Dr Gerardo poli

09/06/2024

Got Polytrauma? Take a breath... MiniVetGuide Calculator has got you covered!!

This poor puppy sustained severe wounds after being attacked by a big dog and presented collapsed and in severe hypovolemic shock and with wounds penetrating into the abdomen...

Don't panic... Polytrauma is as easy as ABC!

And it all comes down to oxygen delivery: DO2 = (Hb x SaO2 x 1.34)

A = make sure that you have a patent airway + provide supplemental oxygen
B = breathing
C = circulation! Treat shock to improve the oxygen carrying capacity of Hb!

MiniVetGuide Calculator not only quantitates the patient's shock but it then tells you how much fluid to give to correct this as well as guiding you through end-point resuscitation.

MiniVetGuide Calculator: More than just a calculator – your clinical companion saving time and improving patient outcomes.

Find it in the App Store or Google Play.

29/05/2024

As a new graduate, you’re about to embark on an exciting journey filled with opportunities to make a real difference in the lives of animals and their owners. However, the transition from student to professional can also be daunting, with a range of challenges and uncertainties to navigate. One of the most important steps you can take is to cultivate a positive and empowered mindset that will serve as the foundation for your success.

Growth Mindset: It’s natural to feel a sense of imposter syndrome as a new vet, but it’s important to reframe this experience. Instead of seeing your lack of experience as a weakness, adopt a growth mindset that views challenges as opportunities for learning and improvement. Approach each new situation with a curious and open attitude, and be willing to ask questions, seek feedback, and continuously expand your knowledge and skills.

Celebrate Small Wins: It’s easy to get caught up in the pursuit of perfection. However, it’s crucial to take the time to recognise and celebrate your achievements, no matter how small they may seem. Whether it’s successfully placing an IV catheter or having a productive conversation with a client, acknowledge your progress and use these small wins as fuel to keep pushing forward.

Develop Resilience: Our work can be emotionally and mentally demanding, and it’s essential to cultivate resilience to weather the inevitable ups and downs. Practice self-care strategies like exercise, mindfulness, and social connection to maintain your well-being. When faced with setbacks or difficult situations, resist the urge to be self-critical and instead, focus on what you can learn and how you can apply those lessons going forward.

Surround Yourself with Supportive Mentors: One of the most valuable resources you have as a new vet is the wealth of knowledge and experience within your profession. Seek out mentors, whether they’re seasoned veterinarians in your practice or colleagues in your professional network, who can pro

15/05/2024

Goodness where did my baby go? 😍

01/05/2024

𝗔𝗡𝗬𝗢𝗡𝗘 𝗡𝗘𝗘𝗗 𝗧𝗛𝗜𝗦 Rottweiler Harness "𝗝𝗨𝗦𝗧 massage me

29/04/2024

Good news team!! The Emergency Guide pre-orders began shipping last week, so you should get yours soon. Once we have cleared all the pre orders, we will then add to the store on general sale at the end of May.

Send a message to learn more

29/04/2024

22/04/2024

A heart ❤️ for my Hero

22/04/2024

Available

21/04/2024

I have treated several dogs with acute neurological signs, with a history of playing in the backyard on a hot day and chomping at the hose. Resulting in an unintentional consumption of too much water.

Hyponatremia due to rapid dilution causes cells to swell, which can be dangerous, especially for the brain, leading to symptoms like ataxia, dull mentation and is severe enough to cause seizures.

The key is to carefully increase the dog's sodium levels. Despite the history I will perform a full blood panel, to rule out other possible causes and a urinalysis. The abnormalities are often moderate to severe hyponatemia and hypochloridaemia, mild hypokalaemia and dilute urine

Treatment:
If seizing:
1. Hypertonic saline eg. 3% NaCl can be given if the neurological signs like seizures occurs. The aim is to increaes the sodium concentration which will reduce cell swelling.
2. +/- Frusemide - this results in a diuresis of free water and as a result an increase of sodium levels
3. They might need extra treatments like medicine for nausea or seizures.also:
- Mannitol can help reduce swelling in the brain.
- Seizure medicine should be used based on the vet's advice.

Hospitalisation:
I always admit them and monitor them closely - making sure no furhter deterioration, I also,
3. Prevent access to more water, to stop further dilution.
4. For mild cases > 130mmol/L, 0.9% solution can help increase the sodium..

Monitoring:
5. Repeated blood gas and electrolytes should be performed every 2 to 3 hours to track the changes in sodium concentrations.
6. The impact of 0.9% Saline or 3% Saline - generally should increase the sodium by 0.5-1 mmol/L per hour, not to exceed a total correction of 10-12 mmol/L over the first 24 hours.

I have always found that an acute drop in sodium, to 120, combined with the history, large urinations and mild neurlogical signs is the combo that makes me feel confident of what is happening and allows me if needed to increase Sodium concentratio

03/02/2024

Amazing 😍❤️
Do you need some ?

02/02/2024

If interested massage me

31/01/2024

Massage me if you need any

31/01/2024

Massage me if interested
❤️Am selling it out♥️
At a Good Rate

28/01/2024

Can I get a heart ♥️♥️♥️for him ?

25/01/2024

8 Surgical Tips for Small Intestine Procedures

1) Reducing contamination: Exteriorize the segment as much as possible from the abdominal cavity. Isolate the area with moistened lap sponges to absorb any spillage. For intestine with a large amount of fluid, passing it through an additional fenestrated drape can protect the abdomen further.

2) Instrument Management: Keep the instruments used for the enterotomy/enterectomy in a kidney dish to avoid contamination.

3) Handling Foreign Bodies: Use allis tissue forceps rather than fingers to remove the foreign body. They also improve grip.

4) Milk Away Contents: Before making incisions, milk contents away from the site to minimize leakage. Use doyen clamps or finger pressure to occlude.

5) Using a Kidney Dish: Catch any leakage in a kidney dish, and place any used instruments, used swabs and foreign material in it.

6) Focal Lavage: Perform targeted lavage prior to removing the lap sponges that are isolating it. The fluid can be collected in the kidney dish or on lap sponges. Post-procedure, remove used sponges, change gloves, and use clean instruments.

7) Abdominal Lavage: The amount of isotonic crystalloid lavage fluid (commonly 0.9% saline) depends on the contamination level. Aim for a range of 100ml/kg to 300ml/kg. Continue until the fluid is clear and ensure it's warmed to near body temperature. Avoid adding antibiotics or antiseptics to the lavage fluid.

8) Post-Lavage Care: Suction as much lavage fluid as possible. Monitoring AFAST scores can guide the need for further intervention.

22/01/2024

We all love Beagles – it’s hard not to! These loving and sociable dogs have been around for hundreds of years. They are scent hounds, and display behaviours that are governed by these instincts even when kept as pets. Their hunting past also explains their very vocal nature. In fact, the name ‘Beagle’ comes from the old French word for ‘Loudmouth!’ Every Beagle owner needs to be particularly alert to a couple of things...⁣
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First is that their beloved pet will find and EAT ANYTHING around the house! They are notorious for needing foreign body surgeries.⁣
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Second... Beagles are a Chondrodystrophoid breed dogs whose normal cartilage development has been altered genetically due to selection for a short, stout appearance are prone to Intervertebral Disc Disease. This is where the intervertebral discs degenerate and can protrude even rupture and result in compression or damage to the spinal cord, spinal nerve, and/or nerve root. The leads to pain and varying degrees of neurological signs, ranging from ataxia "Drunken Sailor walk", proprioceptive deficits "knuckling", loss of deep pain sensation and paralysis.⁣
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Spinal pain can be seen as the reluctance to jump and go up steps, intermittent yelping or tremoring and panting.⁣
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If there are no or minimal neurological deficits eg. ataxia and knuckling and if the pain is controllable, then medical management is usually trialled first, mostly consisting of crate confinement, non-steroidal anti-inflammatory drugs and occasionally a muscle relaxant.⁣
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If there are more severe signs present such as uncontrollable pain, severe ataxia of the hindlimbs then surgery is indicated with the prognosis being generally good to excellent if followed with good aftercare. However, if there is a loss of pain sensation then surgery is indicated immediately and the prognosis drops.⁣
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I keep it simple and remember .. Spinal patient ＋ hindlimb paralysis ＋ no deep pain sensation = SURGERY NOW!

22/01/2024

Dr Fluffington was clearly fascinated by my training 😂

22/01/2024

Endoscopy is one of the most challenging skills to develop and perfect - navigating the dials, orientating yourself on the screen and not to mention trying to work with little grabbers, loops and baskets. Having said that, when you do it is exciting and when you retrieve foreign objects that have been ingested, and can save a pet from having to go to surgery. It is an awesome feeling. 😀⁣
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Over the years I have pulled out countess items from many oesophagus’s - bones, BBQ skewers, large nails, fish hooks and toys.⁣
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So tell me!! I would love to hear what are the most interesting and strange objects you have retrieved from a sneaky pets gastrointestinal tract?

22/01/2024

Stepping into the world of veterinary medicine can be overwhelming, but remember, seeking advice from your senior colleagues is a smart move, not a weakness! 🙌 As a seasoned clinician, I truly value the courage and openness it takes to ask for help.

Here's a little insider tip: We seniors admire those who are eager to learn and grow. Being open and coachable is a sign of strength and professionalism. It shows us that you're committed to excellence in veterinary care. So next time you feel fear of speaking up, please if you have a question, ask it, if you are unsure, check it, if you need guidance, seek it!

Remember, asking for guidance is a powerful step in your veterinary journey. It not only lightens your load but also accelerates your growth and confidence. So, don't hesitate to reach out. We're here to support, mentor, and help you flourish.