Cummings School of Veterinary Medicine at Tufts University
Armelle M. de Laforcade

Emergency Medicine & Critical Care, Coagulation

Emergency and Critical Care

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.

Education

  • DVM - Tufts University - 1997
  • BS - Cornell University - 1993

Board Certification

  • ACVECC
  1. O'Marra SK, Shaw SP, de Laforcade AM. Investigating hypercoagulability in immune-mediated thrombocytopenia: a pilot study. J Vet Emerg Crit Care 2012;22(1):126-130.
  2. O'Marra SK, de Laforcade AM, Shaw SP. Treatment and predictors of outcome in dogs with immune mediated thrombocytopenia. J Am Vet Med Assoc. 2011;238(3):346-52.
  3. Fenty R, de Laforcade AM, Shaw SP, et al. Identification of hypercoagulability in dogs with primary immune-mediated hemolytic anemia utilizing thromboelastography. J Am Vet Med Assoc 2011; 238(4):463-467.
  4. Kenney EM, Rozanski EA, Rush JE, de Laforcade-Buress AM, Berg JR, Silverstein DC, Montealegre CD, Jutkowitz LA, Adamantos S, Ovbey DH, Boysen SR, Shaw SP. Association between outcome and organ system dysfunction in dogs with sepsis: 114 cases (2003-2007). J Am Vet Med Assoc 2010; 236:83-87.
  5. Streeter EM, Rozanski EA, de Laforcade-Buress AM, Freeman LM, Rush JE. Evaluation of Canine Vehicular Trauma: 239 Cases (January-December 2001). J Am Vet Med Assoc 2009; 235(4):405-8.
  6. Whelan MF, O'Toole TE, Chan DL, Rozanski EA, de Laforcade AM, Crawford SL, Cotter SM. Use of human immunoglobulin in addition to glucocorticoids for the initial treatment of dogs with immune-mediated hemolytic anemia. J Vet Emerg Crit Care 2009; 19(2):158-164.
  7. Amy V. Trow, Elizabeth A. Rozanski, de Laforcade AM, Daniel L. Chan. Evaluation of use of human albumin in critically ill dogs: 73 cases (2003-2006). J Am Vet Med Assoc 2008; 233:607-612.
  8. Roux FA, Deschamps JY, Blais MC, Welsh DM, de Laforcade-Buress AM, Rozanski EA. Multiple red cell transfusion in 27 cats (2003-2006): Indications, complications, and outcomes. J Fel Med Surg 2008; 10:213-218.
  9. de Laforcade AM, Rozanski E, Freeman L. Serial changes in protein C and antithrombin in dogs with sepsis. J Vet Intern Med 2008; 22:26-30.
  10. Jloyd JW, Fingland R, Arighi M, Thompson J, de Laforcade AM, McManus J. Satellite teaching hospitals and public-private collaborations in veterinary medical clinical education. J Vet Med Educ 2008; 35(1):43-47.

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

  • Thromboelastograph
  • ACL Elite hemostasis analyzer
  • Multiplate aggregometer
  • Microscan video microscope