6/10/2015
1
Slide 1JSOMTC, SWMG(A)
Multi‐Purpose Canine (MPC) Restraint and Physical Examination
PFN: Hours:
Instructor:
Slide 2JSOMTC, SWMG(A)
Slide 3JSOMTC, SWMG(A)
Terminal Learning Objective
Action: Communicate knowledge of Multi‐Purpose Canine (MPC) restraint and physical examination
Conditions: Given a lecture and practical exercise in a classroom environment
Standards: Received a minimum score of 75% on a written exam IAW course standards
6/10/2015
2
Slide 4JSOMTC, SWMG(A)
Reason
As a Special Operations Combat Medic, you are responsible to provide emergency medical care to a government owned animal in the absence of veterinary assets.
Slide 5JSOMTC, SWMG(A)
References
The Veterinary Merck Manual – 9th edition, published 2005
Birchard, Stephen J. Saunders Manual of Small Animal Practice. W.B. Saunders, 2000
TMEPS
Slide 6JSOMTC, SWMG(A)
Agenda
Identify the safety considerations, techniques and equipment for physical restraint of the MPC
Identify the key components of the MPC physical examination
Identify the key components of assessing MPC vital signs
Identify the key components of annotating MPC medical data
6/10/2015
3
Slide 7JSOMTC, SWMG(A)
Safety Considerations, Techniques and Equipment for Physical
Restraint of the MPC
Slide 8JSOMTC, SWMG(A)
Restraint Technique and Equipment
Preparation and training prior to an emergency situation is important!
Positive control of the head and body Restraint by the handler is ideal
• Direct restrainer on proper technique if handler is unavailable
Medics should socialize with the canine Medics acting as the training objective is highly discouraged
Slide 9JSOMTC, SWMG(A)
Restraint of MPCs: General Approach
Animals that are frightened and/or experiencing pain will be much more fractious and cannot be trusted
Trust none of them MPC’s must be muzzled when doing physical exams or treatments!!!
6/10/2015
4
Slide 10JSOMTC, SWMG(A)
Physical Restraint
Slide 11JSOMTC, SWMG(A)
Restraint Equipment
Muzzles Used to prevent biting Many styles available 2 varieties
• Basket• Cloth
Slide 12JSOMTC, SWMG(A)
Restraint Equipment
Field Expedient Muzzle: May be used when animal may be fractious
6/10/2015
5
Slide 13JSOMTC, SWMG(A)
Chemical Restraint
Dexdomitor®(Dexmedetomidine Hydrochloride) Given intramuscular or intravenous Dosage based on patient weight IAW product insert
20 – 30 minutes of good sedation Reversed with Antisedan® (Atipamezole Hydrochloride)
Not for use in an animal with a traumatic injury
Slide 14JSOMTC, SWMG(A)
Chemical Restraint
Morphine Controlled substance Opiate Subcutaneous or intramuscular injection
• Intravenous injection not recommended Dosage
• 0.5 – 2 mg/kg every 3‐4 hours IM or SQ• IV dose if given is 10% of IM dose given slowly
Plumb, D:Veterinary Drug Handbook, 5th ed. Blackwell Publishing, 2005
Sedation and analgesia Not for use in a patient with a head injury or respiratory distress
Slide 15JSOMTC, SWMG(A)
Safety and Restraint
MPCs should be muzzled for all medical procedures
6/10/2015
6
Slide 16JSOMTC, SWMG(A)
MPC Physical Examination
Slide 17JSOMTC, SWMG(A)
Physical Exam
Eyes Abnormal symptoms ‐discharge, swelling of the conjunctiva and sclera, corneal damage
Normal
Conjunctivitis and Ocular Discharge
Corneal Abrasion (stained)
Slide 18JSOMTC, SWMG(A)
Physical Exam
Nose Abnormal symptoms ‐discharge, swelling, trauma
Normal
Abnormal Discharge
Fungal Discharge
6/10/2015
7
Slide 19JSOMTC, SWMG(A)
Physical Exam EarsAbnormal symptoms ‐ discharge, redness, foul odor, head tilt, shaking of the head, painful upon palpitation
Slide 20JSOMTC, SWMG(A)
Physical Exam
Skin Abnormal symptoms ‐alopecia, redness, “hot spots”, itching, excessive dandruff
Slide 21JSOMTC, SWMG(A)
Physical Exam Muscle structure, gait, and postureAbnormal symptoms ‐Muscle atrophy, limping, difficulty raising or lowering, hip dysplasia
6/10/2015
8
Slide 22JSOMTC, SWMG(A)
Physical Exam Anus and genitaliaAbnormal symptoms ‐ diarrhea, impacted anal sacs, discharge from the penis or vagina
Slide 23JSOMTC, SWMG(A)
MPC Vital Signs
Slide 24JSOMTC, SWMG(A)
Vitals
Temperature Pulse Respirations Capillary refill time (CRT) Skin turgor
6/10/2015
9
Slide 25JSOMTC, SWMG(A)
Vitals
Temperature Obtained rectally Normal values
• 100˚F to 103.5˚F• Temperature can be elevated during times of work ( 105° ‐ 109°F)
Slide 26JSOMTC, SWMG(A)
Vitals PulseObtained digitally by palpating the femoral artery or auscultation of the heart
Normal values• 60 – 80 beats per minute• Pulse can be elevated during work or training (up to 130 beats per minute)
Slide 27JSOMTC, SWMG(A)
Vitals
RespirationsObtained by watching the rise and fall of the chest or auscultation of the chest
Normal values• 10‐40 breaths per minute or Panting• Respirations can be elevated during times of work or training
6/10/2015
10
Slide 28JSOMTC, SWMG(A)
Vitals
Capillary refill time (CRT) Obtained by blanching the gum tissue and watching for the return of color
Normal values• 4 secs, sunken eyes, increased heart rate, rapid/weak pulse, confusion, seizures, unconsciousness
Slide 30JSOMTC, SWMG(A)
Vitals
Skin Turgor
6/10/2015
11
Slide 31JSOMTC, SWMG(A)
MPC Medical Data
Slide 32JSOMTC, SWMG(A)
SF 600
Chronological Record of Medical Data Only form used to document medical history in an MPC’s Medical Record
Slide 33JSOMTC, SWMG(A)
Deployment Cards
Developed prior to deployment Drug doses for common emergency drugs
Pertinent medical history
JUCO J123 70.2 lb/kg/32kgSedationDomitor IM 0.7 ml SQ or IMMorphine IM 20 mg SQ, IIMDiazepam IM 10 mg IVAnesthesiaPre-med give both 1. Morphine IM 10-20 mg IM/IV2. Atropine IM 1.0 mg IM or SQ ORGlycopyrrolate 0.3mg IM or SCInduction Either I or 21. Propofol IV 10ml titrate to effect, slow IV2. Ketamine + 170 mg IVDiazepam IV 10 mg IVMaintenance Fluid Rate 70ml/hr fluid bolus: 250 ccHetastarch Bolus dose ml 100-400, to effectShock fluid rate 100ml/kg/hr
70.2 lb/kg/32kgEmergency MedsBenadryl 75-100 mg PO, IM/SQ, q8hEpinephrine 0.65 mg IV OR 1.2mg ITDiazepam IM 16 mg IV for seizuresAntimicrobialsCephalexin 500mg PO q 8hCefazolin 700mg IM or IV q6hrCefotetan 700mg IM or IV q6hrMetronidazole 500mg PO q12hrDoxycycline 200mg q24hrNORMAL VITAL SIGNSHR-70-120 RR 24-Pant T=100-103OXYGLOBIN DOSE 250 ML* oxyglobin follows crystalloid fluid admin of at least 500cc
6/10/2015
12
Slide 34JSOMTC, SWMG(A)
Questions?
Slide 35JSOMTC, SWMG(A)
Terminal Learning Objective
Action: Communicate knowledge of Multi‐Purpose Canine (MPC) restraint and physical examination
Conditions: Given a lecture and practical exercise in a classroom environment
Standards: Received a minimum score of 75% on a written exam IAW course standards
Slide 36JSOMTC, SWMG(A)
Agenda
Identify the safety considerations, techniques and equipment for physical restraint of the MPC
Identify the key components of the MPC physical examination
Identify the key components of assessing MPC vital signs
Identify the key components of annotating MPC medical data
6/10/2015
13
Slide 37JSOMTC, SWMG(A)
Reason
As a Special Operations Combat Medic, you are responsible to provide emergency medical care to a government owned animal in the absence of veterinary assets.
Top Related