Emergency and Critical Care

Membership Preparation Program

Emergency and Critical Care

Become a leader in your field with this advanced veterinary emergency and critical care CPD program.

Our ECC Membership Preparation Program is designed to take your emergency and critical care skills to the next level and will help to get you ready to sit your ANZCVS Membership exams.

This advanced program features 12 specialist-developed modules, covering all key areas of veterinary emergency and critical care. From fluid therapy to toxicology and gastrointestinal emergencies to surgery, this program will leave you feeling confident in your diagnosis and management of emergency patients.

Designed by a team of leading ECC Specialists & Diplomates, our Emergency & Critical Care course provides a structured and logical approach to a complex and evolving subject.

Learn from the best with our engaging online learning platform

The Emergency & Critical Care program is delivered via a combination of online resources, including comprehensive notes, accompanying webinar recordings, resources and Membership-level examinations questions (including a key marked answer library).

Each module is followed up with a live online tutorial, giving you the opportunity to ask questions and get feedback from the module specialist.

Work towards your ECC Membership

The learning objectives in this program are based around the ANZCVS ECC Membership Guidelines*. In addition, the live exam prep session is a combination of specialist-run tutorials followed by an online one-on-one viva practice exam. This is essential preparation for delegates pursuing their ECC post-nominal qualifications.

Please note that although 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 skills relevant to all aspects of their clinical practice.

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

Course Highlights

  • 12 Online Modules covering key emergency and critical care topics
  • Opening webinar with two of Australia & New Zealand’s leading ECC authorities
  • Specialist Developed by a team of leading ECC specialists
  • “Membership-standard” exam questions at the end of each module to help you test your knowledge
  • Live tutorials with specialist for each module (are recorded and available on demand)
  • Specialist Support: Opportunity for Q&A with module specialists
  • Live exam prep session run by ECC Specialists
  • Membership Exam Prep: Online one-on-one viva practice exam
Emergency and Critical Care
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Entry Requirements:

It’s recommended that vets entering this program have completed significant introductory and/or prior personal study in emergency medicine and critical care and to be currently working in clinical veterinary practice. If you don’t meet the above program prerequisites, our Accelerated Emergency Program may be a suitable career pathway for you.

If you want to sit your ANZCVS Membership exam, please see the Australian and New Zealand College of Veterinary Scientists website directly for their eligibility requirements.

Learning Modules

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

  • Prioritise a patient’s problems based 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 haematology 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, mode of action and adverse effects of antibiotic drugs
  • Understand the importance for nutritional support in emergency and critical care patients
  • Understand the pathophysiology of anorexia/starvation and refeeding syndrome
  • Describe the different forms, indications and complications of nutrition: enteral and parenteral
  • Describe and calculate nutritional requirements in critical illness
  • Describe the different methods of, indications and complications associated with placement of a feeding tube

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 as well as complications of fluid therapy
  • 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 pathophysiology, causes and management of anaemia
  • Understand the indications for the use and adverse reactions of blood products including whole blood, packed red blood cells, fresh frozen plasma

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. The following are examples of classes of analgesics:
    • Alpha-2 agonists
    • Local anaesthetics
    • NSAIDs
    • Opioids
    • Dissociatives
    • GABA Analogues
    • 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. The following sedative and anaesthetic agents are some examples:
    • Alpha-2 agonists
    • Phenothiazines
    • Benzodiazepines
    • Dissociatives
    • Barbiturates
    • Propofol
    • Alfaxalone
    • Inhalation anaesthesia
  • Understand the effects of anaesthesia on the cardiovascular, respiratory, renal, hepatobiliary and central nervous systems
  • Create optimal anaesthesia protocols for animals with disease states: balanced analgesia and anaesthesia
  • Describe the management of anaesthetic emergencies and complications
  • Describe post operative intensive care

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

  • Understand the principals of cardiopulmonary resuscitation (CPR) and competently deliver basic life support as per the RECOVER initiative
  • Describe the principles, 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 principles, clinical indications, technique, interpretation and limitations of the following blood pressure monitoring techniques:
    • Oscillometric and Doppler (non-invasive) blood pressure
    • Direct (invasive) blood pressure
    • Central venous pressure using a water manometer
  • 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 stabilisation of an animal with tachy- and bradyarrhythmias
  • Detail an approach to the chronic management of an animal with congestive heart failure
  • Detail an approach to the diagnosis and treatment of hypotensive and hypertensive crises
  • 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
    • Inodilators
    • 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

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

  • Understand the pathophysiology of hypoxaemia 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

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

  • Detail the pathophysiology, diagnosis and management of common metabolic conditions requiring emergent therapy: Hypo and hyperthyroidism, Hypoadrenocorticism, Diabetes ketoacidosis, Hyperosmolar non-ketotic state, Hypoglycaemia, Insulinoma and Hyperadrenocorticism as it relates to emergency presentations.
  • Understand the pathophysiology and management of osmolality and electrolyte disturbances: sodium, calcium, magnesium
  • Understand the aetiology and treatment of CIRCI in small animals
  • Describe the aetiology and treatment of oncologic emergencies:
    • Tumour lysis syndrome
    • Mast cell degranulation
    • Paraneoplastic syndromes, including: hyperviscosity, hypercalcaemia, hypoglycaemia, GIT ulceration, coagulopathy and neuropathy
    • Adverse events associated with commonly used chemotherapeutic agents and treatments
      • Doxorubicin induced cardiomyopathy
      • Haemorrhagic cystitis
      • Chemotherapy-induced myelosuppression
      • Extravasation of chemotherapy agents
      • Gastrointestinal complications

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

  • Understand the renal regulation of fluid balance and electrolytes: Renin angiotensin aldosterone system
  • Define oliguria and anuria and management
  • 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 an uroabdomen
  • Detail the indications, technique and complications of peritoneal dialysis
  • Describe the indications, technique and complications urinary catheterization and cystocentesis

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

  • Describe the pathophysiology, diagnosis and treatment of:
    • Acute pancreatitis: dog vs cat
    • Megaoesophagus and megacolonin
    • Peritonitis
    • Hepatopathies inclusive of acute fulminant hepatic failure
    • Upper and lower gastrointestinal haemorrhage
    • Gastrointestinal perforation
    • Gastroenteritis +/- Haemorrhagic
    • Gastrointestinal obstructive diseases
    • GDV
    • Splenic disorders
    • Mesenteric torsion
    • Abdominal effusions
  • Describe the different techniques for abdominocentesis with or without an ultrasound
  • Describe the different techniques for fluid analysis and differentials
  • Understand the indications for, mode of action and potential adverse effects of common medications used in the above clinical syndromes
  • Basic knowledge of: viral, protozoal, coccidial, parasitic and bacterial diseases

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

  • Describe the general management of a toxicity
  • Describe the indications, mode of actions and adverse effects of emetics
  • Understand the pathophysiology and management of commonly encountered toxicities:
    • Snail bait: Metaldehydre, methiocarb, iron EDTA
    • Organophosphate toxicity
    • Synthetic pyrethrins
    • Rodenticides: vitamin K antagonists and bromethalin
    • Fungal and algal toxicity
    • Common plant toxicities: lily, cycad, brunfelsia
    • Tetrodotoxin
    • Common food toxicities: grapes, macadamia nuts, chocolate, xylitol
    • Home medication toxicities/overdoses: NSAIDs, paracetamol, salbutamol, antidepressants including SSRIs and TCAs
    • Serotonin syndrome
    • Heavy metal toxicities
    • Illicit drugs
  • Understand the pathophysiology and management of elapid snake envenomation
  • Understand the pathophysiology and management of Ixodes holocyclus paralysis
  • Understand the pathophysiology and management of cane toad toxicity
  • Describe the indications, mode of actions and adverse effects of antidotes
  • Describe the indication, mode of action and adverse effects of activated charcoal
  • Describe methods of decontamination, indications and adverse effects

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

  • Describe the management of:
    • Open and closed fractures
    • Crush injury
    • Skin trauma including degloving injuries
    • Burns
  • Describe the technique for arthrocentesis
  • Understand the principles of wound healing and 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

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 and Botulism
    • Meningitis and encephalopathies
  • Understand the indications for, mode of action and potential adverse effects of corticosteroids, hypertonic agents and anticonvulsants
  • Detail how to perform a practical ophthalmological examination
  • Understand the pathophysiology and management of ophthalmic emergencies:
    • Uveitis
    • Glaucoma
    • Corneal ulceration
    • Proptosis
    • Eyelid laceration
    • Horner’s syndrome
    • Penetrating ocular foreign bodies
    • Hyphema
  • Describe the technique of a temporary tarsorrhaphy and third eyelid flap
  • Understand the indications for, mode of action and potential adverse effects of atropine, ocular antibiotics, ocular steroids, prostaglandin, mannitol, glycerin, carbonic anhydrase

Describe the pathophysiology, diagnosis and treatment of:

  • Shock — hypovolaemic, distributive, hypoxic, cardiogenic, septic
  • Sepsis/systemic inflammatory response syndrome
  • Disseminated intravascular coagulation
  • Hyperthermia
  • Anaphylaxis
  • Polytrauma

*Please note: Module order may be subject to change

Hear from previous delegates

Dr Ailsa Rutherford

"The calibre of the course content is top class; the information is targeted to the level required to pass membership exams with up-to-date information that cannot be found easily online or in textbooks. I believe that being enrolled in the course and following the study modules was THE reason why I passed the membership exams first time."

Dr Geoffrey Dodds

I highly recommend the Improve ECC 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 final 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.

Dr Heminee Dave

The course was key in my successful achievement of the MANZCVS in ECC. The monthly tutorials with specialists and practice questions were also extremely helpful, as they allowed me to hone in my exam technique. The face to face session at the end of the course was a fantastic day, and really allowed me to test my knowledge, ask any burning questions and also network with other candidates.

Course Speakers

Dr Claire Sharp
Dr Claire Sharp
BSc BVMS MS DACVECC
Dr Ellie Leister
BVSc MANZCVS (SA Medicine) FANZCVS (Emergency & Critical Care)
Vicki Liddle
Vicki Liddle
BVSc(Hons) MANZCVS(EMCC) FANZCVS(Ophthalmology)
Dr Leah Bradbury
BVSc(hons) CertVA MANZCVS DipECVAA
Dr Yenny Indrawirawan
BAnimSc BVSc FANZCVS (ECC)
Niek Beijerink
Dr Niek Beijerink
DVM PhD Diplomate ECVIM-CA (Cardiology)
Dr Rob Webster
Dr Rob Webster
BVSc (Hons) FANZCVS
dr-kerry-doolin
Dr Kerry Doolin
BSc BVSc MVetMed DACVECC MRCVS
Dr Merrin Hicks
Dr Merrin Hicks
BVSc (Hons) MVSc FANZCVS
Dr Weiqin Chee
Dr Weiqin Chee
BVSc GCertSAECC GradDipEd MVetClinStud MVetSc (Res) DACVECC

Payment Options

FAQ

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.

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 (minimum 1 hour)
  • 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.

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 & eligibility criteria for Membership please click here.

Improve International Australia does not imply any endorsement of this program by the Australian and New Zealand College of Veterinary Scientists nor any affiliation with the College.

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 optional final face-to-face weekend with its Membership exam focus) and attendance at the virtual sessions and tutorials mean you don’t have to travel. All sessions are also recorded and put up on the learning platform.

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

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.

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.

  • 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

At the end of each module there are a series of 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.

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.

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.

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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