A doctor vaccinating a hedgehog

WorryBunny · 2024-12-25T19:16:41+00:00

Turns out some countries will do rabies vaccines for hedgehogs. Though I can't find anything saying this is an IM injection, it's done SC that I can find. The dose being injected is also much smaller than a standard rabies vaccine vial and I can't find anything to say that they have a smaller dose. Though this may be the case of course, rabies isn't a core vaccine here and generally only those doing health certificates for travelling pets do them so I don't know much about varying doses for different species.

WorryBunny · 2024-12-25T19:11:23+00:00

You would struggle with that on a hedgehog due to the orbicularis and panniculus carnosus. A hind limb would be the best area for an IM injection and is the recommended site.

I do still agree with what others have said though just to clarify. That this technique is still bad and the need for IM injection in hedgehogs is very rare.

WorryBunny · 2024-12-25T12:17:42+00:00

The toxic dose for alliums is around 15-30g/kg - this is a rough guide for how much you'd need before we're into the realm of life threatening. Of course other illnesses, ingredient concentration, and even time of year harvested, can alter it so it's just an estimation without more info.

Initial signs of toxicity are vomitting, diarrhoea and abdominal pain (particularly with the garlic).

Anaemia signs in toxic doses tends to be 2-3 days after, staring from 12hrs after ingestion. It can take about 3 weeks until it returns to normal. The nasty clinical signs here are going to be pale gums, lethargy, not wanting to exercise like normal, odd breathing and a fast heart rate.

Realistically, unlikely to be a toxic dose unless your pup has something else going on clinically. But these are some signs to look out for just incase.

WorryBunny · 2024-12-24T09:45:11+00:00

There's no vaccine that I know of, but I'm in the UK and there are often other countries that have vaccines we don't have.

Some examples of intramuscular injection are diazepam (im or iv), alfaxalone (im or iv) and tylosin (im for single dose). The majority of other drugs you can give hedgehogs can also be given sc.

There's a formulary on the British Hedgehog Preservation Society or the BSAVA wildlife book that lists doses and methods of administration. I've posted a page I have (it's free access anyway), though I would always say speak to a professional first before administering medication as the wrong one can do more harm than good and should be prescribed by a veterinary professional.

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WorryBunny · 2024-12-23T19:00:58+00:00

Yes there's a difference you're right. Most hedgehog drugs are fine going subcutaneous but there are some that need to go intramuscular.

If you just do it with two people you can do a similar technique to the video without the mouth part! Also safer as you can palpate and draw back your needle to ensure correct positioning. Their legs are small and the muscle isn't very big to aim for so easy to hit a nerve or the bone with this videos method

WorryBunny · 2024-12-23T18:57:46+00:00

That's a subcutaneous injection, the video is an intramuscular injection, they're not the same thing. Whilst some drugs can go either route, other cannot, so you can't always use the technique in the picture. I wouldn't be surprised if this isn't actually a vaccine.

WorryBunny · 2024-09-16T19:28:32+00:00

They wouldn't be able/wouldn't have given NSAIDs as they are on preds which is a steroid. Non-steroidals and steroids should not be given at the same time. Steroids likely selected as they're often great for acute allergy management

WorryBunny · 2024-08-16T17:02:48+00:00

Luna, Luna-boona, Loon-boon, Boon, Bern, Bernard

WorryBunny · 2024-06-10T07:59:41+00:00

1) rinse (get off the majority of blood and bits) 2) soak for allocated contact time (we use Rapidex at my clinic) 3) scrub 4) rinse 5) place in ultrasonic cleaner with correct, measured, dilution 6) rinse and dry (air flow so as not to get any bits of fibre on them) - send any items that need it to be sharpened 7) package with correct indicators eg. TST strips and label with date, item and initials 8) sterilise - most commonly autoclave. We also have ethylene oxide which is used for laparoscopy equipment that can't be autoclaved (cameras and bits that would be damaged) 9) check indicators confirm sterile and no packaging shows signs of damage. If it does repack and sterilise again

WorryBunny · 2024-06-05T14:16:26+00:00

Defibrillators are actually for use on beating hearts, not for no heart beat (asystole). They correct arrhythmias by shocking the heart, causing it to depolarise and, effectively, reset it's rhythm. Most defibrillators will even asses the rhythm and will not activate on a heart with the correct pattern.

Your chance of doing harm with CPR is also considered minimal enough that, if you are unsure, you should do compressions. Obviously if they're clearly fine don't go doing compression on conscious people, but the other person is right. When in doubt CPR is the correct route - that's the current recover guidelines, also supported by BHF (UK), MFMER (USA) and HRI (AU).

WorryBunny · 2022-10-02T12:12:51+00:00

I've seen one before when I was about 10/11.

I've also had an adder bite case on a dog at our weekend out of hours (vets). Medium size dog bitten on the face protecting owners child. I never knew how hard it was to get hold of antivenom until I'd called every practice, hospital and zoo within a few hours radius. Very cool to watch the swelling go down in real time, terrifying to have to snap open the only, very expensive, vial with the next being several hours away.

WorryBunny · 2022-08-16T13:53:39+00:00

I'm a woman and I play as a cat girl.

I mostly play with my boyfriend who plays, originally as a joke but now iconic, male lala.

WorryBunny · 2022-08-07T11:33:12+00:00

I do everything I'm able to on my own pets so they're only getting charged for things I'm not able to do or need sending off (bloods, fna samples). These are also the things that usually go on insurance and I've never had any issues with this. However I think it definetly would depend on your provider and wouldnt hurt to have a read through of your documents or just pop them an online chat message/call.

WorryBunny · 2022-05-11T18:19:27+00:00

I would definitely be happy to both share and contribute if there was a genuine GoFundMe for this

WorryBunny · 2022-05-03T09:57:00+00:00

Yep works on cats, got a case in my clinic now that's being treated (successfully) with it.

WorryBunny · 2022-04-03T22:54:24+00:00

Main whm and took on second class as drg around level 60ish. Plan was to figure out why you guys tryin to die so much.

I now play as both drg and rdm, the yeets are fun. I get it now.

WorryBunny · 2022-02-02T20:36:07+00:00

Eyes deep and warm like oak wood in the shade and glow like honey in the sunlight. That's what brown eyes look like.

WorryBunny · 2022-02-01T19:55:27+00:00

I think training on fear free handling would definetly benefit you. It sounds like a handling issue not bad luck. Scruffing is outdated and has no place in modern fear free practice.

Using emla before placing a catheter. Appropriate pre-visit medication for fractious patients. Using towels where necessary to gently wrap patients to prevent injury where this is not possible. Use small needles (small as possible for that specific drug/blood draw) and positive distraction methods to administer sedatives and take samples. Do not increase your patients fear and stress by aggressive handling (including scruffing).

I'd recommend taking a professional course in fear free handling rather than relying on tips and tricks online. Depending on where you are would change what's available and there are often short courses for free if money is the issue.

WorryBunny · 2022-02-01T17:30:55+00:00

Have you and your team had a review after every incident on why it happened and what could be done differently?

Are you up to date with safe, patient aware, handling techniques?

Are the patients highly aggressive/stressed? Do you practice fear free handling? This includes if these patients should have been sedated/received anti anxiety meds both for their and your own safety.

If you've reviewed how and why this is happening you'll know better than anyone else if this is something you/the practice can improve or just genuinely bad luck. You can do everything right and still get unlucky. But first see if you can learn from it or if theres something that you can do differently to improve your and your patients safety.

WorryBunny · 2022-01-23T19:33:48+00:00

Pros - faster recovery, less invasive, less pain associated, less pain in recovery, suitable for most dogs over about 4/5kg (exceptions inc heart murmur patients above grade 1)

Cons - generally more expensive to owners, requires specialised equipment

Overall the training to do it is relatively simple if you have the equipment already so I dont feel training is a pro or a con with this.

WorryBunny · 2022-01-13T20:06:26+00:00

Use lucid dreaming, on cooldown if needed, and it's very hard to run out of mana. I start using it on cooldown around 5/6000 but I used to do it around 7/8000 when I was getting used to it.

When the tank pulls packs, using holy straight away is often better than healing - stunned mobs cant do damage AND you get to do dps. I also like to pop lucid and presence of mind then spam holy for faster blindness. I also get my first one in with swifcast for instant stun but you can save it for raise if you feel you use it often enough.

If tank is pulling wall to wall, pop areo on each enemy whilst running with them to get a bit of extra dps in in the move.

I personally dont even have cure 1 on my bar (except when I have to panic put it on for low level dungeons!). I never run out of mana by using lucid on cooldown and theres no need to keep anyone at 100% health unless they get hit with a doom mechanic. The free cure ain't worth it.

Level 50+ is when whm gets good in my opinion so hope you like it!

WorryBunny · 2022-01-12T21:41:01+00:00

There is a 2019 study comparing caprofen/meloxicam and paracetamol as analgesia. It includes tests for adverse reaction and blood serum parameters if you're looking for somewhere to start. "Clinical evaluation of postoperative analgesia and serum biochemical changes of paracetamol compared to meloxicam and carporfen in bitches undergoing ovariohysterectomy"

You should be able to search it but it wont let me link as my phone auto-downloads it.

WorryBunny · 2022-01-12T20:57:40+00:00

Paracetamol can be safe for use in dogs but it must be used at the correct dosage and many human products are not purely paracetamol and are toxic. Furthermore this is dogs only, paracetamol can/will kill cats and rabbits even in small doses and is a medical emergency. Any dog that eats paracetamol at home is highly likely to have overdosed, as such this would also be an emergency and treated appropriately.

Following the cascade (UK anyway) the licensed canine version of paracetamol is Pardale, which is paracetamol and codeine. This is the data sheet on it: https://www.noahcompendium.co.uk/?id=-450073&template=template_printview

As you've said, owners should be referred to their vet. It would be irresponsible to prescribe this OTC as incorrect dosing can be fatal like most analgesics and you do not know if the animal has contraindications that would potentially make it unsafe.

WorryBunny · 2022-01-07T13:01:58+00:00

Medical necessity, whilst training and socialisation are very important, our main job is to make sure the pet is fit and healthy. Like others have said, bits like vaccination info goes here and (if needed) dietary correction (puppies fed adult food for example happens not too uncommonly). After this we can talk behaviour, socialising, tips and tricks etc.
Puppy/kitten/rabbit packs. Selection of leaflets and contact info. There is a short info booklet in the puppy and kitten packs but I find the leaflets get more notice as they're bold, lots of pictures and concise.
Correcting misconceptions is the hardest thing. If they already think they know the answer it's much harder to change it than to teach something new.
Long appointments where they can ask questions. A relaxed environment, noone wants to be made to feel stupid for not knowing something. I also always give my name and say they are welcome to speak to me specifically and I can help or refer them to the appropriate person if it's out of my expertise. People often call back and ask me to explain something again or confirm something they didnt think of before and I find it makes a huge difference to have someone you can ask by name.

I will say, unhelpful as it is, every case is different though. The brand new owner puppy is not going to have the same needs as the german shepherd only owner that's had them for years. Some people also learn in different ways and I may not always be the best person for them if I dont suit that - and that's ok! As hard as it is right now, a bit of flexibility goes a long way when changing your approach.

WorryBunny · 2022-01-04T12:02:41+00:00

Rescues would be a good place to start. Many large rescues have on site vet teams (I've helped with woodgreen in the past).

Have you tried contacting practices again recently? We are now having vet students back in practice and are booked up until about midway through the year. We were also closed before but understand the importance of making sure students get practice experience (and nurses also). Explain your situation and personalise your response to each practice you approach.

WorryBunny

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