We would like to thank Infinity Medical, Suppliers of the Curato Negative Pressure Therapy System for sponsoring this month's content.
To find out more about their device visit: www.infinitimedical.com/products/wound-therapy-curato/
We're delighted to showcase Zoflora's PET SAFE disinfectant range. They don't just neutralise odours but they smell DIVINE too!
We asked Zoflora to tell us more about their products. They are PET SAFE. They offer the disinfection you expect but without risking your pet's safety. As our Infection Control month comes to a close we thought it was the perfect time to share their story.
This video is really informative, its intended for Vets and Nurses and is presented by the wonderful Cat Henstridge (AKA - Cat-the-Vet) who is a passionate advocate of the range. We are so impressed by the presentation that we think we should share it far and wide and if you want to pass it on. Please do!
October's Scheduled Content Includes:
Equine case series 13th of October 2020 - Now Available
Patrick Pollock and John Burford discusses 4 challenging cases and how well they healed with considered management.
Small animal case series 22nd of October 2020 (Live at 2pm UK time) Jon Hall shares some of his most terrifying cases, while we upload a range of pre-recorded cases studies from across the Globe presented by Shelly Jefferies, Vanna Dickerson, Elizabeth Maxwell and Brian Goleman.
"Face your fears!" 27th of October live at 7pm (UK time) - Join Jon Hall, Patrick Pollock and John Burford and Georgie Hollis for an expert Q&A discussion. If you would like to share your case for discussion you can do so using our 'Share your case' form. Otherwise, send a short history, supporting images and your question to firstname.lastname@example.org
Everything you need to know about Honey for wound management and much much more for just £25 in August!
Get the whole practice involved in our live lunch and learn to round off our Bandaging Bonanza month. Join Georgie Hollis BSc, as she presents the physics behind the common bandaging complications and how simple principles can help you build a better leg bandage. Click below to register for just £15+V.A.T (free for The Veterinary Wound Library Members).
Become a member for just £72 (incl.V.A.T) during May to access this webinar and many other wound management webinars, guides and articles for 12 months! Join here using code VNAM for 20% off!
Evidence Based Veterinary Medicine (EBVM) is the application of evidence to decision making in the course of a treatment or procedure. Evidence can take many forms from high level evidence consisting of expensive, highly controlled randomised trials to the lowest level being personal experience.
In practice Vets and Nurses adopting EBVM to guide their decision making will be actively seeking out the highest form of evidence to support their choice of care. In reality, this can only be taken into account based upon the resources and skills available to achieve the best outcome for the patient and owner.
Pharmaceutical and medicinal products are generally well supported in terms of their specific role and proposed medicinal effect. This is because it is a legal requirement to have conclusive clinical and safety data to support the marketing authorisation and Veterinary prescription medicine status (POMV) that will allow the product to be legally prescribed in practice.
When it comes to wound management products and medical devices evidence can be rather thinner on the ground. The legal requirement being that the products must not make medicinal or pharmaceutical claims without a marketing authorisation. However, they can claim to support healing, to create an optimal environment, to soothe or even provide the benefits of a natural ingredient (that may or may not cytotoxic). As long as the product makes no medicinal claims it can be promoted for Veterinary use without any regulatory restriction.
So why don’t we use the wound products with the best evidence?
Unfortunately most wound products are intended for human use, so data is often extrapolated from human trials on chronic rather than acute wounds. Furthermore, it is notoriously difficult to get high level randomised data for medical devices, even in humans, where a wound is made deliberately and a randomised controlled trial performed. For one, it is hard to blind a study where dressings vary markedly depending on brand and function, and that the variables involved with the stage of healing, patient profile and wound location mean the list of potential studies is endless.
In terms of veterinary use, the relatively small size of the market (compared to human healthcare) and the ethical constraints of deliberately wounding a control group large enough to prove a benefit means there is a dearth of quality evidence. We therefore rely on lower level evidence consisting of small group evaluation, individual experience and personal recommendations. This creates a lot of room for a lot of varied products that may be perceived to assist healing even when the wound may have healed anyway.
The result is a wealth of products aiming to be the product of choice for all wounds while users become confused about hypothetical benefits that are hard to substantiate with high level research. When many wounds heal anyway the lack of distinct clinical benefit can confuse and contradict leading to a loss of confidence and timely decision making.
EBVM Matters - RCVS Knowledge
RCVS Knowledge last year published Evidence-Based Veterinary Medicine Matters: Our commitment to the future with the charity Sense about Science, in which 15 of the major UK member organisations, vet schools and policy-making bodies have come together to affirm their commitment to veterinary medicine based on sound scientific principles.
EBVM Matters is a commitment to advocating and using EBVM that RCVS Knowledge and the contributing author organisations have made, and are encouraging veterinary professionals and organisations to make i.e. to make clinical decisions according to their professional judgement, based on the best available evidence at the time and what is right for the individual animal and owner. “When rigorous research underpins medical decisions, adverse events can be minimised and patient outcomes can be improved.” – RCVS Knowledge
Several organisations and individuals have since signed up to this commitment. Our Founder, Georgie Hollis BSc, has pledged her support to the RCVS Knowledge EBVM Matters commitment on behalf of The Veterinary Wound Library.
Georgie wrote: "I believe that a pledge to uphold animal welfare can only be sustained where decisions are made based on best available evidence. Our field of wound care tech and education relies upon extrapolation of evidence from human healthcare where animal studies are lacking and RCT's are too costly to industry to focus in this area. As an independent advisory service (Veterinary Wound Library) we pledge to question the products promoted in the Veterinary sector for wound care and to encourage an evidence based approach, both in practice and in industry. We are committed to independence, dissemination and support of ethical, evidence based research that enables modern technologies to benefit the veterinary sector and animal welfare."
Find out more about the EBVM Matters commitment and pledge your support
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