Reassessing the skills needed to handle complex equine births

EFFICIENT management of equine dystocia is crucial for resolving fetal maldispositions and other complications, explains Nigel Woodford in his article in this month 's In Practice (p 190).He explains the processes involved in normal foaling, as well as how to assess a dystocia case and the need for timely interventions to ensure the best results for mare, foal and client.Selected as the editor's choice by our senior clinical editor, Stephen Baines, he says: 'This is a well-illustrated, practically orientated article on the management of equine dystocia.It provides a review of the equipment, skills and knowledge needed for a successful outcome when presented with dystocia in the mare.As the author notes, whether the clinician manages a large number of cases every year, or only a few, regularly reviewing the skills needed is a useful exercise.'In the companion animal section, Hannah van Velzen examines periodontitis in dogs and cats, noting that it is one of the most common but underdiagnosed diseases found in companion animal practice (p 164).If left untreated, the condition is not only locally painful but may also have systemic consequences on patient health.The anatomy of the periodontium is explained, as are the changes that occur as periodontitis develops, and the article aims to provide practitioners with an increased understanding of periodontal disease, allowing them to help owners decide on the best course of treatment.Also in this issue, Inge Breathnach highlights the vital role registered veterinary nurses (RVNs) play in caring for the small animal cancer patient (p 172).Despite the rise in RVN-led consultations beyond routine services, oncology remains an area where their skills are often under used.The article discusses how involving RVNs in oncology care can lead to increased job satisfaction and retention on the part of the nurse, and improved patient treatment outcomes and client satisfaction.