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Postgraduate Certificate (PgC) in

Emergency Medicine & Surgery

Two year clinical programme

The Initial Approach to the Emergency Patient

  • Understand the administrative, legal and ethical issues involving the critically ill patient
  • Appreciate triage systems and detail a suitable initial patient assessment
  • Explain emergency vascular access techniques including jugular and intraosseous routes
  • Understand pain management, stabilisation and monitoring
  • Explain health and safety concerns and precautions including managing a situation involving potential zoonoses
  • Appreciate infectious diseases and preventative healthcare
  • Be aware of reference sources for the additional learning objectives on the recumbent patient and/or basic notes
TBC Swindon - Alexandra House TBC

Laboratory Diagnosis, Clinical Pathology and Transfusion medicine

  • Understand sampling techniques, processing, storage and data recording
  • Apply knowledge to using the microscope to examine blood smears, urinary sediment and basic cytology and be able to diagnose common acute and chronic conditions seen in general practice
  • Assess haemostasis
  • Interpret clinical laboratory medicine information including haematology, biochemistry, electrolyte and arterial and blood gas analyses
  • Understand when transfusion should be considered and appreciate that there are no ‘magic’ numbers
  • Select appropriate blood products and protocols to minimise adverse outcomes
  • Manage common conditions leading to haematological abnormalities requiring transfusion
TBC Swindon - Alexandra House TBC

Supporting the Emergency Patient

  • Assess, recognise and treat shock
  • Appreciate the indications for the different types of fluid therapy with their advantages and disadvantages and the need for electrolyte supplementation
  • Review techniques for venous access: sites, catheter placement, preparations and complications including advanced techniques and intraosseous techniques
  • Have a general understanding of acid-base balance and its treatment
  • Explain the need to monitor for complications during treatment and to record central venous pressure
  • Appreciate the importance of acute malnutrition
  • Formulate a plan to provide enteral, total parenteral and partial parenteral nutrition
TBC Swindon - Alexandra House TBC

Anaesthesia, Analgesia, Sedation and Therapeutics

  • Detail an approach to patient stabilisation prior to anaesthesia
  • Select appropriate parenteral and inhalational anaesthetic regimes and appreciate their relative advantages and disadvantages. Sedation versus anaesthesia
  • Have an understanding of anaesthetic equipment and monitoring techniques and their advantages and disadvantages
  • Explain the selection of NSAIDs, opioids, local anaesthetic and topical treatment options for the emergency patient
  • Understand the pharmacokinetics, potential interactions and adverse effects of commonly used therapeutic agents including anti-microbials and anti-parasiticides in addition to anaesthetics and anti-inflammatories in the emergency patient
  • Understand the use of neuromuscular blockers
TBC Swindon - Alexandra House TBC

The Principles of Surgery and the Approach to Trauma and Wound Management

  • Stabilise a patient prior to surgery, plan surgery and manage complications
  • Appreciate the indications for immediate surgical intervention
  • Understand surgical asepsis, theatre protocol and the rational use of antimicrobials in surgical patients
  • Approach the acute management of haemostasis, abdominal trauma, brain and/or spinal trauma and respiratory trauma
  • Approach external soft tissue wounds, myocardial injury and musculoskeletal trauma
23 May 2017 Swindon - Alexandra House Guillaume Chanoit

Gastrointestinal Emergencies

  • Approach the acute abdomen
  • Understand the common emergency conditions affecting the oesophagus, stomach, small intestine, large intestine, liver and pancreas
  • Formulate a diagnostic plan, including the use of imaging modalities, and effective monitoring strategies for these cases
  • Understand appropriate surgical intervention
24 May 2017 Swindon - Alexandra House Guillaume Chanoit

Cardiovascular Emergencies & CPCR

  • Understand the cardiovascular assessment and management of patients presented with cardiovascular emergencies
  • Utilise and interpret a range of diagnostic techniques including ECGs, radiographs, echocardiographs and laboratory data
  • Diagnose and manage acute canine congestive heart failure, feline cardiomyopathy and aortic thromboembolism
  • Diagnose and manage pericardial disease and understand how to perform pericardiocentesis
  • Diagnose and manage cardiac arrhythmias
  • Consider the predisposing factors likely to result in cardiac arrest, how this changes the approach to CPCR and determining prognosis following CPCR
  • Understand the various components of CPCR (DABC) and their various importance
10 Jul 2017 Swindon - Alexandra House Joao Loureiro

Respiratory Tract Emergencies

  • Understand the general approach to dyspnoea
  • Utilise and interpret a range of diagnostic techniques for respiratory patients including auscultation, radiography, endoscopy and arterial blood gas analysis to localise the underlying cause
  • Appreciate the methods of oxygen delivery and be able to monitor the efficacy of treatment
  • Understand the problems associated with oxygen delivery
  • Explain the techniques available
11 Jul 2017 Swindon - Alexandra House Paul Higgs

Neurological and Toxicological Emergencies

  • Perform a neurological examination
  • Select appropriate diagnostic tests and apply them to individual cases, including radiography and CSF analysis
  • Understand how to manage common neurological emergencies
  • Appreciate the fundamentals of neurosurgery
  • Recall the common toxicities such as insecticides, molluscicides, rodenticides, herbicides, household preparations and plants
  • Diagnose, treat and assess the prognosis of patients presented with the common poisonings
14 Sep 2017 Swindon - Alexandra House Laurent Garosi

Ophthalmological Emergencies

  • Perform a practical ophthalmological examination
  • Recognise normal features and variants
  • Formulate a diagnostic approach to common presentations including the red eye, ocular pain, ocular discharge and blindness and management of canine tachycardiomyopathy
  • Understand the medical and surgical management of common ocular conditions including corneal ulceration, uveitis and glaucoma
  • Understand ocular manifestations of systemic disease
  • Select current ocular medications and have an understanding of therapeutics
15 Sep 2017 Swindon - Alexandra House Claudia Hartley

Renal, Urinary Tract, Reproductive and Paediatric Emergencies

  • Apply diagnostic techniques including laboratory investigations and imaging to these cases
  • Investigate and manage common renal and urinary tract emergencies
  • Understand the principles of renal, ureteral, bladder and urethral surgery
  • Formulate an approach to cystocentesis and the placing and maintenance of urinary catheters and appreciate their limitations
  • Understand normal reproductive physiology and function and the physiology of conversion from foetal  to neonatal circulation
  • Appreciate the common important clinical signs associated with reproductive and paediatric emergencies
  • Plan a diagnostic approach to these cases and manage common conditions
15 Nov 2017 Swindon - Alexandra House Dan Holden

Endocrine and Metabolic Emergencies

  • Detail the common metabolic conditions requiring urgent or emergency therapy
  • Understand the impact of metabolic disturbances on the patient’s major body systems
  • Devise an approach to the diagnosis and management of common endocrine emergencies
  • Understand key diagnostic tests and their application
  • Appreciate the complications encountered during therapy, their prevention and management
16 Nov 2017 Swindon - Alexandra House Dan Holden

Emergencies in Rabbits, Rodents and Cage Birds

  • Interpret the practical findings of a physical examination
  • Formulate a diagnostic approach to common presentations of emergency conditions
  • Manage common emergency conditions
  • Approach the anaesthesia and analgesia of these species in emergency situations
14 Dec 2017 Swindon - Alexandra House Richard Saunders

Practical Session

This practical day will provide delegates with the opportunity to practise the following techniques in the wet-lab:

  • Tracheotomy and chest drain placement
  • Emergency abdominal surgery including the approach to the acute abdomen and peritonitis, enterotomy and enterectomy
  • Gastric dilatation/volvulus and gastropexies
  • Urinary obstruction including urethrotomy in the dog and perineal urethrostomy in the cat
15 Dec 2017 Swindon - Alexandra House Guillaume Chanoit
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