Carlsbad, California

Step off the beaten path and live your own California Dream in sunny seaside Carlsbad, California. With seven miles of coastline stretching from Oceanside down to South Ponto Beach, Carlsbad is the perfect place for beach life enthusiasts of all ages.

Take the kids seashell scavenging, build a sandcastle, or dip your toes in the surf. Families will also love Carlsbad's close proximity to area attractions and theme parks including LEGOLAND® California Resort, Sea Life Aquarium, and the Museum of Making Music to name a few. Take an afternoon of rest and relaxation when you hit the links at one of several area golf courses. If you love shopping, everything from designer brands to local fashions and surf gear can be found during a visit to The Forum at Carlsbad, the Village Faire Shopping Center, or the Carlsbad Premium Outlets.

Wind down for the day with full-bodied craft beers from nine incredible local breweries. Whether you're looking for sushi, tacos, fresh seafood favorites, or American diner staples, you will find a variety of savory eats to satisfy any craving.

Park Hyatt Aviara Resort, Golf Club & Spa

Escape to the San Diego coast of Carlsbad with Park Hyatt Aviara, a AAA Five-Diamond and Forbes Five-Star luxury resort. Located within a short drive of many fun things to do like SeaWorld, San Diego Zoo, Legoland, Balboa Park and Carlsbad beaches, this spa and golf resort offers recreation and relaxation amid 200 lush acres of natural beauty overlooking the Batiquitos Lagoon. The resort is wrapping up a $60 million dollar renovation and will envelop guests in a new era of luxury.

Guests can enjoy a newly designed family pool with water slides and a adult pool offering multiple seating options, cabanas and sweeping views of the lush rolling hills. Golfers will be satisfied as well. Home of the LPGA Kia Classic, the Arnold Palmer-designed course complemented by a practice range, putting and pitching greens, industry-leading GPS systems on all golf carts, and an upscale golf shop. There is also the Kip Puterbaugh’s Golf Academy and the Gears Performance Center.

When it's time to be pampered the Aviara Spa offers an intimate oasis with 20 treatment rooms, a romantic couples suite, and an indoor coed solarium lounge; locker rooms feature aromatic steam rooms, saunas, and whirlpools. Stick to your routine in the Fitness Center featuring the very best in cardio and fitness equipment. The Park Hyatt Aviara Tennis Court & Recreational Facility features four hard and two clay courts amidst a botanical setting, and complemented by a Peter Burwash International instructional program.

When it is time to dine, embark on an epicurean adventure at the resort. Settle in for a refined dining experience at the AAA Four-Diamond signature restaurant, gather for afternoon tea and vistas of the Pacific, celebrate over fine cuts of beef following a day on the links or meet for a classic brunch.

Park Hyatt Aviara’s guestrooms embody the resort's Southern California coastal setting. Courtyard View Guest Rooms are approximately 540 square feet and offer 1 King or 2 King beds (based on hotel availability), flat-screen smart TV, safe, Illy espresso/coffee maker, marble bath soaking tub with separate shower, furnished balcony, hair dryer, Labo bath toiletries, robes and slippers, iron/board, and more.

Park Hyatt Aviara is located approximately 3 miles from the McClellan-Palomar Airport (CRQ), 38 miles from San Diego International Airport (SAN), 58 miles from John Wayne Airport (JWA) and 96 miles from Los Angeles International Airport (LAX). Valet parking only at the hotel. Approximate parking cost at the resort is $45 per night, or $25 per day. Parking fees subject to change without notice.

Contact us here or call (800) 222-6927 • (509) 547-7065
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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 critical care specialty or are impacted by it.


The practitioner of critical care medicine must possess the scientific background for clinical practice; maintain state-of-the-art knowledge of not only the specialty, but also of all additional related disciplines which may impact it; maintain an up-to-the-minute armamentarium of knowledge and skills for the selection and use of complex equipment, pharmacological agents, and procedures necessary for the provision of quality patient care; manage self and colleagues to function toward common goals in the clinical setting, clinical and educational institutions, and the community in which the practice resides; serve as an expert in matters involving health care delivery; serve as an informed manager of clinical and educational services provided, including the acquisition and distribution of resources necessary in meeting professional goals; and provide assistance with and support of other service providers, departments, institutions, and organizations dependent upon the professional expertise of the practitioner.

Presentations are designed to facilitate the healthcare provider maintaining skills of the same kind to review and update knowledge and abilities in one or more of these areas 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 critical care services.

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

Outline comprehensive management plans for the group of patients discussed, whether related in age, physical status, cultural background, invasive procedure, anesthetic or analgesic requirements, clinical setting, adverse reactions, and/or goals of care.

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 appropriate recommendations and/or requirements of pertinent external organizations, institutions, and professional groups in the provision of critical care services, whether medical, legal, philosophical, ethical, or health care management standards.

Critical Care: The Team Approach
Carlsbad, California
February 20-23, 2023

Monday, February 20

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWS Staff
  0730 Update in ARDS J.Kress
  0830 Ventilatory Failure J.Kress
  0930 Break
  0945 Fluids, Electrolytes and Hypertonic Therapy in the ICU S.Akhtar
  1045 Glycemic Control in Critical Care S.Akhtar
  1145 ECMO And Impella L.Guzzi
  1245 Adjourn

Tuesday, February 21

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Acid-Base I L.Guzzi
  0830 Acid-Base II L.Guzzi
  0930 Break
  0945 Shock J.Kress
  1045 Hemodynamic Monitoring J.Kress
  1145 Perioperative Myocardial Infarction S.Akhtar
  1245 Adjourn

Wednesday, February 22

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Sedation in the ICU S.Akhtar
  0830 Pharmacological Management of Delirium S.Akhtar
  0930 Break
  0945 Airway Management L.Guzzi
  1045 AKI in the ICU L.Guzzi
  1145 Complications in the ICU J.Kress
  1245 Adjourn

Thursday, February 23

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Nutrition and the Microbiome J.Kress
  0830 Advanced Liver Disease in the ICU J.Kress
  0930 Break
  0945 Management of Blast Injuries: On the Battlefield and Off L.Guzzi
  1045 Nuclear, Biologic and Chemical Terrorism: An Intensivist View L.Guzzi
  1145 Geriatric Critical Care: Focus on Cardiopulmonary Complications S.Akhtar
  1245 Adjourn  

20 CME

20 Class A CE

20 CE

5.5 Pharmacology Hours†

  Refreshments served at the meeting are for registered attendees only.  
  Rev. 6/22/22  


Shamsuddin Akhtar, MD
Section Chief, Critical Care Anesthesiology Fellowship
Professor, Department of Anesthesiology and Pharmacology
Director Anesthesia Critical Care
Past-President Society for Advancement of Geriatric Anesthesia
Yale School of Medicine
New Haven, Connecticut

Louis Guzzi, MD, FCCM
Attending in Anesthesia and CCM, Advent Health
Clinical Professor of Anesthesia and CCM
Florida State University School of Medicine
FHMG Medical Group
Chief, Internal Medicine Advent Health Waterman Hospital
Orlando, Florida

John P. Kress, MD, FCCP
Professor of Medicine
Director, Medical ICU
University of Chicago
Department of Medicine
Section of Pulmonary and Critical Care
Chicago, Illinois

(non-speaking role)

Stuart Lowson, BSc, MBBs, MRCP, FRCA
Associate Professor of Anesthesiology
Co-Director Surgical Trauma ICU
University of Virginia
Charlottesville, Virginia


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.

American Board of Anesthesiology: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology™ (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website,, for a list of all MOCA 2.0® requirements.

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 American Association of Nurse Anesthesiology for 20 Class A CE credits; AANA approval number 1042300; Expiration Date 02/23/2023.

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: NWAS/NWS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), 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).

The AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

This program offers 20 contact hours.

†Pharmacology hours subject to change.


Mark T. Murphy, MD, MSN Education, LLC, Treasure Island, Florida, 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 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS/NWS and NWWT will not be responsible for any non-refundable airfare, hotel, or other liabilities you may incur. We highly recommend purchase of travel insurance. Travel at your own risk.


$100 December 22, 2022 to January 21, 2023. No refund after January 21, 2023; however, 50% of tuition paid may be applied toward tuition for another NWS/NWAS program within the next 12 months. Cancellation must be made in writing. No tuition credit or refund will be issued for attendees that are no-shows for the program.

FAP (Frequent Attendee Points)

We value your patronage and have a simple program to reward you. Our Frequent Attendee Points (FAP) program gives you an added bonus for money spent on our seminars, as well as cruise cabins booked through our in-house travel agency, Northwest Worldwide Travel.

You are automatically enrolled in this program with your paid registration. Click here for more information.

*Effective January 1, 2023, net hotel stays for 2023 and beyond will no longer be included in FAP calculations.

Lecture notes will be provided via download in PDF format.

You must sign-in every day you attend to receive credit.

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. The concierge can provide you with childcare information.

Travel at your own risk.


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.

Click Here to Register