Equine Dental Extraction Video
๐ ๐๐ฆ๐ช๐๐ฃ๐ ๐ฟ๐๐ฃ๐ฉ๐๐ก ๐๐ญ๐ฉ๐ง๐๐๐ฉ๐๐ค๐ฃ๐จ ๐๐๐๐๐ค - ๐๐๐๐ฉ ๐ฉ๐ค ๐๐ญ๐ฅ๐๐๐ฉ ๐
The B&W Equine Hospital offers referral services for external referring veterinarians and EDTโs. Our multi-disciplinary specialist approach means that investigations, diagnostic imaging and treatments can be done at the same site, usually during the same visit. We offer specialist expertise in dental examinations including HD oroscopic examinations and diagnostic imaging including very high quality digital radiography, and Computed Tomography that can usually be performed with the horse sedated but standing*.
These are then interpreted in collaboration between Specialists in Diagnostic Imaging and Dentistry/Surgery to plan the most effective treatments. Treatments are carried out the same or subsequent days and after appropriate convalescence, the horse is returned home for follow-up monitoring by the referring vet.
We have expertise in treatment of advanced or problematic periodontal disease, dental extraction by all techniques including minimally invasive and surgical ones and restoration of decayed teeth when suitable and endodontic treatment. Most of these can be done with the horse sedated using precise local anaesthetic techniques but where the horseโs nature, or when specifics of the treatment demand it, we are able to anaesthetise the horse for the greater safety of patient and staff.
๐ ๐ฌ๐๐๐๐๐๐๐๐๐๐
๐๐๐๐๐๐๐๐๐ ๐A procedure used to treat horses with an arrhythmia called atrial fibrillation. This is one of the most common arrhythmias that can cause a problem in horses, although it is often picked up as an โincidentalโ finding at a health check. Electrocardioversion is most commonly used in sports horses or pleasure horses when it is not possible to tell how long they have had atrial fibrillation. The treatment has a high success rate of conversion to a normal heart rhythm.In this video, we are introduced to Rocky (BRS Kingdom), a 9-year-old KWPN Dressage horse competing at the Prix St. Georgeโs level. His atrial fibrillation was discovered during a routine pre-season examination, allowing him to be quickly referred to the B&W Hospital for a successful electrocardioversion.
๐ Arthrodesis of the Distal Tarsal Joints ๐
Osteoarthritis of the lower hock joints (distal intertarsal joints) is a relatively common cause of hindlimb lameness in horses. In many cases it can be managed with intra-articular medications (most commonly corticosteroids ) and oral anti-inflammatory drugs (such as bute). In cases where there is insufficient response to medical managment, fusion of these low motion joints can be considered. This can either be done with ethyl alcohol or by radiographically guided drilling across the joint spaces of the tarsometatarsal and distal intertarsal joints. Many horses with arthritis in the lower hock joints, managed either medically or surgically, will return to exercise and competition.
๐ ๐ฎ๐ฐ-๐๐ผ๐๐ฟ ๐๐น๐ฒ๐ฐ๐๐ฟ๐ผ๐ฐ๐ฎ๐ฟ๐ฑ๐ถ๐ผ๐ด๐ฟ๐ฎ๐ฝ๐ต๐. ๐
If your vet suspects a dysrhythmia when listening to your horse's heart, continuous electrocardiography is the gold standard for diagnosing and evaluating any potential arrhythmias. This is done over a 24-hour period, and the ECG evaluates the speed and rhythm of the heart at rest, and, if necessary, while exercising. The ECG trace provides a picture of the electroactivity of each section of the heart. Our internal medicine specialists will be looking for a variety of things such as periods of tachycardia or bradycardia, atrial fibrillation, atrial flutter, premature supraventricular complexes, premature ventricular complexes, and second-degree AV block.
#EquineHospital #EquineVet #Cardiology #EquineNurse
๐Day in the Life of a Student Veterinary๐ Nurse We are proud to be a training practice at the B&W Equine Hospital. We regularly have 2-3 student nurses training with us, either through diploma or degree routes. Our student nurses, under the supervision of qualified nurses or veterinary surgeons, carry out various tasks. These include jugular catheterization, bandage changes, diagnostic procedures such as scintigraphy and radiography, intensive care, assisting with anaesthesia and surgical procedures, and much more!In this video, we take a look at the daily routine of our student nurses in training. We are immensely grateful for their contributions to the team.
๐ Pus in the Foot ๐
After examination at home, Fiver was referred to Nadine Ogden due to Fiver's severe lameness, further investigations including radiographs and an MRI scan were recommended. The scan revealed an area of fluid in the solar tissues, which was opened up and drained. After a brief hospital stay, Fiver has returned home to continue her recovery, and we wish her the best.
A very satisfying release of infection in this video!
๐ Feel Good Foal Friday ๐Earlier this week, this little colt went home from the B&W Hospital after a short stay and treatment with the internal medicine team. As you can see, she was feeling much better prior to discharge and is now happily living life back at home!
Join us for the week here at Badminton Horse Trials 2024! Our vets will be onsite for the whole event providing emergency cover. Stay tuned for daily updates from the team & what they get up to. ๐๐ฉบ
๐ Vet Nurse Awareness Month ๐In this "day in the life" feature, we meet Liv Kirby, As a surgical nurse, Liv's primary role is to ensure the smooth running of the surgical theatre. She is responsible for preparing surgical patients in the morning before induction, setting up surgical tables, and assisting the surgical team as requested during operations. Her work is crucial to the success of surgical procedures and the provision of our 24/7 surgical department.#VNAM2024 #WhatVNsDo
๐ Vet Nurse Awareness Month ๐In this "day in the life" feature, we meet Hazel Smith and Anthony Hall, both registered veterinary nurses (RVNs) who work as diagnostic imaging nurses. Their primary responsibility is to perform standing MRI scans, standing and GA CT scans, and acquire radiographs. They are also involved in training new graduate vets and student nurses in the radiography of equine patients at the hospital.
๐ Neck CT ยฑ Myelogram ๐
At B&W we are privileged to have access to world-class Equine medicine specialists, who regularly perform neurological workups on patients. We are able to perform CT scanning of the equine neck, most commonly from the poll to the first or second thoracic vertebrae. A plain neck CT allows us to image the bony structures in a cross-sectional and 3D format and provides an incredible level of detail. This is commonly followed by a myelographic study. This involves inserting a sterile needle into the vertebral canal and replacing some of the cerebrospinal fluid with a radioopaque liquid. We then repeat the CT scan. The radioopaque liquid surrounds the spinal cord and allows detailed assessment of any soft tissue compression of the spinal cord, which may be contributing to the patient's neurological issues. Imaging the soft tissue structures is not currently possible in any other modality in the UK, so this service is incredibly beneficial for determining the cause of neurological problems and neck pain.
With thanks to Latifa from @Langford Vets for providing Anaesthesia services for the CT Scan.
๐Milos Standing 'Kissing Spines' Surgery ๐
Over riding or impinging dorsal spinous processes, (colloquially known as โKissing Spinesโ), can be a cause of back pain in the horse. In this condition the normal spaces between the spinous processes of the horseโs vertebral column are reduced and in some horses pain can arise from the bone-to-bone contact and disruption to the ligament between the processes. Historically the surgical procedure was performed under general anaesthesia through a large incision. At B&W we perform these surgeries standing under sedation through several small incisions.
The horse is sedated and after injecting local anesthetic small incisions are made through the skin over the affected processes under X-ray guidance. The front of each affected process is then removed. Following this the incisions are closed with absorbable sutures under the skin and skin staples. The surgical site is then covered with a sticky dressing. At B&W Equine Hospital the surgery is performed by one of two specialist surgeons assisted by a team of nurses.
๐ Neurological Examination Video ๐
In this video, we will take a look at the process of performing a neurological examination on a horse. At the B&W Equine Hospital, we have three American-recognised specialists in internal medicine. After the neurological examination, a radiographic examination of the cervical spine may be necessary, which can be performed immediately after the dynamic examination. We are also equipped with a large-bore CT scanner capable of scanning the entire cervical and cranial thoracic spine.
You may never have seen behind the scenes in a veterinary practice. So take a look at the work our vets and nurses do on the front line every day to look after animals in veterinary practices, hospitals, in the field and on call - so that they receive the best possible care. Thanks to Molly Case for the poem you have written about our profession. #careforanimals #veterinaryprofession
๐Foal CT Scan ๐
Young foals are at high risk of developing joint infection (septic arthritis/ physitis) which can have devastating consequences if it is not picked up early, in particular spread to multiple other joint. However with prompt, thorough treatment the outcome can be excellent. For this reason when a foal goes lame and is suspected to have a septic joint, we can do a whole skeleton CT scan to identify other sites of infection early, allowing for prompt treatment and the best possible outcome.
@LangfordVets
You may recall Queenie, a patient who underwent emergency synovial sepsis surgery at the end of 2023. Four months to the day after the surgery, she is doing well and was recently at the JB Academy Showjumping spring camp. It's heartening to see the positive results that can be achieved when timely interventions are made and a structured return to work is followed.We're always grateful to Queenie's owner for allowing us to share this video with you all. Any owners of our past hospitalised patients please do keep in touch and let us know how they're doing. We love to hear about their progress!
๐ Standing MRI for a Pedal Bone Fracture ๐
Henry had an acute onset lameness, and after examination by his vet at home, it was revealed that he had sustained a pedal bone wing fracture. To determine the exact nature and direction of the fracture, as well as assess if it had entered the joint or not, the vet referred Henry to Nadine Ogden, a specialist in Sports Medicine and Rehabilitation.
After an examination of Henry and his radiographs, they decided that a Hallmarq Veterinary Imaging standing MRI scan would be the best course of action to get an accurate prognosis. The standing MRI scan allowed Henry's medical team to determine the exact nature of the fracture and its extent on the articular surface of the coffin joint. It also helped to assess the nearby collateral ligament of the coffin joint
After the standing MRI scan, Henry was diagnosed with a non-articular fracture (type 1) of the medial wing of the pedal bone, with the collateral ligament appearing normal. With this information, the team discharged Henry from the B&W Equine Hospital, and he returned to his owner to continue his recovery at home. Now, with his owner's support and the ongoing care at home, Henry has started the road to recovery. We wish Henry all the best and hope he makes a speedy recovery.
๐ Client Evening ๐
Thank you to all those who attended our client evening last night. We hope you enjoyed the tour and had the opportunity to speak with our team of vets and nurses. For those who missed it, we are planning to hold another event in the summer. Please bear with us as we finalize the logistics for this. We will provide you with all the details as soon as possible.
๐Camel CT Scan๐
Many of you enjoyed the photo of the team effort to perform a standing head CT scan on an adult camel last week, we thought you may enjoy this video showing a bit more about the process involved to get the CT Scan performed. This was a first for our imaging team and as far as we are aware a first for any camel in the UK!
๐ Queenieโs Rehab Journey ๐Queenie presented to the hospital about two months ago for an injury to one of her extensor tendons in the forelimb. Queenie was found at home non-weightbearing lame with an inability to flex the right fore limb, she was attended to by Therese de Souza who stabilised her and escorted her to the B&W hospital. After a thorough investigation It was found she had sepsis within her extensor carpi radialis sheath. Following surgery and a rehabilitation program, she has made a fast recovery and is now back in work as you can see by the video. We are very grateful to Queenieโs owner who has put this lovely little video together to show us how she is doing.
