DIY Solutions to Overwhelmed ERs and Referral Centers


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CE Credits: 1.2 Non-Scientific

It’s no secret. The hospitals are packed and the cavalry isn’t coming. Hear from one emergency center how the battle of the bottleneck is being addressed with help from area clinics. Also, learn how Coulee Region practices are banding together to create their own solution. Wisconsin’s own AVMA past president will share creative examples from across the nation.


Ryan M. Demianiuk, DVM, DACVS-Small Animal
Dr. Ryan Demianiuk graduated from the University of Wisconsin-Madison School of Veterinary Medicine in 2008. Following graduation, Dr. Demianiuk completed both a rotating internship, as well as a surgical internship at the Fox Valley Animal Referral Center (FVARC). Dr. Demianiuk departed FVARC in 2010 to pursue a research opportunity in the Collaborative Orthopedic Research Laboratory of Dr. Loic Dejardin at the Michigan State University College of Veterinary Medicine. After a year of research, Dr. Demianiuk began his residency training in small animal surgery at Michigan State University and remained there through 2014. While at Michigan State University, Dr. Demianiuk assisted with the teaching of several courses, while also lecturing and presenting his research at local, state and national meetings. Upon the completion of his residency in 2014, Dr. Demianiuk returned to FVARC, became a Diplomate of the American College of Veterinary Surgeons in 2015, and has served the surrounding community as a veterinary surgeon ever since. Most recently, in 2021, in addition to serving as a veterinary surgeon, Dr. Demianiuk became the Medical Director of the Blue Pearl Fox Valley and Green Bay Hospitals with a passion for evidence-based medical and hospital advancement.

Douglas Kratt, DVM
Dr. Douglas Kratt, a 1998 graduate of the UW School of Veterinary Medicine, is a small animal practitioner from La Crosse, Wisconsin, where he and his wife, Dr. Kimberly Kratt, own Central Animal Hospital. Dr. Kratt most recently served as AVMA president and is a past chair of the AVMA House Advisory Committee. He has also served on the AVMA Strategic Management Committee and Task Force on Volunteer Engagement. He was Wisconsin's delegate to the AVMA House of Delegates, president of the Wisconsin Veterinary Medical Association, and has served in many other capacities for his state. As well as being active in various local civic activities, Dr. Kratt established medical and preventative care protocols for police canines and donates veterinary care to the Wisconsin State Patrol K9s, the Onalaska Police Department, Campbell Police Department, Holmen Police Department, and Tomah's Police Department K9s.

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