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

An ex vivo evaluation of efficacy of refrigerated canine plasma

Author(s):Grochowsky, A.R. | Rozanski, E.A. | de Laforcade, A.M. | Sharp, C.R. | Meola, D.M. | Schavone, J.J. | Brooks, M.B.
Publication year: 2014
Journal / Book title: Journal of Veterinary Emergency and Critical Care

Systematic evaluation of evidence on veterinary viscoelastic testing Part 3: Assay activation and test protocol

Author(s):De Laforcade, A. | Goggs, R. | Wiinberg, B.
Publication year: 2014
Journal / Book title: Journal of Veterinary Emergency and Critical Care

Partnership on Rotational ViscoElastic Test Standardization (PROVETS): Evidence-based guidelines on rotational viscoelastic assays in veterinary medicine

Author(s):Goggs, R. | Brainard, B. | De Laforcade, A.M. | Flatland, B. | Hanel, R. | Mcmichael, M. | Wiinberg, B.
Publication year: 2014
Journal / Book title: Journal of Veterinary Emergency and Critical Care

Clinical outcome after diagnosis of hemophilia a in dogs

Author(s):Aslanian, M.E. | Sharp, C.R. | Rozanski, E.A. | de Laforcade, A.M. | Rishniw, M. | Brooks, M.B.
Publication year: 2014
Journal / Book title: Journal of the American Veterinary Medical Association

Hypoperfusion and acute traumatic coagulopathy in severely traumatized canine patients

Author(s):Abelson, A.L. | O'Toole, T.E. | Johnston, A. | Respess, M. | de Laforcade, A.M.
Publication year: 2013
Journal / Book title: Journal of Veterinary Emergency and Critical Care

Hypoperfusion and acute traumatic coagulopathy in severely traumatized canine patients.

Author(s):Abelson, A.L. | O'Toole, T.E. | Johnston, A. | Respess, M. | de Laforcade, A.M.
Publication year: 2013
Journal / Book title: Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)

Diseases Associated with Thrombosis

Author(s):de Laforcade, A.
Publication year: 2012
Journal / Book title: Topics in Companion Animal Medicine

Systemic Inflammatory Response Syndrome

Author(s):De Laforcade, A.M.
Publication year: 2009
Journal / Book title: Small Animal Critical Care Medicine

Shock

Author(s):de Laforcade, A.M. | Silverstein, D.C.
Publication year: 2009
Journal / Book title: Small Animal Critical Care Medicine

Satellite teaching hospitals and public-private collaborations in veterinary medical clinical education

Author(s):Lloyd, J.W. | Fingland, R. | Arighi, M. | Thompson, J. | De Laforcade, A. | McManus, J.
Publication year: 2008
Journal / Book title: Journal of Veterinary Medical Education

Serial evaluation of Protein C and antithrombin in dogs with sepsis

Author(s):De Laforcade, A.M. | Rozanski, E.A. | Freeman, L.M. | Li, W.
Publication year: 2008
Journal / Book title: Journal of Veterinary Internal Medicine

Suspected relative adrenal insufficiency in a critically ill cat

Author(s):Durkan, S. | De Laforcade, A. | Rozanski, E. | Rush, J.E.
Publication year: 2007
Journal / Book title: Journal of Veterinary Emergency and Critical Care

Biochemical analysis of pericardial fluid and whole blood in dogs with pericardial effusion

Author(s):De Laforcade, A.M. | Freeman, L.M. | Rozanski, E.A. | Rush, J.E.
Publication year: 2005
Journal / Book title: Journal of Veterinary Internal Medicine

Market survey investigating the feasibility of an advanced training program for veterinary technicians

Author(s):De Laforcade, A.M. | Morrissey, P.A. | Rowell, S.L. | Schwartz, A.
Publication year: 2005
Journal / Book title: Journal of the American Veterinary Medical Association

Transfusion medicine in veterinary emergency and critical care medicine

Author(s):Rozanski, E. | De Laforcade, A.M.
Publication year: 2004
Journal / Book title: Clinical Techniques in Small Animal Practice

Hemostatic changes in dogs with naturally occurring sepsis

Author(s):De Laforcade, A.M. | Freeman, L.M. | Shaw, S.P. | Brooks, M.B. | Rozanski, E.A. | Rush, J.E.
Publication year: 2003
Journal / Book title: Journal of Veterinary Internal Medicine

Serum Nitrate and Nitrite in Dogs with Spontaneous Cardiac Disease

Author(s):De Laforcade, A.M. | Freeman, L.M. | Rush, J.E.
Publication year: 2003
Journal / Book title: Journal of Veterinary Internal Medicine

Central venous pressure and arterial blood pressure measurements

Author(s):De Laforcade, A.M. | Rozanski, E.A.
Publication year: 2001
Journal / Book title: Veterinary Clinics of North America - Small Animal Practice

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