical regimens utilised to treat injured and diseased wild Australian raptors presented at our practice, and to determine if the time, effort and cost of treating the birds was justified in terms of the outcomes achieved. PROCEDURE: All the practice's clinical records relating to the examination and treatment of wild raptors were reviewed for the period April 1994 to December 1998. The species of birds, the aetiology of their injuries or diseases, the treatment protocols and the outcomes of those treatments were correlated and tabulated for evaluation. RESULTS: Fifteen Australian species of raptor were examined and treated. Complete records were available for 104 birds of prey, 73 being Accipitriformes and 31 Strigiformes. The poorest prognosis was for birds involved in motor vehicle impacts, while birds suffering malnutrition or starvation had higher survival rates. The overall rate of survival was 50%. CONCLUSION: Based on the severity of diseases and injuries at the time of presentation, the survival rate was considered acceptable. Veterinary involvement in the treatment of the wild raptors was necessary for the maintenance of the birds' welfare, and to determine appropriate treatments. Intangible benefits included increased practice staff satisfaction, and improving the veterinary professions' public image by providing pro bono treatment for Australian wildlife.     

Successful rehabilitation and release of a powerful owl chick with suspected rodenticide poisoning

The successful rehabilitation and release of raptor chicks can be challenging, especially when the chicks are still in the post-fledging dependency period. Here, we report on a recently fledged powerful owl chick that was held in care for 33 days before being successfully reunited with its parents. We document the steps undertaken during the entire process from collection from the wild to post-release monitoring and recommend clinical procedures for treatment of raptors entering veterinary facilities. Success of this rehabilitation was facilitated by early care and treatment for potential rodenticide poisoning, as well as the integration of citizen scientists monitoring the family unit in the field while the chick was in care and during the post-release period. Given the emerging evidence of widespread rodenticide poisoning in raptors both in Australia and globally, it is critical to suspect all raptors may have been exposed to anticoagulant rodenticides and commence treatment with vitamin K immediately. Routine treatment for rodenticides early increases the probability of successful recovery post-trauma as well as reducing the time in treatment as much as possible.     

Zoo and wildlife medical education: a European perspective

Europe has a long and distinguished history in veterinary science and education, and it was here that the first professional investigations of pathological conditions in zoo animals took place. However, despite an increasing number of veterinarians working with wildlife, education in zoological and wildlife medicine has only recently become part of formal veterinary training at the undergraduate level. Consequently, current educational opportunities in zoological and wildlife medicine vary widely throughout Europe, both in availability and in composition. The need to establish agreed standards in education across Europe and to foster the mobility of students and teaching staff are reflected by international agreements such as the Bologna Treaty and the ERASMUS-SOCRATES program. Europe is also home to a number of voluntary professional organizations, such as the European Wildlife Disease Association and the European Association of Zoo and Wildlife Veterinarians, that actively promote the inclusion of zoological and wildlife medicine in veterinary education. Zoo and wildlife medicine is currently a veterinary specialization in Europe, but educational opportunities are likely to increase in availability in the future.     

Clinical utility of a complete diagnostic protocol for the ocular evaluation of free-living raptors

Objective: To describe a protocol for the examination of free‐living raptors and report the ophthalmic examination findings of seven raptor species native to central Illinois, namely the barred owl, Cooper’s hawk, eastern screech owl, great horned owl, American kestrel, red‐tailed hawk, and turkey vulture and to determine if the findings relative to visual prognosis affected eligibility for future release. Animals studied: Seventy‐nine free‐living raptors. Procedures: Under manual restraint, complete ophthalmic examination including slit‐lamp biomicroscopy and indirect funduscopy, applanation tonometry, rebound tonometry, ocular morphometrics, B‐mode ultrasound, and electroretinography (ERG) were performed on each bird. Histopathology of enucleated globes was performed after euthanasia or death in selected cases. Results: The examination protocol was easily performed using manual restraint alone on all birds. Ocular lesions were detected in 48.1% of birds, with 47.3% affected unilaterally and 52.6% affected bilaterally. Ocular lesions were considered to be vision threatening in 29.0% of the unilaterally affected birds and 29.0% of the bilaterally affected birds. The most common case outcomes were discharge from hospital to rehabilitation facility (45.6%) followed by euthanasia (43.0%). The presence of an ocular lesion or a vision‐threatening ocular lesion was not significantly associated with outcome. Reference ranges are reported for B‐mode ultrasound, ocular morphometrics, and horizontal corneal diameter in all species. Conclusion: Complete ophthalmic examination can be supplemented by the use of ocular morphometrics, ultrasound, and ERG in the manually restrained raptor. These advanced diagnostic techniques may be useful in developing more objective criteria for evaluating eligibility for release following rehabilitation of free‐living birds of prey.     

Raptor therapeutics.

Developing a therapeutic plan for raptors can be challenging because the veterinarian must take numerous and sometimes conflicting factors into consideration. Successful therapy depends on proper management of the raptor patient, beginning with its initial presentation and continuing throughout its time in captivity. Important considerations concerning medicine and natural history peculiar to raptors are addressed. Guidelines for constructing an effective therapeutic plan for the treatment of common diseases and conditions seen in wild raptors are presented.     

Arterial Catheterization,Interpretation, and Treatment of Arterial Blood Pressures and Blood Gases in Birds

Blood pressure monitoring of patients has become increasingly common in companion animal veterinary hospitals, especially during anesthesia, surgical procedures, critical care, and general health assessments. Determining an animal’s blood pressure has become a standard part of the routine diagnostic evaluation for monitoring hypertension in geriatric patients or patients affected with renal insufficiency, cardiac disease, vision loss, or endocrine disorders. To increase the standard of care in exotic and zoological medicine, new diagnostic techniques must be identified and implemented. Blood pressure measurements in avian species are more challenging because only direct blood pressure techniques have been reported to be accurate. Arterial catheterization and interpretation can be daunting without the knowledge of avian physiology and anatomy; however, techniques for placing arterial catheters are not difficult once clinicians have gained sufficient experience. This article describes the techniques, anatomy, and appropriate interpretation of blood pressure results obtained through arterial catheterization in birds.     

Introduction to interventional radiology for the criticalist

Objectives – To introduce the basic equipment necessary to perform interventional radiology (IR) techniques in the veterinary setting, particularly those procedures of interest to the criticalist. Data Sources – Veterinary and human literature as well as author's experience. Human Data Synthesis – Since the 1950s, diagnostic angiography has played an important role in human medicine. However, over the last 2–3 decades, this once purely diagnostic modality has become a subspecialty in human medicine with vast applications throughout the body. These techniques have replaced more invasive surgeries as the standard‐of‐care in many circumstances. Veterinary Data Synthesis – Although comparable data are not available in the veterinary literature, many IR and interventional endoscopy techniques are poised to replace more invasive procedures in veterinary medicine. In addition, these techniques have already been shown to offer treatment options for patients in whom more traditional therapies have failed, have been declined, or are not indicated due to comorbidities or substantial risk to patient health. Conclusions – Like our human medical counterparts, the use of IR techniques will likely play and increasingly important role in the care of veterinary patients. With this in mind, it is important to become familiar with both the equipment used in these techniques as well as their applications both currently in clinical cases and in the near future.     

The North Carolina State University College of Veterinary Medicine Turtle Rescue Team: a model for a successful wild-reptile clinic

The North Carolina State University College of Veterinary Medicine (NCSU-CVM) Turtle Rescue Team (TRT) is a veterinary student-run organization that treats native, sick and injured, wild chelonians. First-, second-, and third-year students are responsible for case management, consultation coordination, diagnostic testing within the hospital, and placing of recuperating animals with local wildlife rehabilitators. Several clinical research publications have resulted from the opportunity to work with these wild reptiles. Active student participants can also gain a course credit by attending eight hours of lecture/ seminar related to reptile medicine. With regards to outcome assessment, 86% of survey respondents found the program to be valuable or extremely valuable to their veterinary medical education. The logistics of organizing, supporting, and running this service are discussed, and its value as a clinical learning tool is supported by the results of a survey.     

Teaching animal handling to veterinary students at Massey University, New Zealand

The veterinary program at the Institute of Veterinary, Animal and Biomedical Sciences, Massey University, New Zealand, is 4.5 years long. Animal handling and restraint are taught to first-year veterinary students via lectures and practical sessions. Students are taught to catch, restrain, and hold the five important domesticated species (horses, cattle, sheep, dogs, and cats) in a series of five practical sessions, each lasting about three hours. Safety is emphasized. Students are taught in groups of 10-12, and generally the tutors demonstrate the various techniques of restraint and then supervise students as they carry them out. Each student's ability to handle and restrain each species is evaluated. Students must be considered proficient with each species before being allowed to handle animals in clinics. Students are taught how to catch and restrain birds, laboratory animals, farm deer, and pigs later in the program.     

Orbital penetration associated with tooth extraction

Three cats and 2 dogs were evaluated for ophthalmologic complications associated with tooth extraction procedures. Orbital penetration leading to ocular and, in one case, brain trauma was secondary to iatrogenic injury from a dental elevator. Outcomes included enucleation of the affected eye in 3 cases, and death from brain abscessation in 1 case. Early treatment or, preferably, referral to a veterinary ophthalmology specialist may prevent such outcomes. Awareness of the anatomical proximity of caudal maxillary tooth roots and the orbit, appropriate interpretation of diagnostic intraoral dental radiographs, and technical proficiency in tooth extraction techniques will minimize these complications in veterinary dental practice.     

Historical perspective and future directions in training of veterinary pathologists with an emphasis on zoo and wildlife species

This article discusses the history of the field of zoo and wildlife pathology, training opportunities for veterinary students and graduate veterinarians, and current and future job opportunities. The niches occupied by veterinarians in this field and their contributions to animal and human health are also highlighted. The field of zoo and wildlife, or "non-traditional" species, pathology has its roots in comparative anatomy, zoology, wildlife biology, and medical pathology in the mid- to late nineteenth century. The initial emphasis was on comparisons between animal and human diseases or on management of game animals. Veterinarians became increasingly involved during the twentieth century, gradually changing the emphasis to improvement of conservation strategies, captive care, and elucidation of diseases of concern for the animals themselves. Currently there are several zoos and wildlife agencies in the United States employing full-time veterinary pathologists. Private and government diagnostic laboratories, veterinary schools, and other academic institutions in the United States with pathology departments are other employers. The field requires post-DVM training by means of a residency program leading to board certification, graduate school (MS or PhD degrees), or both. Veterinary students can gain valuable experience in the field through externships and, at some schools, through elective courses in the curriculum. Current concerns about ecosystem health, bioterrorism, and the recognition that captive and free-ranging wildlife can serve as sentinel species will increase the demand for veterinary pathologists choosing this very rewarding career path specializing in non-traditional species.     

Finding Avian Health Information

This article explores informational resources and basic search strategies used to locate documents for practicing evidence-based avian medicine. It discusses selected databases that are available for locating articles and documents relating to avian health, which would include companion birds, avian wildlife, and birds maintained in zoological collections. Tables are incorporated to identify which electronic databases contain specific avian journals and subsequent number of avian veterinary documents appearing in each listed publication.     

Future directions in training zoological medicine veterinarians

The American College of Zoological Medicine (ACZM) is dedicated to excellence in furthering the health and well-being of both captive and free-ranging wild animals. Currently there are 14 ACZM-approved residency programs in zoological medicine. In addition, eight non-approved residencies and 15 internships in North America provide training opportunities in this field. This article outlines some of the training opportunities for both veterinary students and graduate veterinarians that would best position them for entry into a zoological medicine training program. Although there is a growing number of opportunities for individuals to serve in captive and free-ranging wildlife health positions, existing training programs are inadequate to meet these needs. It is also acknowledged that there is an increasing number of veterinary students entering veterinary schools with an interest in zoological medicine and that the job market is still limited. However, positions and opportunities in zoological medicine are available for those individuals with the drive, dedication, and passion to succeed.     

基层中西兽医结合治疗动物疾病及中兽医发展探析

中兽医起源于中国古代,是具有独特理论体系和丰富诊疗手段的传统兽医学,历史悠久。西方兽医传入我国后,因诊疗便捷且收益较高,基层兽医从业者大多采用西兽医技术防治动物疾病,严重冲击中兽医的在基层的应用。本文通过分析中兽医现状与调查基层中兽医从业及发展情况,剖析其存在的问题和发展机遇,初步探讨提出解决思路,使中兽医得以更好的传承与发展。     

SPIKE and D-PIKE: innovative experiences that engage students early and position them to succeed in food-supply veterinary medicine

Recent trends in urbanization of the population, increased need for bio-security on large farms, and more food-animal or mixed-animal practitioners approaching retirement age are forcing a renewed focus on recruiting and training veterinary students with an interest in production-animal medicine. The increasing number of veterinary students coming from urban backgrounds has led to a need to expose these students to standard animal-production practices and to interest them in a career involving food animals. This article describes one such program developed at Iowa State University, in which 14 students obtained hands-on experience in all aspects of swine and dairy production across a wide sampling of herd size, housing style, bio-security levels, and production phases. The participating students, ranging from senior undergraduates to third-year veterinary students, gained valuable insight not only into daily farming practices but also the knowledge and skills necessary to provide quality veterinary care to these clients. The first year of this program has yielded positive feedback from all participants, including the veterinary practices, private producers, corporate sponsors, and students. Current applicants cite positive comments from past participants as motivating their interest in the program. This program has the potential to expand as an opportunity to educate selected students in the field of food-supply veterinary medicine and to help fill the anticipated void in this area.     

Emergency care of raptors.

Emergency care of raptors often requires extensive diagnostics and therapeutic regimens to stabilize and support the ill or injured raptor. Whether falconry birds, educational birds, or raptors from the wild are presented, various medical conditions must be addressed to help guide the practitioner toward a complete recovery for the raptor.     

Chemical capture of impala (Aepyceros melampus): A review of factors contributing to morbidity and mortality

Objective

To review the factors that contribute to morbidity and mortality of impala undergoing chemical capture, and discuss how they are potentially mitigated.

Assessment of clinical reasoning skills in veterinary students prior to and after the clinical year of training

OBJECTIVE: To examine the effect of various clinical tracks within the veterinary medical clinical curriculum at Texas A&M University on clinical diagnostic proficiency as determined by pre- and post-training assessment. We expected that the clinical track chosen by the student would impact their measured outcome with bias toward higher scores in their chosen field. DESIGN: Prospective cohort study. STUDY POPULATION: 32 students from the College of Veterinary Medicine and Biomedical Sciences at Texas A&M University. PROCEDURES: By use of standardized, written case scenarios, clinical reasoning was assessed twice: once prior to the clinical (fourth) year of the curriculum and again at completion of the clinical year. Students demonstrated their abilities to collect and organize appropriate clinical data (history, physical examination, and laboratory findings), determine clinical diagnoses, and formulate and implement acceptable treatment modalities. Data from clinical assessments were compared for a given cohort and correlated with other measures (eg, grades, standardized test scores, and species-specific curricular track). RESULTS: Differences were detected in clinical diagnostic proficiency among students in different clinical tracks and for different species groups in the case scenarios. Tracking by species group in the clinical veterinary curriculum appeared to affect development of clinical reasoning and resulted in differential proficiency among cases for differing species groups. CONCLUSIONS AND CLINICAL RELEVANCE: Differences in clinical experiences between small animal tracks and all other track opportunities (large animal, mixed animal, and alternative) influenced the development of clinical proficiency in fourth-year veterinary students during their clinical training period.     

Mainstreaming alternatives in veterinary medical education: resource development and curricular reform

Veterinary medical educators are charged with preparing students to enter practice in veterinary medicine during a four-year, intensive, professional education program. This requires giving students in laboratory training that involves dead, anesthetized, or conscious animals, so that they become proficient in the expected range of veterinary knowledge, skills, and abilities. Undeniably, experience with animals is essential to prepare students for a profession in which animals comprise the total domain. However, the consumptive use of animals for teaching students, especially in laboratories, is increasingly subject to regulatory requirements, while also being scrutinized by animal protection groups, and has become a common focus of contention among veterinary students. Not surprisingly, the use of animals in teaching has sharply declined over the past few decades, as new teaching resources and methods, involving less consumptive use of animals, have been incorporated. This change in veterinary medical education has occurred on such a wide scale, in almost all veterinary schools and colleges, that the educational approach can serve as a model for further developments within the veterinary educational community and, indeed, for animal-related material in secondary schools and undergraduate higher education. This article highlights examples of the leadership provided by veterinary educators in developing alternative teaching resources and methods, while maintaining the high level of proficiency expected from traditional educational approaches.