Emergency and Critical Care 2021/22
Membership Preparation Program

Emergency and Critical Care

This 14 month long, structured program focuses on preparation for ECC Membership examination & the development of advanced emergency skills.

The Program

The Improve ECC Membership Preparation Program is designed to help you consolidate your knowledge in emergency and critical care, get you ready to sit your ANZCVS Membership exams – and get you on the path to becoming the next future specialist!

This advanced modular program runs with 12 specialist developed modules. All broad areas of veterinary emergency and critical care are covered, with learning objectives based around the ANZCVS ECC Membership* Guidelines.

Designed by ECC Specialists & Diplomates, the blended program provides a structured, logical approach to a complex and evolving subject. Relevant and up to date content is presented each month on the online learning platform. End of module assessment tasks are followed up with live online tutes and direct engagement with your module Specialist.
 

Course Highlights

Download the Brochure

Download the Brochure



This exciting modular program is dedicated
to providing a high quality, clinically relevant
training in emergency medicine.

Emergency and Crictical Care

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This blended learning program is a combination of live, online and face to face resources and includes comprehensive Module notes, accompanying webinar recordings, resources and Membership-level examinations questions, including key marked answer library. 

Supporting online tutorials with the module specialist accompany each of the modules – giving opportunity for direct individual feedback and  Q & A.  These sessions are recorded and uploaded to the online learning platform, allowing you to work through materials at your own pace and time. 

The final weekend is a combination of specialist-run tutorials and one-on-one viva exam prep – essential preparation for delegates pursuing their ECC post-nominal qualifications.

*Improve International does not imply either endorsement of this program or affiliation by/with the Australian and New Zealand College of Veterinary Scientists. 

Prerequisites

Enrolment numbers in the ECC Membership Prep program are limited to provide the best opportunity for delegates.

It recommended that vets entering this Improve program have completed significant introductory and/or prior personal study in emergency medicine and critical care – (please refer to the AES Accelerated Emergency Program) and to be currently working in clinical veterinary practice.

Please see the Australian and New Zealand College of Veterinary Scientists website directly for their eligibility requirements

Please also note – while this program is designed to prepare those working towards ECC Membership, general practitioners with a strong interest in emergency medicine will gain significant theoretical knowledge with practical applications and skills relevant to all aspects of their clinical work.

Emergency and Critical Care Membership Program 2021 Modules

Module 1: The initial approach to the emergency patient

At the end of this module delegates should be able to:

  • Prioritise a patients problems base on principles of triage
  • Understand the principles of triage and primary, secondary and tertiary surveys
  • Describe the techniques of T-FAST and A-FAST
  • Interpret emergency database blood tests including lactate, arterial and venous blood gases and coagulation tests
  • Describe the management of acute acid-base disorders.
  • Interpret hematology and biochemistry blood tests including blood smear examination
  • Interpret urinalysis including sediment examination
  • Know the appropriate use and interpret results of antigen bedside testing
  • Describe appropriate use of antibiotic therapy in Emergency and Critical Care
  • Understand the importance for nutritional support in emergency and critical care patients.
  • Understand the pathophysiology of anorexia/starvation and refeeding syndrome
  • Describe the options available, indications and complications for enteral nutrition
  • Describe the options available, indications and complications for parenteral nutrition

Module 2: Neurological and ophthalmological emergencies

At the end of this module delegates should be able to:

  • Describe the technique for cranial and spinal nerve examination
  • Describe the technique and understand the utility of the Modified Glasgow Coma score
  • Describe the differential diagnoses, pathophysiology, assessment and management of:
    • Seizures
    • Brain injury
    • Spinal cord injury
    • Lower motor neuron disease
    • Vestibular disease
    • Tetanus
  • Understand the indications for, and potential adverse effects of steroids, hypertonic
    agents and anticonvulsants
  • Detail how to perform a practical ophthalmological examination
  • Understand the pathophysiology and management of uveitis, glaucoma, corneal
    ulceration and proptosis.
  • Understand the indications for, and potential adverse effects of atropine, ocular
    antibiotics, ocular steroids, prostaglandin, mannitol, glycerin, carbonic anhydrase

Module 3: Anaesthesia, analgesia and sedation and therapeutics

At the end of this module delegates should be able to:

  • Understand pain physiology
  • Discuss the assessment of pain in dogs and cats
  • Describe the mechanism of action, pharmacology, dose, routes of administration, indications/advantages, contraindications/disadvantages, adverse effects, drug interactions, species specific considerations and use in the critically ill animal of the following classes of analgesics:
    • Alpha-2agonists
    • Local anaesthetics
    • NSAIDs
    • Opioids
    • Dissociatives
    • Gabapentin
    • Glucocorticoids
  • Describe the concept of pre-emptive/preventative analgesia
  • Create balanced analgesia plans for animals with pain due to trauma, medical or surgical disease
  • Discuss the pre-anaesthetic assessment of animals with medical and surgical disease states
  • Describe the mechanism of action, pharmacology, dose, routes of administration, indications/advantages, contraindications/disadvantages, adverse effects, drug interactions, species specific considerations and use in the critically ill animal of the following sedative and anaesthetic agents:
    • Alpha-2agonists
    • Phenothiazines
    • Benzodiazepines
    • Dissociatives
    • Barbiturates
    • Propofol
    • Alfaxalone
    • Inhalationals
  • Understand the effects of anaesthesia on the cardiovascular, respiratory and central nervous system
  • Create optimal anaesthesia protocols for animals with disease states

Module 4: Endocrine, metabolic and oncologic emergencies

At the end of this module delegates should be able to:

  • Detail the pathophysiology, diagnosis and management of common metabolic
    conditions requiring urgent or emergency therapy
  • Describe the causes, complications and treatment of disorders of calcium and
    magnesium balance
  • Understand the pathophysiology and management of hypernatraemia and
    hyponatraemia
  • Understand the aetiology and treatment of CIRCI in small animals
  • Understand the indications for, and potential adverse effects of, glucocorticoids,
    mineralocorticoids, insulin, thyroxine, mitotane and trilostane, prostaglandins, oxytocin,
    other hormones
  • Describe the aetiology and treatment of oncologic emergencies:
    • Tumor lysis syndrome
    • Mast cell degranulation
    • Adverse events associated with commonly used chemotherapeutic agents

Module 5: Renal, urinary and reproductive tract emergencies

At the end of this module delegates should be able to:

  • Understand the renal regulation of fluid balance and electrolytes
  • Define oliguria and anuria
  • Describe the pathophysiology, assessment and management of renal failure: prerenal,
    renal and postrenal
  • Describe the pathophysiology, assessment and management of obstructive urinary tract
    disease and lower urinary tract disorders
  • Describe the diagnosis, pathophysiology and management of uroabdomen
  • Detail the indications, technique and complications of peritoneal dialysis
  • Describe the indications, technique and complications urinary catheterization,
    cystocentesis
  • Understand the indications for, and potential adverse effects of diuretics, consequences
    of reduced renal function upon drugs used in therapy
  • Understand the pathophysiology and management of eclampsia, dystocia, prostatic abscess, endometritis and testicular torsion.

Module 6: Fluid therapy and transfusion medicine

At the end of this module delegates should be able to:

  • Understand the indications for the use of fluid therapy, including the appropriate use of crystalloids and synthetic colloids, and the supplementation of electrolytes
  • Describe vascular and intraosseous access techniques
  • Formulate a fluid therapy plan
  • Describe normal coagulation
  • Describe the common causes, clinical signs and treatment of disorders of coagulation
  • Describe the causes and management of anaemia
  • Understand the indications for the use of blood products including whole blood, packed red blood cells, fresh frozen plasma

Module 7: CPR & Cardiovascular Emergencies

At the end of this module delegates should be able to:

  • Understand normal cardiovascular physiology
  • Understand the pathophysiology of cardiovascular disease and heart failure
  • Competently perform a physical examination of the cardiovascular system
  • Recognise the signs typical of heart disease and heart failure and be able to differentiate
    these from other diseases
  • Determine which diagnostic tests will be of greatest benefit in establishing a diagnosis of
    heart failure in the emergency setting and generate a list of differential diagnoses
  • Determine which diagnostic tests will lead to a definitive diagnosis of the cause of heart
    failure
  • Competently perform and interpret thoracic radiographs in relation to the cardiovascular system
  • Competently perform and interpret thoracic point-of-care ultrasound in relation to the cardiovascular system
  • Competently perform and interpret an ECG
  • Detail an approach to the emergency stabilisation of an animal with acute congestive heart failure
  • Detail an approach to the chronic management of an animal with congestive heart failure
  • Describe the clinical indications, technique and complications of pericardiocentesis
  • Describe the mechanism of action, dose, routes of administration, indications,
    contraindications, complications and drug interactions of the following classes of cardiovascular therapies:
    • Inotropes
    • Diuretics
    • Vasodilators
    • Vasopressors
    • Vagolytics
    • Angiotensin-converting enzyme inhibitors
    • Anti-hypertensives
    • Anti-arrhythmics
    • Anti-thrombotic drugs
  • Discuss the prognosis of the following cardiovascular diseases:
    • Myxomatous mitral valve disease in dogs
    • Dilated cardiomyopathy in dogs
    • Hypertrophic cardiomyopathy in cats
    • Pericardial disease and cardiac neoplasia in dogs
  • Understand the principals of cardiopulmonary resuscitation (CPR) and competently deliver
    basic life support as per the RECOVER initiative
  • Describe the principals, clinical indications and techniques of advanced life support and
    monitoring during CPR as per the RECOVER initiative
  • Describe the ideal approach to the care of the post-cardiopulmonary arrest patient
  • Describe the principals, clinical indications, technique, interpretation and limitations of the
    following blood pressure monitoring techniques:
    • Oscillometric and Doppler (non-invasive) arterial blood pressure
    • Direct (invasive) arterial blood pressure
    • Central venous pressure using a water manometer

Module 8: Respiratory tract emergencies

At the end of this module delegates should be able to:

  • Understand the pathophysiology of hypoxemia and cellular hypoxia, including the oxygen-haemoglobin dissociation curve.
  • Describe techniques available for oxygen supplementation
  • Understand the pathophysiology of oxygen toxicity
  • Describe the technique for thoracocentesis
  • Describe the indications for, placement and management of thoracic drains
  • Describe the indications for, placement and management of tracheostomy tubes
  • Describe the pathogenesis of ALI/ARDS
  • Describe the pathophysiology, stabilisation and management of patients with:
    • Thoracic trauma including pulmonary contusions
    • Pneumonia
    • Cardiogenic and non-cardiogenic pulmonary oedema
    • Pulmonary embolism
    • Smoke inhalation, airway burns
    • Airway disease: upper and lower
    • Pleural space disease
  • Understand the indications for mechanical ventilation
  • Describe the principles of mechanical ventilation including modes, adverse effects and weaning.
  • Understand the indications for, and potential adverse effects of bronchodilators

Module 9: The principles of surgery

At the end of this module delegates should be able to:

  • Describe the initial management of:
    • Open and closed fractures
    • Crush injury
    • Skin trauma including degloving injuries
    • Burns
  • Describe the technique for arthrocentesis
  • Understand the principles of wound management
  • Describe the preoperative stabilisation, surgical approaches and post operative care for:
    • GDV
    • Gastrointestinal foreign bodies
    • Ruptured splenic mass
    • Pyometra
    • Caesarean
  • Describe appropriate use of antibiotic therapy in Emergency and Critical Care
  • Define nosocomial infection and detail methods of control

Module 10: Toxicology and toxicological emergencies

At the end of this module delegates should be able to:

  • Describe the general management of a toxicity
  • Understand the pathophysiology and management of commonly encountered toxicities
  • Understand the pathophysiology and management of elapid envenomation
  • Understand the pathophysiology and management of Ixodes holocyclus paralysis
  • Understand the pathophysiology and management of cane toad toxicity

Module 11: Gastrointestinal emergencies

At the end of this module delegates should be able to:

  • Describe the pathophysiology, diagnosis and treatment of:
    • Acute pancreatitis in the cat and dog
    • Megaoesophagus in the dog
    • Peritonitis
    • Hepatic disease
    • Gastroenteritis
  • Describe the technique for abdominocentesis
  • Understand the indications for, and potential adverse effects of, antiemetics, antiulcer
    medications, gastrointestinal protectants, prokinetics, drugs used in enteritis, drugs used in hepatic failure

Module 12: Global problems

Case-based teaching

The Global problems module: SIRS and SEPSIS will be covered in depth, as well as DIC, heat-stroke, and anaphylaxis.

Exam Prep: Live Viva Examination Practice (face to face weekend)

 

Course Speakers

Dr Claire Sharp BSc BVMS MS DACVECC
Claire Sharp

Dr Claire Sharp BSc BVMS MS DACVECC

Claire is a senior lecturer in the College of Veterinary Medicine, School of Veterinary and Life Sciences. She did her veterinary training at Murdoch, graduating with a BSc, BVMS(Hons), in 2002.

Dr Ellie Leister BVSc MANZCVS (SA Medicine) FANZCVS (Emergency & Critical Care)
Emergency and Critical Care Improve International Australia

Dr Ellie Leister BVSc MANZCVS (SA Medicine) FANZCVS (Emergency & Critical Care)

Dr Ellie Leister BVSc MANZCVS (SA Medicine) FANZCVS (Emergency & Critical Care) Ellie Leister is the lead Pet Intensive Care Unit (PICU) Veterinarian at Veterinary Specialist Services (VSS) & Animal Emergency Ser …

Dr Gerardo Poli BVSc (Hons Class 1) MVS (Small Animal Practice) MANZCVS (Emergency & Critical Care)
Emergency and Critical Care Improve International Australia

Dr Gerardo Poli BVSc (Hons Class 1) MVS (Small Animal Practice) MANZCVS (Emergency & Critical Care)

Dr Poli has a strong interest in the stabilisation and management of critically ill patients, small animal ultrasound and radiology and emergency surgery. He is currently the coordinator of the internship program and the …

Dr Leah Bradbury BVSc(hons) CertVA MANZCVS DipECVAA
Emergency and Critical Care Improve International Australia

Dr Leah Bradbury BVSc(hons) CertVA MANZCVS DipECVAA

Leah graduated from the University of Sydney in 1999 and following a stint in mixed practice in Queensland she headed to the UK in 2001.

Dr Niek Beijerink DVM PhD Diplomate ECVIM-CA (Cardiology)
Niek Beijerink

Dr Niek Beijerink DVM PhD Diplomate ECVIM-CA (Cardiology)

Dr Niek Beijerink graduated with veterinary degree from Utrecht University in The Netherlands. He completed a PhD (canine endocrinology and reproduction) in 2007 and then a residency in Small Animal Cardiology in 2010.

Dr Rob Webster BVSc (Hons) FANZCVS (Emergency & Critical Care)
Rob Webster

Dr Rob Webster BVSc (Hons) FANZCVS (Emergency & Critical Care)

In 2014 Dr Rob Webster became a specialist in veterinary emergency medicine and critical care. Rob has been working full-time as an emergency vet for 14 years, and his training was conducted from 2006 to 2012.

Dr Ryan Ong BVSc(Hons) MVetStud MACVSc (Small Animal Medicine Emergency and Critical Care) DACVECC
ryan-ong

Dr Ryan Ong BVSc(Hons) MVetStud MACVSc (Small Animal Medicine Emergency and Critical Care) DACVECC

Ryan completed his veterinary degree at the University of Sydney in 2001 and went on to do an anaesthesia internship and Masters in Veterinary Studies at the Camden campus the following year.

Dr Sam Long BVSc, MVM, PhD, DipECVN, MRCVS
Emergency and Critical Care Improve International Australia

Dr Sam Long BVSc, MVM, PhD, DipECVN, MRCVS

Dr Sam Nicholas Long BVSc, MVM, PhD, DipECVN, MRCVS Sam graduated from the University of Melbourne in 1996 and spent a brief stint in practice before returning to his alma mater to complete an internship. This was follow …

Dr Simon Lemin BVSc MANZCVS (Surgery)
Emergency and Critical Care Improve International Australia

Dr Simon Lemin BVSc MANZCVS (Surgery)

Dr Simon Lemin graduated from University of Queensland in 1990 and after 7 years in general practice, switched to the challenges and stimulation of emergency practice.

Dr Vicki Liddle BVSc(Hons) MANZCVS(EMCC) FANZCVS(Ophthalmology)
Vicki Liddle

Dr Vicki Liddle BVSc(Hons) MANZCVS(EMCC) FANZCVS(Ophthalmology)

Vicki graduated from the University of Queensland in 2007 and then completed a rotating internship at Queensland Veterinary Specialists and an ophthalmology internship and residency at Animal Eye Services in Brisbane.

Dr Yenny Indrawirawan BAnimSc BVSc FANZCVS (Emergency & Critical Care)
Emergency and Critical Care Improve International Australia

Dr Yenny Indrawirawan BAnimSc BVSc FANZCVS (Emergency & Critical Care)

Dr Yenny Indrawirawan BAnimSc, BVSc, FANZCVS (ECC) Dr Yenny Indrawirawan is a Fellow of the Australian and New Zealand College of Veterinary Scientists in Veterinary Emergency and Critical Care. She graduated in 2004 fro …

Hear From One of Our ECC Graduates

"I highly recommend the Improve EMCC membership preparation course for anyone planning on sitting their membership exams. There is an overwhelming amount of content to get through before sitting the exam and this course helped me structure my study in a way that I felt fully prepared prior to sitting, The face-to-face sessions were fantastic for tying everything together and were filled with helpful exam tips to give you the best chance of passing."

Geoffrey Dodds, 2017-18 delegate

Payment Options

Full Payment Upfront (Total payable AU $7,500 incl GST)

All prices are inclusive of compulsory 10% GST

Payment Plan through VetEdPay* (AU$7,500 + $195 administration fee)

All prices are inclusive of compulsory 10% GST

*Please note: By selecting this option for payment you are connecting with VetEdPay, an external finance provider.

Terms and Conditions apply to all bookings.

Please find the terms and conditions here.

FAQ

What is the entry critera for enrolment?

You must be a graduated Veterinary Surgeon with a minimum of 1 year clinical experience, please check with Improve, to ensure your suitability. It is the responsibility of the delegate to ensure you meet the program entry criteria.

How many hours of study per Module will I need to allow to complete the program?

To complete the monthly Modules, you will need to allow around 12 – 20 hours. Some modules have more content, while others may require more independent reading.

  • Pre-session reading/preparation – this may involve a review of the relevant chapter in the textbook and resources (minimum 2 hours)
  • Face-to-face sessions or webinar recordings (minimum 6 hours)
  • Post-session questions (minimum 2 hours)
  • Follow up webinar sessions (min 1 hours)
  • Further study and review of materials, journal articles/textbook reading, other reflection, discussion forum (minimum 4 hours)

 

Delegates who submit full responses for the end of Module exam questions and who read widely may spend considerably more time studying/preparing than above.

What is Membership of the Australian & New Zealand College of Veterinary Scientists (MANZCVS)?

Membership of the Australia & New Zealand College of Veterinary Scientists, is an official recognition of a veterinarian’s knowledge and experience in a designated field of veterinary science. Membership is an indication to the profession and the general public of an advanced practitioner, representing a middle-tier of knowledge, competence and experience in a specific area of veterinary practice. Membership is not a specialist qualification. Membership requires examination with members signified by post-nominals MANZCVS. 

 

To find out more about ANZCVS Membership Exams please click here & eligibility criteria for Membership please contact the College via their website (https://www.anzcvs.org.au/membership/)

 

Improve International Australia does imply any endorsement of this program by the Australian and New Zealand College of Veterinary Scientists nor any affiliation with the College.

I’m not based in Australia/New Zealand can I still benefit from this program?

Yes, you can! We encourage all vets who are looking for an in-depth structured program covering all ECC topics to enrol (see below) All content is online (apart from the final face-to-face weekend with its Membership exam focus) and attendance at the virtual sessions and tutes mean you don’t have to travel. All sessions are also recorded and put up on the learning platform.

I am not aiming to sit for the ANZCVS Membership in ECC – can I still benefit from this program?

Absolutely!  While this comprehensive program is designed to prepare those working towards ECC Membership, general practitioners with a strong interest in emergency medicine will gain advanced knowledge with practical applications and skills relevant to all aspects of their clinical work – from anywhere in the world.

 

The structured program has learning objectives that broadly cover the field of Emergency and Critical Care and are a comprehensive coverage of this topic.

 

Some modules may contain content that is specific to conditions found in the Australia/New Zealand region.

When are modules released?

The online modules are released on the 1st of each month.  The follow-up live tutorial and Q&A for each module runs the first week of the following month.  A full schedule of dates is available to enrolled delegates.

What additional learning resources are available?

  • Additional program support webinars to help you with study and exam technique
  • Recognised Specialist as a module tutor to answer your questions at the Module tutorial
  • Comprehensive notes to support each lesson
  • Discussion board/forum to post questions, comments and engage with other delegates in the program
  • Reading list & a range of additional resources
  • Program Moderator to answer any content specific questions
  • Program Manager to ensure you make the most of the program and to provide administrative & technical support

What is the Module tutorial about?

At the end of each module there are a series of questions Membership level questions provided to test your knowledge. The two hour tutorial on ZOOM is a live virtual classroom, hosted by the Module specialist to review the answers (full model answers with marking key are provided prior to the tutorial).  Q&A opportunities are encouraged.

What if I can’t attend the tutorial time?

All the ZOOM tutorials will be recorded and available on the learning platform within 24 hours of completion, for your viewing at a time that suits. However, we do strongly recommend attending and engaging in the live tutorials.

Can I ask questions before the Module tutorial?

Yes!  A discussion board/forum is available to all delegates to post questions, comments and engage with others in the program.  The forum is not moderated by your module specialist, but any unanswered questions will be submitted to the specialist to be covered at the module tutorial.

What do I need to know about Zoom?

Zoom is a cloud-based meeting room. You will be sent a link to cut and paste into your browser to join your tutorial.

There is a Zoom app you can download for ease of use, but you can also access the tutorial by going to https://zoom.us/, click on ‘Join a meeting’ and cut and paste the provided ZOOM meeting link into meeting ID.

 

Please see ZOOM support for full access requirements: https://support.zoom.us/hc/en-us/articles/201362023-System-Requirements-for-PC-Mac-and-Linux

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