Emergency and Critical Care (2019)

01/07/2019

16 Participants

8.30 – 16.30

Online

Emergency and Critical Care is a one-year structured modular program, focusing on respiratory, cardiovascular, and renal physiology.


Program

This one-year modular program includes 12 modules, of which 4 are face-to-face and 8 are online. All broad areas of emergency and critical care will be addressed throughout the program. Modules include webinars, notes, journal articles, additional reading lists and practice questions to ensure understanding of the material. Delegates are invited to submit their responses to practice questions for review and feedback from the module speaker.

There are no formal pre-requisites for the program; however, candidates should have already completed advanced CE in emergency medicine and critical care or conducted significant personal study.

GP and emergency vets alike are welcome to undertake this program.

Inclusions

  • Access to an online forum for case discussion and additional learning material.
  • Comprehensive notes for each module.
  • Face-to-face modules are fully catered.

Speakers

2019 speakers are to be confirmed. 2018 speakers included:

Dr Claire Sharp BSc, BVMS, MS, DACVECC
Dr Niek Beijerink DVM, PhD, Diplomate ECVIM-CA (Cardiology)
Dr Gerardo Poli BVSc (Hons Class 1) MVS (Small Animal Practice) MANZCVS (Emergency & Critical Care)
Dr Leah Bradbury BVSc(hons) CertVA, MANZCVS, DipECVAA
Dr Yenny Indrawirawan BAnimSc, BVSc, FANZCVS (ECC)
Dr Jayne McGhie BVSc MACVSc (SA Surgery) Dip ACVS0SA
Dr Ryan Ong BVSc(Hons) MVetStud MACVSc (Small Animal Medicine Emergency and Critical Care) DACVECC
Dr Ellie Leister BVSc MANZCVS (SA Medicine)
Dr Vicki Liddle BVSc(Hons) MANZCVS(EMCC) FANZCVS(Ophthalmology)
Dr Rob Webster BVSc (Hons) FANZCVS

Venues

Online
Gold Coast QT, QLD
Mantra Southbank

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

In this module, delegates will undertake an ANZCVS full-day wet lab workshop.  The workshop is a world-class opportunity for hands-on training in CPR (RECOVER Certified) and Point of Care Ultrasound (abdominal & thoracic).

For full workshop details, including teaching faculty, please download the ANZCVS ECC Wet Lab Workshop flyer.

(NB. Workshop registration is included in your ECC program registration.)

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

  • Describe the physiology of blood pressure and blood volume regulation
  • Understand the basic principles of:
    • Congestive heart failure secondary to cardiomyopathy or valvular disease.
    • Cardiac tamponade
    • Cardiac arrhythmias
    • Endocarditis
    • Hypertension
  • Describe the technique for pericardiocentesis
  • Describe the management of cardiopulmonary arrest
  • Understand the indications for, and potential adverse effects of, inotropes,
    vasopressors, vasodilators, diuretics, antiarrhythmics

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.

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

  • Describe the principles of anaesthesia and analgesia as they apply to the emergency or
    critically ill patient, including the following concepts:

    • Pain pathways and mechanism of action of different analgesics
    • Balanced analgesia
    • Balanced anaesthesia
    • Management of anaesthetic emergencies
    • Patient stabilisation prior to anaesthesia
    • Post-operative intensive care.
  • Describe monitoring of anaesthesia using pulse oximetry, capnography, ECG, non-
    invasive and direct blood pressure monitoring

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

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

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

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

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.

 

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

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

Case-based teaching

The Global problems and exam preparation module is designed to bring together the elements of the course in a bootcamp-style revision day to assist those wishing to practice the expression of their knowledge under exam conditions. SIRS and SEPSIS will be covered in depth, as well as DIC, heat-stroke, and anaphylaxis. There will also be written and oral exam coaching sessions.

Approximate schedule

08.30 – 10.00  Session 1: Shock and SEPSIS
10.00 – 10.30  Morning Break
10.30 – 12.00  Session 2: DIC and Anaphylaxis
12.00 – 13.00  Lunch
13.00 – 14.30  Session 3: Examination techniques
14.30 – 15.00  Afternoon Break
15.00 – 16.30  Session 4: Practice oral exam


Prices and booking

2019-20 pricing to be confirmed.

Please register your interest below to get the latest updates on this course, including when registrations open.

Register Interest