EMAC: Effective Management of Anaesthetic Crises

The simulation-based Effective Management of Anaesthetic Crises (EMAC) course provides training in the management of anaesthetic emergencies. It consists of five modules run over two and a half days covering topics such as airway management, human performance, cardiovascular emergencies, anaesthetic emergencies and trauma management.


The course is a valuable educational opportunity and a requirement of the curriculum, however trainees will not be provided with opportunities to complete workplace-based assessments during the course.


The course may be undertaken at any time after the completion of introductory training. However due to the focus on crisis management we believe that trainees who have completed at least 12 - 18 months of anaesthesia training are most likely to benefit from participation in the course. It is strongly recommended that trainees undertake EMAC prior to commencing provisional fellowship training.


EMAC is delivered by simulation centres in Melbourne (St Vincent’s and Southern Health), Sydney, Perth, Brisbane, Wellington, Auckland and Hong Kong. These centres have been accredited by ANZCA to provide the EMAC course. 


Please contact individual centres for bookings and inquiries. Centre contact details are provided below.


EMAC course dates

For EMAC course dates, please access the event calendar


EMAC instructor information

There are three levels of EMAC instructors: assistant, associate and full instructor.


For information on how to apply to become an EMAC instructor, please see the information below and contact EMAC@anzca.edu.au for application forms or further information.

All applications are sent to the EMAC Course Sub-committee for approval.


Assistant EMAC instructors

Assistant instructors are qualified to instruct on an EMAC course with supervision by a full EMAC instructor. 

In addition to submitting an application to the EMAC Sub-committee for approval, Assistant EMAC instructor applicants are required to:

  • Hold an appropriate specialist qualification.
  • Provide evidence of completion of an EMAC course in the previous five years
  • Provide evidence of completion of an approved simulation instructor course
  • Include the names of the three confidential referees:  the convenor of a simulation instructor course that the applicant attended, the head of the department in which the applicant works, and EMAC supervisor. 


Full EMAC instructors

Full instructors may instruct on an EMAC course without supervision, and are eligible to accept the roles of EMAC convenor and EMAC supervisor. 

In addition to submitting an application to the EMAC Sub-committee, Full EMAC instructor applicants are required to:

  • Hold FANZCA or other qualification acceptable to ANZCA Council and be practising anaesthesia as an independent practitioner either currently or  within the past five years.
  • Have fulfilled all assistant instructor criteria.
  • Attend and instruct on at least two complete EMAC courses within a one-year period following completion of an approved instructor’s course, and gained a  satisfactory evaluation from the EMAC course convenor .
  • Have a thorough knowledge of the EMAC course content, aims and learning objectives for each module.
  • Have sufficient content knowledge and skill to facilitate educational activities including debriefing, teaching a skill, running a problem based learning discussion session.


Associate EMAC instructors

Associate instructors may instruct on EMAC courses in a collegial relationship with a full EMAC instructor.

  • To become an Associate EMAC instructor applicants are required to:
  • Hold an appropriate qualification:
  • FANZCA or other qualification acceptable to ANZCA Council but without the need to have been practicing independent anaesthesia within the past five years or;
  • Non-FANZCA, which may include those with PhD, or a specialist qualification in another medical specialty.
  • Submit the specified application form including the names of three confidential referees.


Pre-approved instructor courses

The following courses have been pre-approved by the EMAC Sub-committee as suitable for those wishing to apply to become an EMAC instructor:



Monash Simulation

EMAC Instructor's Course

Alfred Health, Australian Centre for Health Innovation
Simulation-Based Training Instructor Course

New South Wales

Sydney Clinical Skills and Simulation Centre

Instructor Course


Wellington, New Zealand

National Patient Simulation Training Centre, Wellington Hospital

New Zealand Simulation Instructors Course 


United states of America

Center for Medical Simulation - Harvard Medical

Simulation as a teaching tool


Please contact centres directly for course dates and further information.


EMST: Early Management of Severe Trauma

The Early Management of Severe Trauma (EMST) course is an intensive course in the management of injury victims in the first two hours following injury. It emphasises life-saving skills and systematic clinical approach to managing severe trauma. It is a two and half day course adapted from the Advanced Trauma Life Support (ATLS®) course of the American College of Surgeons in 1988.


EMST is offered by the Royal Australasian College of Surgeons (RACS). For further details and registration information refer to the RACS website.


Accreditation of centres

ANZCA accredits simulation centres across Australia, New Zealand and South-East Asia, to offer the EMAC course to ANZCA trainees. Accreditation requires an onsite review by the College to assess a centre’s ability to offer EMAC in accordance with ANZCA standards.  Centres applying for accreditation should contact emac@anzca.edu.au


EMAC centre contact details



Epworth HealthCare, Clinical Education and Simulation Centre

Phone: +613 9426 8620

Fax: +613 9928 400

Email: tess.vawser@epworth.org.au

Monash Simulation

Monash Medical Centre, Moorabbin Campus

Phone: +613 9928 8314

Fax: +613 9928 400

Email: Monash Simulation


St Vincent’s Hospital Melbourne

Phone: +61 3 9288 2900
Email:St Vincents Hospital


New South Wales

Sydney Clinical Skills and Simulation Centre
Phone: +61 2 9926 4646
Email:Sydney Clinical Skills and Simulation Centre



Clinical Skills Development Centre
Phone: +61 7 3646 6500
Email:Clinical Skills Development Centre


Western Australia


Edith Cowan University Health Simulation Centre
Email: Edith Cowan University Health Simulation Centre


Wellington, New Zealand

Wellington Regional Centre for Simulation & Skills Education
Phone: +64 4 385 5887
Email: National Patient Simulation Training Centre


Auckland, New Zealand

Simulation Centre for Patient Safety, Tamaki Innovation Campus, University of Auckland

Kathy Bos

Phone:  +64 9 923 3122 or

+64 9 373 7599 ext 83122

Email: Simulation Centre for Patient Safety


Hong Kong

HKCA Institute of Clinical Simulation
Thomas Tam

Phone: + 852 2683 8343
Email: HKCA Institute of Clinical Simulation 


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