Course Agenda

Friday, February 1, 2019
7:30 AM - 8:00 AM
Registration
8:00 AM - 8:50 AM
‘The First Breath’, Cardiorespiratory Transition to Neonatal Life
  • Understand key points in fetal development of the cardiorespiratory system.
  • Understand the changes that occur at birth in the cardiorespiratory system.
  • Recognize signs of inadequate transition.
9:00 AM - 9:50 AM
Yo! Kidneys Do Your Job!
  • Understand key points in fetal development of the urinary system.
  • Understand the renal transition from fetus to neonate and how that impacts measurements of renal function in first days of life.
  • Learn key measures to determine if renal function is normal in the foal.
9:50 AM - 10:00 AM
Break
10:00 AM - 10:50 AM
Stressed Out: Endocrine Transition to Neonatal Life
  • Understand timing and key aspects of endocrine axis maturation in the perinatal foal.
  • Understand differences in endocrine function between foals and adults.
  • Recognize signs of endocrine dysfunction in the newborn foal.
11:00 AM - 11:50 AM
Spotting Syndromes: Congenital Anomalies I Have Known and Loved
  • Describe the congenital anomalies and syndromes described in the equine literature.
  • Select the appropriate diagnostic testing to confirm the diagnosis.
  • Compare equine congenital anomalies with those seen in human and small animal neonates to raise awareness of conditions not yet described in equine medicine.
11:50 AM - 12:45 PM
Lunch
12:45 PM - 1:35 PM
The Neonatal Immune System: Armed but Untrained
  • Understand key aspects of the immune system and immune system development.
  • Understand important limitations in the foal’s immune response during the neonatal period.
  • Understand key immune-endocrine interactions that play a role in the foal’s susceptibility to SIRS, sepsis and septic shock.
1:45 PM - 2:35 PM
Out of Control, Bugs and Babies
  • Learn the current concepts defining the systemic inflammatory response system (SIRS).
  • Understand how the descriptions of sepsis and severe sepsis have evolved and how they can be applied to the critically ill foal.
  • Understand that endotoxemia is not SIRS or sepsis.
2:35 PM - 2:45 PM
Break
2:45 PM - 3:35 PM
Vive la Resistance! Antimicrobial Stewardship Decisions in Equine Neonatal Medicine
  • Understand the current state of antimicrobial resistance in equine patients and human neonatal medicine.
  • Apply current clinical guidelines for anti-microbial use to maximize efficacy and minimize development of resistance.
  • Develop an antimicrobial stewardship program for inpatient and outpatient patients.
3:35 PM - 4:45 PM
Case Discussion: Managing the Difficult Pregnancy
4:45 PM - 6:00 PM
Reception
Saturday, February 2, 2019
8:00 AM - 8:50 AM
The Dummy Foal: Neonatal Neuroendocrine Dysregulation?
  • Learn the key aspects of neuroendocrine development in the perinatal foal.
  • Understand current and emerging theories in the development of equine neonatal encephalopathy.
  • Understand how these emerging theories impact management of neonatal encephalopathy in foals.
9:00 AM - 9:50 AM
Neonatal Neuroprotection: What is the Evidence?
  • Understand that neurologic abnormalities may be caused in multiple ways in the neonatal foal.
  • Understand how lipid peroxidation may affect the brain and CNS.
  • Understand how various neuroprotectants work and under what circumstances.
  • Understand and be able to apply common sense seizure control in the foal.
9:50 AM - 10:00 AM
Break
10:00 AM - 10:50 AM
Shocking, Very Shocking!
  • Understand the different classifications of shock.
  • Understand the pathophysiology of shock.
  • Understand and be able to design a diagnostic and treatment plan for patients with symptoms of shock.
11:00 AM - 11:50 AM
Secondary Energy Failure in the Neonate: Deep Thoughts
  • Understand the redox state when hemostasis is normal.
  • Understand how oxidative stress and SIRS lead to progressive energy failure.
  • Understand how antioxidant failure and mitochondrial failure lead to organ dysfunction and death in sepsis and severe sepsis.
11:50 AM - 12:45 PM
Lunch
12:45 PM - 1:35 PM
Energy In, Energy Out: Nutritional Management of the Compromised Foal
  • Understand nutritional requirements of the neonate.
  • Understand the decision-making process to provide enteral and/or parenteral nutrition.
  • Be able to design a plan of parenteral nutrition for a neonate.
1:45 PM - 2:35 PM
GI Disturbances in the Foal: Managing Electrolytes and Fluid Balance for Fun and Profit (Part I)
  • Understand the pathophysiology of GI disease in the equine neonates and how it affects acid base, volume and electrolyte status.
  • Compare and apply the Stewart approach to acid base balance with alternate philosophies.
  • Correct electrolyte abnormalities using the Androgue-Madias.
  • Design custom fluids to optimize electrolyte and acid base balance
2:35 PM - 2:45 PM
Break
2:45 PM - 3:35 PM
Azotemia in the Foal: Managing Electrolytes and Fluid Balance for Fun and Profit, Part II
  • Understand the pathophysiology of renal disease in the equine neonate and how it affects acid base, volume and electrolyte status.
  • Compare various methods for assessing volume status and response to fluid therapy.
  • Understand the implications for and methods of providing renal replacement therapy, and its applicability to equine neonates.
3:35 PM - 4:45 PM
The Hypoxemic Foal: Is it Really Just Oxygen?
  • Learn the changing normal range of oxygen parameters in the equine neonate.
  • Understand that hypoxemia and hypoxia are not equivalent.
  • Learn the various ways that oxygen therapy can be administered and monitored.
4:45 PM - 5:35 PM
What the Heck? Cool Cases We Have Known
Sunday, February 3, 2019
8:00 AM - 8:50 AM
ARDS, PIMS, PAMS and PAMPS
  • Learn the moving normal ranges for defining ARDS in foals.
  • Understand the underlying pathophysiology of ARDS.
  • Understand the basic treatments for ARDS.
9:00 AM - 9:50 AM
The Heart of the Matter: Cardiac Problems of the Foal
  • Be able to differentiate normal and pathologic cardiac auscultations.
  • Understand factors that affect prognosis in foals with congenital heart disease.
  • Be able to interpret diagnostic aids useful to neonatal cardiac evaluation.
9:50 AM - 10:00 AM
Break
10:00 AM - 10:50 AM
Should It Stay or Should It Go? Umbilical Problems in the Foal
  • Be able to recognize sonographic abnormalities of the umbilicus.
  • Know therapeutic options for umbilical problems.
  • Understand controversies in surgical and medical management of omphalitis.
10:50 AM - 11:40 AM
My Best Save!