No one knows the Caribbean better than Royal Caribbean International. After all, it is their middle name. From snorkeling and swimming to shopping and golf, the Caribbean is the ultimate outdoor playground. What better way to vacation than to be surrounded by white-sand beaches, turquoise waters and the most beautiful islands on earth? Sail to ports of call like St. Kitts, Puerto Rico, and the Bahamas on this luxurious 7-night cruise aboard the Allure of the Seas®.


  Day Date Port Arrive Depart
  Sun Jul 14 Fort Lauderdale, Florida - Embark 4:30 PM
  Mon Jul 15 At Sea    
  Tue Jul 16 At Sea    
  Wed Jul 17 Basseterre, St. Kitts & Nevis 8:00 AM 5:00 PM
  Thu Jul 18 San Juan, Puerto Rico 7:00 AM 2:00 PM
  Fri Jul 19 At Sea    
Jul 20 Nassau, Bahamas 11:00 AM 6:30 PM
  Sun Jul 21 Fort Lauderdale, Florida - Disembark 6:15 AM  

Sunday, July 14 - Board ship in Fort Lauderdale, Florida

If you arrive early there are lots of fun things to do in this tropical city. Fort Lauderdale lies along the Atlantic Ocean at the mouth of the New River, 25 miles north of Miami. Its warm tropical weather attracts many people throughout the year. For sun-worshippers, the city has six miles of beaches.

Go fishing, take one of many sightseeing cruises of the harbor, ocean, or wetlands. Tour a museum, see a butterfly farm, or ride a roller coaster. Shop upscale boutiques or flea markets. Ft. Lauderdale is an entire destination in itself.

There are also many recreational waterways with extensive boating facilities, access to every conceivable watersport, a variety of fascinating museums and trendy restaurants, and an array of entertainment venues. Take a 30-minute airboat ride across the Everglades, one of the most breathtaking natural areas in America. Discover a variety of fish and birds that inhabit the area, and perhaps see the most famous Everglades inhabitant—the alligator. Fish is fresh and delicious in Florida. Grouper is probably the most popular choice and is served almost any way imaginable. A true Florida staple is a fresh grouper sandwich and fries eaten outside by the water.

Monday, July 15 - At Sea

Tuesday, July 16 - At Sea

Wednesday, July 17 - Basseterre, St. Kitts & Nevis

Like no other island in the Caribbean, St. Kitts embodies a lush tropical paradise usually associated with the South Pacific. The atmosphere here is an intoxicating blend of sunlight, sea, air and abundant vegetation. At the center of St. Kitts stands the spectacular, cloud-fringed peak of Mount Liamuiga, a dormant volcano covered by a dense tropical forest. Boating tours and scuba diving expeditions are favorite activities here as is snorkeling, surfing, kayaking, water skiing, wind surfing and jet skiing. Quaint shopping areas and beautiful Colonial architecture draw visitors to browse for locally designed clothing, artwork, crafts, crystal, porcelain, jewelry, liquor, watches, and leather goods.

Thursday, July 18 - San Juan, Puerto Rico

Explore majestic Old San Juan, a charming walled city with imposing fortresses and colorful colonial architecture. Walk the grounds of Castillo de San Cristobal, formerly a massive 27-acre Spanish fortification, or shop the public markets at Plaza del Mercado and La Placita for local produce, souvenirs, and handicrafts. Need a beach day? Look no further than Ocean Park Beach, where you can relax on the sand, go for a swim, or watch the windsurfers sail by. Top off your day with a tour of the Bacardi Rum distillery.

Friday, July 19 - At Sea

Saturday, July 20 - Nassau, Bahamas

For a city now known for its warming sun and balmy breezes, Nassau has a tumultuous past. First settled by the English, the area was contested by England, France, and Spain. For many years, Nassau was a home base for notorious pirates, and it was burned to the ground by the Spanish three different times. Since 1740, however, visitors from all over the world in search of both relaxation and adventure have made Nassau their favorite destination. Take advantage of a once-in-a-lifetime opportunity to get up close and personal with a dolphin. Take a break and relax on your own semi-private island. Located just a short boat ride away from Nassau, Blackbeard’s Cay is surrounded by crystal-clear turquoise water, sandy beaches, and swaying palm trees. Or better yet, check out the Stingray Adventure. This amazing experience could easily be the highlight of your trip.

Sunday, July 8 - Fort Lauderdale, Florida - Disembark

The Ship: Allure of the Seas

Allure of the Seas®, an award winning ship, offers a captivating experience that’s unlike any other. With seven distinct neighborhoods, spacious staterooms and loft suites, expansive fine dining options, activities for all ages, and incredible entertainment, the world’s largest cruise ship was built for your pleasure.

Ship Features:

FlowRider®: Only Royal Caribbean gives you the chance to catch a wave right onboard. Grab a board and hang ten on our 40-foot-long surf simulator, or cheer on friends from stadium seating with prime wipeout views. Give it a go—it’s included in the cost of your cruise, no reservation required.

Zip Line: Brace yourself for a spine-tingling rush as you race across the Boardwalk®, suspended nine decks in the air. It’s a thrill you won’t find on any other cruise line.

Rock Climbing: Rise to the occasion and take on our signature rock climbing wall. From beginners to speed climbers, everyone can enjoy an unparalleled view from 40 feet above deck. Included in your fare, no reservation required.

Ice Skating: Put your vacation on ice with a spin on the ice rink, an onboard feature exclusive to Royal Caribbean. We provide the skates, you show off the moves. Included in your fare, no reservation required.

Recreation & Relaxation:
• Full-service VitalitySM Spa
• State-of-the-art Fitness Center
• Sports Court and Tournaments
• Adults-only Solarium pool, a glass-canopied retreat*
• Mini Golf
• Whirlpools

Kids & Families:
• Complimentary Adventure Ocean® youth program
• Royal Babies® and Royal Tots® program
• DreamWorks® Experience
• H2O Zone kids water park

• Casino Royale®: Thousands of square feet of slots and tables
• Viking Crown Lounge®: panoramic sea views and nightly live entertainment.
• Comedy Club: An adults-only live comedic performances
• Music Hall: An edgy venue for live music performances
• AquaTheater Shows: Dancers, divers and acrobats pull off stunts against a backdrop of backlit fountains, big screens and the endless horizon of the sea.

*During inclement weather and select hours, the ship may permit the Solarium pool to be used by persons under age 16 provided they are directly supervised by a parent or guardian.

Interior Staterooms

Relax in all the comfort of spacious interior staterooms. 2 twin beds (can convert to a Royal King), a private bath and all the amenities of our standard staterooms. Includes vanity area, mini refrigerator, sofa, hair dryer, TV, phone, radio, and safe.

Ocean View Staterooms

Ocean View staterooms offer a gorgeous view, 2 twin beds (can convert to a Royal King), sitting, and a private bath. Includes vanity area, mini refrigerator, sofa, hair dryer, TV, phone, radio, and safe.

Balcony Staterooms

Enjoy beautiful views of exotic ports, landscapes, seas and skies from your large private balcony. 2 twin beds (can convert to a Royal King), sitting, and a private bath. Includes vanity area, mini refrigerator, sofa, hair dryer, TV, phone, radio, and safe.

We have a block of cabins for seminar participants. Once this block is sold, cabins are on availability only and may be at a higher rate. Cruises sell out early.

Travel Arrangements

To receive these discounted cruise fares you must book your cruise through us. We have all of the information regarding the cruise and seminar and can make your cruise reservations.


Reservations will be secured and cabins assigned upon receipt of passenger deposit in the amount of $700 per cabin. Final payment as instructed by our travel agent. Due to the number of details needed to complete a cruise cabin booking accurately, a cabin will not be booked for you until you have spoken with one of our cruise agents via phone or via direct email correspondence.

Discounted Fares

We have been able to negotiate a GREAT DISCOUNT for you on this luxurious cruise!! See reservation form for details. Various promotional fares may also be available. ALWAYS CALL BEFORE BOOKING ANYWHERE ELSE: (800) 222-6927


Universal Travel. Be sure to mention Northwest Seminars when booking.

Contact: Kellee Gray, (858) 456-7962 Booking fee applies


This course is designed for physicians, physician assistants, nurse practitioners, registered nurses, and all other medical care providers who must maintain state-of-the-art knowledge of the emergency medicine specialty or are impacted by it.


The practitioner of emergency medicine must possess evidence-based scientific background for competent clinical practice; maintain state-of-the-art knowledge of the specialty and all additional related disciplines; maintain an up-to-the-minute armamentarium of knowledge and skills for the selection and use of complex equipment, pharmacological agents, and procedures; manage self and colleagues to function toward common goals in providing consistent care in all settings in which emergency care is provided; serve as an expert in matters involving quality, safe and equitable health care delivery and support of other service providers, departments, institutions, and organizations dependent upon professional expertise. Presentations are designed to facilitate the acquisition of cognitive and technical skills as defined through evidence-based data translated to best practice standards by the pertinent governmental and professional organizations including the American College of Emergency Physicians, American College of Surgeons and the Emergency Nurses Association and abilities in one or more of the disciplines vital to the practicing professional.


At the conclusion of this activity, the participant will be able to:

Apply the pertinent physical and behavioral sciences as they impact and are affected by the planning, delivery, and monitoring of services inherent in the professions

Explain the selection, dosing considerations with methods of administration, safe use, contraindications and precautions of drugs based on their chemical and pharmacologic properties

Outline comprehensive patient management plans for the special patient population discussed

Apply the principles of safety and asepsis in the performance of all aspects of patient care regardless of the clinical environment in which the practice resides

Incorporate the published tenets of pertinent, recognized external organizations, institutions, and professional groups defining medical, legal, philosophical, ethical, and health care management standards

Current Topics in Emergency Medicine7-Night Eastern Caribbean Cruise July 14-21, 2019

Sunday, July 14 - Fort Lauderdale, Florida - Embark

  1630 Ship Sails (Subject to change)

Monday, July 15 - At Sea

  0845 Registration - Mandatory Sign In
  0910 Welcome NWS Staff  
  0915 Morbidity and Mortality: The Calm, Confused Patient J.Williams  
  1015 Morbidity and Mortality: Central Nervous System Emergencies J.Williams  
  1115 Uses of Tranexamic Acid in the ED R.Frolichstein  
  1215 Lunch Break
  1330 What Is Old Is New Again: Measles, Mumps, Rubella R.Frolichstein  
  1430 Illness in the Returning Traveler R.Frolichstein  
  1530 Morbidity and Mortality: Deadly Endocrine Disorders J.Williams  
  1630 Morbidity and Mortality: Occult Infectious Disease Emergencies J.Williams  
  1730 Adjourn

Tuesday, July 16 - At Sea

  0900 Registration - Mandatory Sign In
  0915 Hyperthermic Patient: Environmental or Toxicologic? R.Frolichstein  
  1015 Acute Diarrheal Illness R.Frolichstein  
  1115 Life-Threatening Mimics of Mechanical Low Back Pain J.Williams  
  1215 Lunch Break
  1330 The Acute Red Eye J.Williams  
  1430 Acute Delirium J.Williams  
  1530 Myths in EM R.Frolichstein  
  1630 It's Getting Hot in Here: Pediatric Fever R.Frolichstein  
  1730 Adjourn

Wednesday, July 17 - Basseterre, St. Kitts and Nevis - Day Open

Thursday, July 18 - San Juan, Puerto Rico - Day Open


Friday, July 19 - At Sea

  0900 Registration - Mandatory Sign In
  0915 Emergent Evaluation of the Patient With Human Immune Deficiency Virus J.Williams  
  1015 Approach to the Unstable Patient J.Williams  
  1115 Blood Products and Transfusions J.Williams  
  1215 Lunch Break
  1315 Trauma in Pregnancy R.Frolichstein  
  1415 Professionalism in Emergency Medicine R.Frolichstein  
  1515 Non-Clinical Issues in Emergency Medicine R.Frolichstein  
  1615 Adjourn    



20 CME

20 Class A CEC

Pharmacology Hours TBD†


Saturday, July 20 - Nassau, Bahamas - Day Open

Sunday, July 21 - Fort Lauderdale, Florida - Disembark


Robert Frolichstein, MD, FAAEM
Staff Physician: Greater San Antonio Emergency Physicians (GSEP)
President, Board of Director, Greater San Antonio Emergency Physicians
Board of Directors, AAEM
San Antonio, Texas

Justin Barrett Williams, MD, FACEP
Staff Physician: Greater San Antonio Emergency Physicians (GSEP)
Chief Medical Officer, GSEP
San Antonio, Texas


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health and Northwest Seminars. The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health is accredited by the ACCME to provide continuing medical education for physicians.

The A. Webb Roberts Center for Continuing Medical Education of Baylor Scott & White Health designates this live activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved by the American College of Emergency Physicians for a maximum of 20.00 hour(s) of ACEP Category I credit.

American Board of Anesthesiology: CME credit will be sent directly to The American Board of Anesthesiology to fulfill the Part 2 requirement for the Maintenance of Certification in Anesthesiology Program (MOCA®).

Canadian Physicians: This activity is eligible for Section 1 credits in the Royal College’s Maintenance of Certification (MOC) Program. Participants must log into MAINPORT to claim this activity.

Certified Registered Nurse Anesthetists: This program has been prior approved by the AANA for 20 Class A CE; AANA Code #1037097; Expiration Date 7/19/2019.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) and the American Nurses Credentialing Center (ANCC) accept CME from organizations accredited by the ACCME.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 20 hours of Category I credit for completing this program.

Registered Nurses: NWS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), California Board of Registered Nursing (Provider Number 4833), District of Columbia Board of Nursing (Provider Number 50-7480), Florida Board of Nursing (Provider Number 50-7480), Georgia Board of Nursing (Provider Number 50-7480), and the South Carolina Board of Nursing (Provider Number 50-7480). This program offers 20 contact hours.

†Pharmacology hours subject to change.


Mark Murphy, MD, MSN Education, Treasure Island, Florida and Medical Director, Northwest Seminars, Pasco, Washington


Factors beyond our control sometimes necessitate changes in the schedule and faculty. If time permits, we will inform all registrants of any changes prior to the program. Changes on site due to local conditions will be announced in class.


We reserve the right to cancel a course for any reason. In such case, a minimum of 60 days notice will be given to those registered and 100% of tuition paid will be refunded. NWS and NWWT are not responsible for any non-refundable cruise fare, airfare, hotel, or other expenses you may incur. We highly recommend purchase of travel insurance.


$100 between May 15, 2019 and June 14, 2019. No refund after June 14, 2019; however, 50% of tuition paid may be applied toward tuition for another NWS program within 12 months. Cancellation must be in writing.


Penalties apply for cancellation of the cruise for any reason. We strongly recommend purchase of the cancellation insurance. Please be aware that premiums paid for insurance are non-refundable.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWS including net cruise, net hotel, and tuition booked through NWS (but not air). Once you have enough points to cover a full tuition they can be redeemed for tuition (no cash value). A great program to reward you for supporting NWS! FAP is an especially valuable bonus when you book your cruises through NWS. Not only do you receive the lowest fare, but you get a 1.5% of net cruise fare credit toward future tuition! Click here for more information.

Lecture notes will be provided via download in PDF format.

While we strive for accuracy at all times with our published information, we cannot be responsible for typographical and other errors.

Please note that children and non-registered guests are not allowed to attend the lectures.

For your airfare needs please call: Universal Travel. Be sure to mention NWS when booking. Contact: Kellee Gray, Phone: (858) 456-7962, Email:


We recommend that you register early to assure your spot. We reserve the right to close registrations to a course at any time without notice. We may not be able to accommodate onsite registrations.