Veterinarian

Accelerated Emergency Program

ISVPS Foundation Certificate (FCert)

Modular Program, Online Learning

Accelerated Emergency Program

Gain confidence in your management of emergency cases and take your ECC skills and knowledge to the next level.

This industry-leading veterinary CPD program has been developed by a team of ECC specialists and covers the latest diagnostic tools and up-to-date treatment guidelines, allowing you to confidently manage your emergency patients.

Each of the 15 modules unpacks key veterinary emergency topics that are relevant and applicable to the everyday clinical setting. Covering topics like blood gases and acid-base analysis, triage, ophthalmological emergencies, and intoxications, this in-depth program will help to further develop your skills and knowledge in ECC.

Who is it for?

Whether you’re a GP vet who wants to feel more confident with afterhours cases or you’re looking to transition into emergency practice, this program will help you to gain the foundation emergency skills to approach your patients with confidence and competence.

Gain a Postgraduate Qualification

This program is accredited with the International School of Veterinary Postgraduate Studies (ISVPS) meaning you can work towards the following globally-recognised qualifications while you study:

Foundation Certificate in Emergency and Critical Care (FCertECC)

By attending the full online structured program and following successful assessment, including an exam, you can gain the Foundation Certificate (FCert) in Emergency and Critical Care awarded by the ISVPS.

All ISVPS registration and examination fees are included in the course fees. For all enquiries about ISVPS requirements, contact [email protected].

Course Highlights

15 Varied Modules covering key clinical emergency topics
Developed by ECC Specialists: Created by ANZCVS Members and Fellows
Four ECC Specialists seminars throughout your program
Dedicated Program Coordinator: To help you every step of the way
12 months program access: Work through the content at your own pace
100% Online: Interactive and engaging modules allow you to study when you want
Enrol Anytime: Join at a time that suits you – no waiting for the next program intake!
ISVPS Accredited: Work towards a globally-recognised postgraduate qualification (FCertECC)
RACE Accredited: 80 CPD points

Accelerated Emergency Program

Enrol Anytime
Duration: 12 months
15 Online Modules + 4 ECC Specialist Seminars
RACE Accredited: 80 CPD points
ISVPS Foundation Certificate in Emergency & Critical Care
Online
Price: AU $4,950.00 incl GST

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Learning Modules

Modules

Module 1: Blood Gas and Acid-base Analysis

Learning Objectives:

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

Outline the steps involved in the identification and interpretation of acid base disorders
Identify one of four primary disorders and any compensatory mechanisms or secondary disorders.
List the causes of respiratory acidosis, respiratory alkalosis, metabolic acidosis and metabolic alkalosis
Calculate the anion gap and use it to identify causes of metabolic acidosis
Describe the management of acidaemia and alkalaemia.
Discuss the physiology of lactate production, its use as a marker of perfusion and the relationship to base excess (BE).
Describe the pathophysiology underlying the two main types of hyperlactataemia and other potential causes
Outline oxygenation in terms of arterial blood oxygen (PaO2), ventilation, perfusion and V/Q mismatch
Recall the physiological causes of low blood oxygen (hypoxaemia) and disease processes causing hypoxemia.
Calculate the adequacy of oxygenation using the P:F ratio and A-A Gradient
Describe the assessment of ventilation in relation to PCO2 and the 120 rule

Module 2: Shock and Intravenous Fluids

Learning Objectives:

At the end of this modules students should be able:

Define shock and the physiological causes
Explain circulatory shock in terms of hypovolemic, cardiogenic, distributive, obstructive shock
Outline findings in the stages of shock – compensatory, decompensatory, end-stage
Describe the principles of fluid therapy – including the glycocalyx, Starlings law & formation of interstitial oedema.
List the goals of fluid therapy in terms of perfusion parameters, dehydration correction and treatment of circulatory shock
Demonstrate how to assess the degree of dehydration
List the types of intravenous fluids and their indications for use
Construct a fluid plan to correct hypovolaemia, dehydration, ongoing losses and maintenance
Explain indications for bolus and shock fluid rates
Describe monitoring and perfusion end points for fluid therapy.
List the potential complications of fluid therapy
List considerations in perioperative fluid therapy

Module 3: Electrolytes

Learning Objectives

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

List the main serum electrolytes which need to be monitored and clinically managed
- sodium
- calcium
- potassium
- phosphate
Recall normal reference ranges for each electrolyte
Recall the common causes of abnormal decreases in each electrolytes
Recall the common causes of abnormal increases in each electrolytes
Describe the common clinical signs and pathological changes seen with derangements of each electrolytes
Recognise severity of clinical signs in relation to extent of electrolyte derangement
Discuss hypernatremia and hyponatremia in terms of volume status
List the appropriate management and treatment for the common electrolyte disturbances
Recall the specific calculations used in the management and treatment of sodium disorders

Module 4: Clinical Pathology and Focused Ultrasound

Learning Objectives

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

Differentiate the various components of a complete blood count
Outline the interpretation a complete blood count.
Outline appropriate differential diagnoses for abnormalities in the complete blood count.
Describe how to perform a blood smear and be able to evaluate findings.
Interpret a serum biochemistry profile and outline appropriate differential diagnoses for abnormalities.
Identify factors that may affect clinical pathology results in terms of animal breed, sample artefact and laboratory artefact
Describe aFAST and tFAST techniques.
Outline the abdominal fluid scoring system
Describe and outline the VetBLUE including the acoustic windows
Identify lung ultrasound signs – A lines, B lines, glide sign
Describe likely disease processes from VetBLUE using the regionally based respiratory pattern
Describe focused echocardiography and it’s uses

Module 5: Anaesthesia and Analgesia

Learning Objectives

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

Outline the pathophysiology of the pain pathway and describe the main neurotransmitters
Recall the three types of pain.
Identify how to assess pain in terms of the physiological signs and behavioural signs
Recall use of pain scales in the dog and cat.
Define multimodal analgesia and pre-emptive analgesia
Describe the basic pharmacology for commonly used analgesics, their advantages and disadvantages and important considerations.
Select appropriate analgesic agents for different trauma situations.
Outline the advantages and disadvantages of two common sedatives and their important considerations.
List the advantages and disadvantages of commonly used anaesthetic agents.
Recall considerations for anaesthetic drugs based on common emergency presentations and surgeries.

Module 6: Triage and CPR

Learning Objectives:

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

Identify the important components of a triage assessment
Explain the primary triage survey in the initial assessments and stabilisation of cardiovascular, respiratory and neurological parameters
Discuss life sustaining interventions and use of point of care diagnostics
Explain the secondary triage survey and the assessments required after initial stabilisation
List the clinical signs of cardiopulmonary arrest (CPA)
Explain basic life support and cardiopulmonary resuscitation (CPR)
Describe CPR and recommended techniques for chest compressions and ventilatory support
Describe monitoring devices used in advanced life support and explain the importance of the main parameters in CPR
Identify shockable and non-shockable rhythms in CPR and how to treat these.
Expand upon the indications and doses of common medications administered during CPR.

Module 7: Haematological and Coagulopathy Emergencies

Learning Objectives:

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

Explain the cell-based model of coagulation
Describe the pathophysiology of primary haemostasis
Recall the main disorders of primary haemostasis
Identify the clinical signs associated with primary haemostatic disorders
Discuss the diagnostic tests and treatments for primary haemostatic disorders
Recall the three pathways involved in the coagulation cascade.
Identify the clinical signs associated with secondary haemostatic disorders
Discuss the diagnostic tests for and treatment of secondary haemostatic disorders
Outline the primary mechanisms of anaemia
Describe the clinical signs of anaemia, diagnostic tests and the treatment of anaemia.

Module 8: Cardiovascular Emergencies

Learning Objectivves

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

Briefly explain the pathophysiology of congestive heart failure in relation to the common cardiac diseases of the dog and cat
Describe the common clinical signs seen with cardiac disease
List the diagnostic tests used to evaluate and assess patients with suspected cardiac disease
Outline the medical treatments and therapeutic procedures used in the emergency management of a cardiac patient
Explain the Renin-Angiotensin-Aldosterone System (RAAS) and its importance in maintenance of blood pressure
Describe the common clinical findings seen with hypertension in dogs and cats
Describe the common clinical findings seen with hypotension in dogs and cats
List the diagnostic tests used to assess and evaluate blood pressure
Outline the medical treatment options for hypotension and hypertension in dogs and cats
Outline the aetiology, diagnosis and management of FATE (Feline Aortic Thromboembolism)

Module 9: Respiratory Emergencies

Learning Objectives:

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

Define hypoxaemia , the common causes, relevance in respiratory physiology
Define hypoxia , causes and relevance in terms of respiratory physiology
Describe the difference between ventilation and oxygenation measures and explain V/Q mismatch
List relevant measures for assessment of ventilation and oxygenation including PaO2, SpO2, PaCO2, FiO2
Explain the oxyhaemoglobin dissociation curve
Explain the PF ratio in terms of lung function assessment
Detail a diagnostic approach for a patient presenting in respiratory distress
Detail a treatment plan for a patient presenting in respiratory distress
List a range of common disease states of the respiratory system that can present as emergencies

Module 10: Urogenital Emergencies

Learning Objectives

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

Describe the regulation systems of potassium homeostasis
List the causes and consequences of hyperkalemia
Discuss the treatment and management of hyperkalemia
Discuss the causes and consequences of uroabdomen
List the tests and procedures used in the diagnosis of uroabdomen
Discuss the management and treatment options for uroabdomen
Discuss Feline Lower Urinary Tract Disease (FLUTD)including the causes, clinical signs and diagnosis
Describe the treatment options for FLUTD
Discuss acute kidney injury in terms of kidney functions and pathophysiological changes
List the veterinary staging systems for acute kidney injury
Describe the differential diagnosis for acute kidney injury in terms of pre-renal, renal and post-renal causes
Discuss the treatment, management and monitoring of acute renal injury

Module 11: Ophthalmological Emergencies

Learning Objectives

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

Describe how to perform a complete ophthalmic assessment
Discuss the ophthalmic assessment in terms of gross examination techniques
Discuss the ophthalmic assessments in terms of specialised examination techniques
List the required equipment and drugs required for a complete ophthalmic assessment
Describe the aetiology and clinical signs of the common ophthalmic emergencies below:
Discuss the diagnostic workup of the common ophthalmic emergencies below:
List the treatment and management of specific ophthalmic conditions below:
- Corneal ulcer/laceration
- Descemetocele
- Uveitis
- Glaucoma
- Horner’s Syndrome
- Proptosis

Module 12: Neurological Emergencies

Learning Objectives

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

Discuss the functional regions of the brain and their neurological assessments
List the localisation of a brain lesion in relation to the assessments and deficits
Discuss the functional regions of the spinal cord and their neurological assessments
List the localisation of a spinal lesion in relation to the assessments and deficits
Describe how to perform a neurological examination
Discuss primary and secondary traumatic brain injury including mechanisms of intracranial pressure increases
List the clinical assessments for traumatic brain injury including the Modified Glasgow Coma Scale
Discuss the tiered and specific treatments of traumatic brain injury
List the diagnostic workup of patients presenting with seizures and status epilepticus
Discuss the specific treatments of seizures, including status epilepticus
List the diagnostic workup of patients with suspected intracranial disease
List the specific treatments meningitis or meningoencephalitis and the breeds commonly affected

Module 13: Abdominal Emergencies

Learning Objectives

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

List the commonly associated history, clinical signs and examination findings in acute abdomen presentations
Discuss the principles of the general diagnostic workup for an acute abdomen presentation
Describe the principles of immediate treatment for an acute abdomen presentation
Discuss Acute Pancreatitis – the pathophysiology, clinical signs, workup and treatment
Discuss Acute Gastroenteritis – aetiology, clinical signs, differential diagnoses, workup and treatment
Discuss Gastric Dilation and Volvulus (GDV) – the pathophysiology, clinical signs and diagnostic workup
List the initial management and surgical considerations of GDV
List the post-operative management and monitoring of GDV patients
Discuss Acute Non-Traumatic Haemoabdomen – the pathophysiology, clinical signs, workup and management

Module 14: Endocrine Emergencies

Learning Objectives

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

Discuss the pathophysiology of diabetic ketoacidosis (DKA)
Describe the clinical signs, work-up and diagnosis of DKA
List the common electrolyte, acid-base and fluid derangements see in DKA
Discuss the treatment of DKA including insulin regimes, fluid therapy, electrolyte supplementation and monitoring
Discuss hyperglycaemic hyperosmolar syndrome (HHS), the potential causes, how to calculate serum osmolarity and treatment of HHS
Discuss the pathophysiology of glucose regulation in the body and causes of hypoglycaemia
Describe the clinical signs, work-up and diagnosis of hypoglycaemia
Discuss the treatment of hypoglycaemia
Discuss the pathophysiology of primary and secondary hypoadrenocorticism
Describe the clinical signs and diagnostic work-up of hypoadrenocorticism
List the common clinical abnormalities present in hypoadrenocorticism – including electrolyte, clinical pathology, diagnostic imaging and adrenal-axis testing
Discuss the emergency treatment and management of patients in ‘Addisonian Crisis’.
Discuss Critical Illness Related Corticosteroid Insufficiency Syndrome

Module 15: Intoxications

Learning Objectives

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

List the preliminary questions asked in phone triage of suspected intoxications
Discuss the various decontamination methods including emesis, use of activated charcoal, gastric lavage, dermal decontamination and enhanced elimination
Describe the complications and contraindications of the above methods
Discuss metaldehyde intoxication including the clinical signs, diagnosis, stabilisation, decontamination, specific treatment and monitoring
Discuss synthetic pyrethrin intoxication including the clinical signs, diagnosis, stabilisation, decontamination, specific treatment and monitoring
Discuss anticoagulant rodenticide intoxication including the clinical signs, diagnosis, stabilisation, decontamination, specific treatment and monitoring
Discuss lily plant intoxication including the clinical signs, diagnosis, stabilisation, decontamination, specific treatment and monitoring
Discuss non-steroidal anti-inflammatory drug (NSAID) intoxication including pathophysiology, clinical signs, diagnosis, stabilisation, decontamination, specific treatment and monitoring
Discuss chocolate/caffeine intoxication including the clinical signs, diagnosis, stabilisation, decontamination, specific treatment and monitoring
Discuss ‘serotonin syndrome’ including the related drugs, the clinical signs, diagnosis, stabilisation, decontamination, specific treatment and monitoring
Discuss ethylene glycol intoxication including the clinical signs, diagnosis, stabilisation, decontamination, specific treatment and monitoring
Discuss grape and raisin intoxication including the clinical signs, diagnosis, stabilisation, decontamination, specific treatment and monitoring

Supplementary Australian Module: Intoxications

Learning Objectives

At the end of this modules students should be able to recall

Elapid Snake – list the common venom effects and clinical signs for the major species, diagnosis & specific & supportive management
Paralysis Tick (ixodes holocyclus) – list the common clinical signs & specific and supportive management
Cane Toad (Rhinella Marina) – list the common clinical signs, diagnosis & specific and supportive management

Global Seminars

Seminar 1 Fundamentals of Transfusion Therapy

Presented by Dr Claire Sharp BSc BVMS MS DACVECC

Seminar 2 Approach and Management of the Seizuring Emergency Patient

Presented by Dr Kerry Doolin

BSc BVSc MVetMed DACVECC MRCVS American Recognised Specialist in Emergency and Critical Care

Seminar 3 The Fundamentals of Managing the Dystocia Patient

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

Seminar 4 The Fundamentals of CPR (RECOVER) session

Presented by Dr Kerry Doolin

BSc BVSc MVetMed DACVECC MRCVS American Recognised Specialist in Emergency and Critical Care

Hear from previous delegates

Dr Elli Michaelidou

Being a recent graduate I sometimes found myself being intimidated when it came to dealing with emergency cases. That all changed when I came across the Accelerated Emergency Program! The fun and easy-to-follow modules thoroughly covered various subjects, and during the course we were provided with all necessary theory, alongside supporting videos, to prepare us for each week’s new module. By the end of the program I was able to collectively organise all my knowledge in such a way which allowed me to be more confident in managing any kind of emergency that would come through the door. I honestly cannot recommend it enough!

Dr Tiffany Yung

I would highly recommend the Accelerated Emergency Program because it is a great stepping stone into the ECC field of work. All the tutors are very knowledgeable and cover theory based questions as well as real cases, which definitely helps consolidating what I’ve learnt from each module. I am wanting to be more confident in handling emergency cases as a recent graduate and this has definitely helped.

Dr Nada Blagojevic

I came to my current role straight from university, and the Accelerated Emergency Program went beyond theory to cover material applicable to the cases I see day-to-day. I learned about physiology as well as medicine, which is invaluable as an emergency veterinarian.

Dr Brittany Malzard

I use my notes from the Accelerated Emergency Program every single day in clinical practice.

Dr Sally Whitwell

The Accelerate Emergency Program provides a full spectrum of information in a simple to understand format and access to fantastic mentors who know the content very well. Although it is targeted for emergency, as a primarily GP vet I still have found this resource incredibly valuable. I feel I have a more in depth understanding of these topics and am much less stressed in the workplace. Highly recommend for those in the emergency and GP field.

Program Developers

BVSc (Hons) MANZCVS (Emergency and Critical Care)

BVSc (Hons) MVS (Small Animal Practice) MANZCVS (Emergency & Critical Care)

Dr Danielle Huston

BVSc (Hons) MVS (Small Animal Practice) MANZCVS (Emergency & Critical Care)

Despite a life-long love for our furry friends, Veterinary Science wasn’t Dr Huston’s first dream. As a young child, she dreamt of becoming a dancer. These dreams were [fortunately] shattered at around 11 years of age by her mother’s statement following a dance recital, “She looked like an elephant trumpeting across the stage”. From there on out, becoming a vet was it. Danielle graduated from the University of Queensland with a Bachelor of Veterinary Science in 2010. She had already been working for Animal Emergency Service in Underwood as a vet nurse for two and a half years at this point and was cunning enough to con the Veterinary Manager into keeping her on as a new graduate intern. She remained working at Underwood AES for three and a half years before making the sea change to the Sunshine Coast, where she works at the Tanawha practice. Danielle has graduated with a Masters in Small Animal Clinical Practice through Murdoch University and passed her Membership in Emergency and Critical Care. The Huston family consists of three cats, Delilah and Theodore, both of whom were strays through our clinics and remained unclaimed at the pound, as well as her latest edition to the family: Zachary – also a stray cat through work. There are also three dogs in the Huston household, Tallulah and Pippa, both mixed breeds from rescue organisations, and Penelope the dalmatian – who was a surprise of her husband! Their primary roles and responsibilities include keeping the bed warm, keeping the couch soft and comfy, eating anything they can get their paws on (occasionally resulting in trips to work with mum), occasionally donating blood, posing for ultrasound training and selfies, long walks along the beach for the dogs, and midnight acrobatics for the cats. Oh, and keeping dad company whilst mum works. Emergency and Critical Care is a passion for Dr Huston, and she is exceptionally proud to be a part of such an amazing team providing after hours care to the animals of the Sunshine Coast. The variety of cases we treat with the combination of medical and surgical management keeps things exciting, and us always on our toes. Travel is Danielle’s favourite past time – anything from 4wd-ing weekends away to international adventures. She believes the only way to fully experience any culture is through food and drink, and the success of any holiday can be measured in kilos gained. Moving to the Sunshine Coast has allowed her love of the great outdoors to blossom, with hiking adventures a favourite and a necessity to undo the damage done on previously mentioned holidays.

BVSc MANZCVS (Emergency & Critical Care)

BVSc (Hons) MANZCVS (Emergency and Critical Care)

BVSc (Hons) MVS (Small Animal Practice)

Dr Philomena Kwong

BVSc (Hons) MVS (Small Animal Practice)

Dr Philomena Kwong is an emergency vet based at Animal Emergency Service in Underwood, just 30 minutes from Brisbane in Queensland. Having always gravitated to animals for as long as she can remember, Philomena sent her early years in Hong Kong – a concrete jungle where wildlife in most parts of the city was limited to sparrows, pigeons and rats. Philomena used to escape reality by immersing herself in endless animal documentaries.

Philomena’s first real encounter with animals was at her grandmother’s house, who lived in one of the few remaining villages in Hong Kong. It was commonplace for these households to keep cats to keep the mice/ rat population down, and since neutering and spaying wasn’t common practice back then, there was always a lot of unwanted kittens. Cat flu was rampant due to the high level of stress as a result of scarcity of resources and the dense population. Young kittens would often succumb to cat flu and the mortality rate was high. As a child, Philomena felt helpless not being able to do anything. After hearing of veterinarians treating sick animals, she was determined to be a vet one day. At the time, Philomena was six years old.

Originally wanting to volunteer at the University of Queensland Veterinary clinic (St Lucia) when she was a third year vet student, Philomena wasn’t able to do this due to her study workload – mostly during the day. Instead, Philomena started volunteering at an emergency clinic that operated from the same building after hours. When she saw the type of critical and challenging cases, Philomena knew she could never settle for anything less than working in emergency veterinary care.

When asked about her most meaningful case, Philomena was quick to tell us of a cat that presented to her with third degree chemical burns to almost 50% of its body, including some first degree burns to his tongue and a chemical induced pneumonia. “To this day he was one of the most critical patients I have treated; everything was touch and go for the first couple of weeks, not knowing whether he would pull through. It really highlighted to me the importance of practicing gold standard emergency and critical medicine to give our patients the best outcome possible. It took him a little over 8 weeks to recover, including repeat surgeries to remove the devitalised skin. But he made it, and has an impressive scar to tell the tale. Seeing the smile on the owner’s face when this cat finally went home is the reason why I’ll always be an emergency and critical care vet.”

BVSc BAppSc (Vet Tech) MANZCVS (Emergency & Critical Care)

BVSc MVM

BVSc (Hons) FANZCVS

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

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FAQ

What are the eligibility criteria for the Accelerated Program?

To enrol in the full program and work towards your Foundation Certificate in Emergency & Critical Care you must be a graduated Veterinary Surgeon. It is the responsibility of the delegate to ensure you meet the program entry criteria.

Please call our team on (07) 3244 1650 or email [email protected] if you are unsure, and we can help assess your suitability for the program.

How and when can I enrol in the Accelerated Program?

You can enrol at any time throughout the year. Just click on the “Enrol Now” button at the top of this page, pay your invoice and you will receive your online logins.

How much study time will I need to allocate to the program?

You should allocate approximately 4 hours for each of the modules. Some may require more time, and some will require less. You can work through the 15-module program at your own pace throughout your 12 months full program subscription.

When are the Program Modules released?

The 15 online modules are released weekly, meaning the full program is released over 15 weeks. You can move onto specific modules without completing the prior modules (if there are certain topics you want to upskill in). Please see the “Modules Tab” at the top of this page for more information on each module.

Tell me about the Global Webinar series.

Throughout your 12-month subscription you will be invited to four live Specialist Global Webinars. Each of these will cover a different foundational emergency topic and are additional content to the Accelerated Emergency Program. There will be opportunity to ask questions and engage with the presenters.

What if I am unable to attend a Global Webinar session?

All the live Webinars will be recorded and be made available on the learning platform within five days of completion. You will be able to access and view these at any time during your 12-month subscription. You also have access to a library of past specialist webinars.

What is the qualification can I achieve?

The Accelerated Emergency Program is the accredited training for the Foundation Certificate in Emergency and Critical Care (FCert(ECC)) awarded by the International School of Veterinary Postgraduate Studies (ISVPS).

The Foundation Cert is achieved by fully completing the Accelerated Emergency Program and by successfully passing the designated ISVPS assessment.

All the program modules – including pre and post module assessments, viewing of the platform materials and reading of content notes, are a requirement for eligibility to sit the ISVPS examination for the Foundation Certificate. Attendance and viewing of the Global Webinar sessions are not a requirement.

ISVPS examination fees are included in your program fees.

The examination and assessments are managed by the team at ISVPS. If you have specific questions about the certification process please reach out to the ISVPS team by emailing [email protected] or by visiting their website www.isvps.org

Accelerated Emergency Program