Emergency Medicine & Critical Care, Coagulation
Dr. Armelle de Laforcade serves on the Emergency and Critical Care team at one of the nation's busiest teaching animal ERs, in the Foster Hospital for Small Animals. As a criticalist certified by the American College of Veterinary Emergency and Critical Care, she cares for the very sick and injured animals that require 24-hour care and advanced monitoring. In addition to her clinical duties, she teaches courses on subjects ranging from sepsis to coagulation, as well as the business of veterinary medicine.
A first-generation American, Dr. de Laforcade grew up on the north shore of Boston, with the exception of a few years spent in the south of France. She began riding horses while living in France and after returning to the United States cared for a horse of her own. Her love of horses led her to study veterinary medicine at Tufts. Although determined to practice equine medicine, she spent time in the small animal emergency room as a second-year student and felt right at home. After earning her DVM from the Cummings School in 1997, she completed a residency in the ECC section, then stayed on as a faculty member, drawn by the opportunity to combine cutting-edge medicine with teaching students, interns and residents.
To this day, I am very grateful to those teachers along the way who gave me opportunities that helped me find my way, she says.
I hope to have the same effect on students discovering veterinary medicine at Tufts.
Among her favorite patients is a dog named
Norton who ate a tennis ball that was surgically removed by a referring veterinarian. Following the surgery, however, Norton's health began to decline and he was rushed to the Foster Hospital for intensive care. While being treated with intravenous fluids, Dr. de Laforcade and her care team determined that Norton had an underlying endocrine problem known as
hypoadrenocorticism. Once treated, Norton recovered just fine and, with lifelong treatment, he lived a long life.
She lives with her husband, Lee, and her twin boys, Nicholas and Tristan, as well as a Golden Retriever named Mayday and 2 Peking ducks they adopted from Tufts. She grew up sailing, and she and Lee enjoy racing their J24 with her family in regattas from Annapolis to Maine, as well as traveling to Europe to visit her family.
- DVM - Tufts University - 1997
- BS - Cornell University - 1993
- Marschner, C.B., Kristensen, A.T., Rozanski, E.A., McEvoy, F.J., Kühnel, L., Taeymans, O., de Laforcade, A., Sato, A.F., Wiinberg, B. 2017. Diagnosis of canine pulmonary thromboembolism by computed tomography and mathematical modelling using haemostatic and inflammatory variables. Veterinary Journal.
- Frydman, G.H., Metcalf Pate, K.A., Marini, R.P., de Laforcade, A.M., Bosch, I., Bakthavatchalu, V., Muthupalani, S., Swennes, A.G., Lyons, C.E., Tompkins, R.G., Fox, J.G. 2017. Adult-onset, chronic, cyclic thrombocytopenia in a Rhesus macaque (Macaca mulatta) after dengue virus vaccination and viral challenge. Veterinary Clinical Pathology.
- Yang, V.K., Cunningham, S.M., Rush, J.E., de Laforcade, A. 2016. The use of rivaroxaban for the treatment of thrombotic complications in four dogs. Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001).
- Da’dara, A.A., de Laforcade, A.M., Skelly, P.J. 2016. The impact of schistosomes and schistosomiasis on murine blood coagulation and fibrinolysis as determined by thromboelastography (TEG). Journal of Thrombosis and Thrombolysis.
- Fletcher, D.J., Rozanski, E.A., Brainard, B.M., de Laforcade, A.M., Brooks, M.B. 2016. Assessment of the relationships among coagulopathy, hyperfibrinolysis, plasma lactate, and protein C in dogs with spontaneous hemoperitoneum. Journal of Veterinary Emergency and Critical Care.
- Lynch, A.M., Respess, M., Boll, A.E., Bozych, M., Mcmichael, M., Fletcher, D.J., De Laforcade, A.M., Rozanski, E.A. 2016. Hospital-acquired Anemia in Critically Ill Dogs and Cats: A Multi-Institutional Study. Journal of Veterinary Internal Medicine.
- Majoy, S.B., de Laforcade, A.M., Barnard, M.R., Shaw, S.P. 2015. Platelet activation in a population of critically ill dogs as measured with whole blood flow cytometry and thromboelastography. American Journal of Veterinary Research.
- Kelley, D., Lester, C., Shaw, S., de Laforcade, A., Webster, C.R.L. 2015. Thromboelastographic evaluation of dogs with acute liver disease. Journal of Veterinary Internal Medicine.
- Grochowsky, A.R., Rozanski, E.A., de Laforcade, A.M., Sharp, C.R., Meola, D.M., Schavone, J.J., Brooks, M.B. 2014. An ex vivo evaluation of efficacy of refrigerated canine plasma. Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001).
- de Laforcade, A. 2014. Systemic inflammatory response syndrome. Small Animal Critical Care Medicine, Second Edition.
- de Laforcade, A., Silverstein, D.C. 2014. Shock. Small Animal Critical Care Medicine, Second Edition.
- De Laforcade, A., Goggs, R., Wiinberg, B. 2014. Systematic evaluation of evidence on veterinary viscoelastic testing Part 3: Assay activation and test protocol. Journal of Veterinary Emergency and Critical Care.
- Goggs, R., Brainard, B., De Laforcade, A.M., Flatland, B., Hanel, R., Mcmichael, M., Wiinberg, B. 2014. Partnership on Rotational ViscoElastic Test Standardization (PROVETS): Evidence-based guidelines on rotational viscoelastic assays in veterinary medicine. Journal of Veterinary Emergency and Critical Care.
- Aslanian, M.E., Sharp, C.R., Rozanski, E.A., de Laforcade, A.M., Rishniw, M., Brooks, M.B. 2014. Clinical outcome after diagnosis of hemophilia a in dogs. Journal of the American Veterinary Medical Association.
- Trow, A.V., Rozanski, E., De Laforcade, A. 2013. Respiratory Emergencies and Pleural Space Disease. Feline Emergency and Critical Care Medicine.
- Abelson, A.L., O'Toole, T.E., Johnston, A., Respess, M., de Laforcade, A.M. 2013. Hypoperfusion and acute traumatic coagulopathy in severely traumatized canine patients.. Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001).
- de Laforcade, A. 2012. Diseases Associated with Thrombosis. Topics in Companion Animal Medicine.
- De Laforcade, A.M. 2009. Systemic Inflammatory Response Syndrome. Small Animal Critical Care Medicine.
- de Laforcade, A.M., Silverstein, D.C. 2009. Shock. Small Animal Critical Care Medicine.
- Lloyd, J.W., Fingland, R., Arighi, M., Thompson, J., De Laforcade, A., McManus, J. 2008. Satellite teaching hospitals and public-private collaborations in veterinary medical clinical education. Journal of Veterinary Medical Education.
General Research Interests
Coagulation changes in critical illness and in severe trauma; development of protocols for anticoagulant use in the veterinary setting; monitoring anticoagulation therapy; diagnosis and management of severe sepsis and septic shock; alterations in microvascular perfusion in trauma and in critical illness.
Selected Research Projects
- Evaluation of thromboelastography as a sensitive marker of coagulation abnormalities in sepsis.
- Evaluation of thromboelastography in dogs following severe trauma.
- Evaluating abdominal fluid cytology, biochemistry, and culture in dogs post-operatively following source control for abdominal sepsis.
Research Interests by Area
Spontaneous Animal Disease Models
- Coagulopathies associated with sepsis, liver disease, renal disease, rodenticide, DIC, and trauma. Immune-mediated hemolytic anemia and thrombocytopenia
Research Interests by Organ System and Disease
Emergency and Critical Care
- Evaluation of thrombo-elastography as a sensitive marker of coagulation abnormalities in sepsis and in dogs following severe trauma. Coagulopathies, clinical critical care research, hypercoagulability and thormbosis, anticoagulation monitoring
Major Specialized Equipment
- ACL Elite hemostasis analyzer
- Multiplate aggregometer
- Microscan video microscope