The standout feature of this week’s Safari Vet School – other than ITV’s incredible ability to massively over-dramatise everything – was the lion dart, transport and release experience. As in previous posts most of the fun adventures that the students get up to manage to trigger some memory I have that I am able to draw parallels from with the safari experience. After all, in spite of being born in South Africa there are not too many Lions roaming the streets of Hampshire for me to get my clinical teeth into. Plenty of unpredictable, oft grumpy and sharp moggies though.
The students had to administer sedation to the two lions in question, in order to safely transport them across the reserve, and had to remain vigilant during the process due to the risk of the lions waking up. It highlighted the inherent unpredictability of sedation in general and how not all of our patients take note of the dose charts. We had a feline patient in yesterday who it was suspected may have had a foreign body impaction (ie may have had something stuck in his guts) as he had not been to the toilet and had been seen for vomiting previously. In order to fully assess him, including taking an xray of his abdomen, we opted to admit him for sedation and to start him on a drip in order to rehydrate him. In the end we needed to sedate him before we were able to place an i/v line as he was a bit of a flighty chap. The sedation worked a treat and within a few minutes our bouncy feline customer was a pliable bundle of fluff. This proved two points for me: 1. it is often preferable, both in terms of reducing stress on the patient and for making sure you, as the vet, are able to do the best job possible in the least amount of time, to sedate animals that are making life a little tricky when it comes to examining them; and 2. the response to sedation is such an inherently unpredictable game – another cat of the same weight may not have been touched by the dose we gave whilst the cat yesterday responded perfectly. Having top-up drugs, reversal agents, and additional medications and supportive treatments, such as oxygen, on hand is therefore essential, so that you are able to respond in real time to what is actually happening with your patient, rather than relying on what is ‘supposed’ to happen, as it rarely goes the way it should. The other thing to remember is that even though our patient wasn’t a 300kg lion, it could still have caused a decent amount of damage to either myself or one of my colleagues, especially during the recovery phase when animals are often very disorientated and confused. Anyone who has been on the sharp ends of a cat will certainly know what I mean. In terms of what was wrong with the cat, it turned out he was massively constipated and so a decent period of rehydration and an enema later and he was right as rain, including being significantly lighter than before! Ah, the glamour.
As a footnote, I just wanted to commend Fitz on her rather spectacular feat of acrobatics in diving out of the way of the zebra’s flailing hoof, which would have made quite a dent in her head if it had hit. Vets do seem to have to develop the reactions of a wired cat as, again, the unpredictability of our patients means that danger can literally fly at you from any direction at any time. Another feature of vets, and indeed nurses, seems to be our ability to contort ourselves into the oddest of positions and maintain said postures for lengthy periods of time in the course of administering to our patients. It sometimes feels like being a vet instantly puts you in contention for the title of World Twister Champion. Maybe compulsory yoga classes should form a part of the vetty curriculum?!