San Juan, Puerto Rico

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With more than 500 years in the making, San Juan is the cultural, social, and historic heart of Puerto Rico. Become captivated by the enchantment of the island’s culture, its modern city amenities and entertainment, and the tropical beauty of a Caribbean destination. Discover the historic treasures of majestic Old San Juan, the charming walled city with its imposing fortresses and colorful colonial architecture.

A short taxi ride from the old city lie the world-class boutiques and the inviting beaches and resorts of Ocean Park and Isla Verde. Santurce neighborhood is a fashionable urban-cultural-art-district. Check out ‘Plaza del Mercado’ and ‘La Placita’, as it’s affectionately known, a thriving public market by day where vendors sell their wares and some of the freshest produce from all over the island and a vivacious hot spot for nightlife when the sun goes down. A variety of restaurants, cafes, and bars line its side streets, adding unique flavors to the surrounding activity.

Explore the numerous Puerto Rican attractions including the Bacardi Rum distillery, El Morro, San Cristobal and El Yunque rainforest—the only tropical rain forest in the U.S. National Forest system! Puerto Rico is a Free Commonwealth of the United States, so no passport is required for US citizens. With daily flights offered from major cities in the United States, travel to San Juan is convenient and affordable. As you sleep, dine, and shop, you’ll receive warm and friendly hospitality for an enjoyable stay. Plus, the weather is perfect with an average temperature in the 80’s all year. It’s always summer in San Juan, Puerto Rico!

Condado Vanderbilt Hotel

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Welcome to the Condado Vanderbilt Hotel in San Juan, Puerto Rico. Condado Vanderbilt features unique Spanish Revival architecture, opulent interiors and dramatic hotel ocean views from among the most venerable hotels in San Juan, Puerto Rico.

Condado Vanderbilt invites you to discover Puerto Rico as it is meant to be experienced, where exacting service, exquisite amenities, and fine dining are the hallmarks of every stay. Perched majestically above the Atlantic Ocean and featuring panoramic views, the legendary Condado Vanderbilt Hotel has been Puerto Rico’s premier oceanfront hotel for nearly a century. It has been meticulously restored to its original grandeur and preserved to its legendary past with 21st Century amenities.

The Spa at Condado Vanderbilt Hotel offers guests relaxation experiences through traditional therapies and with skilled therapists. The Spa at Condado Vanderbilt Hotel is the only location in Puerto Rico offering the ritual of the Hammam, an unprecedented experience weaving ancient purification rituals with modern techniques to help you connect with your inner self, while enveloping you in a sense of ancient mystery. Condado Vanderbilt beach features exclusive cabanas and chaise lounges for hotel guests. Because health, fitness and beauty are intertwined, the hotel's Oceanfront Fitness Facility offers a variety of invigorating wellness and fitness classes. You'll find cardiovascular and strength equipment by Technogym®, which features the highest levels of biomechanics and ergonomics, and ensures a thorough, safe and effective training experience. Enjoy every possible amenity necessary for relaxing under the blue Puerto Rican sky, including refreshments, fresh towels and replenishments, assistance from the tanning and hydration specialist, and food and beverage delivery to your private beach cabana or to your chaise lounge by one of the pools.

Hit the Jackpot with a true casino experience like no other. Casual elegance atmosphere combines with high energy action, designed to excite your senses. Cutting edge gaming with high-tech slot machines and card tables will satisfy high rollers and casual players alike. Casino del Mar is located just steps away at the Condado Vanderbilt Hotel's sister property La Concha Resort, and guests may enjoy the added comfort of complimentary transportation via private shuttle service.

Each restaurant at Condado Vanderbilt Hotel is an epicurean experience unto itself. Serving exquisite food -- the freshest and most flavorful, locally-sourced ingredients -- expertly paired with the finest cocktails and wines, dining at Condado Vanderbilt Hotel is a celebration of the captivating oceanfront setting and legendary service and ambiance. Michelin Star-rated Executive Chef Juan Jose Cuevas’ previous work as Sous Chef at Ducasse and Lespinasse and as Executive Chef at Blue Hill (both located in New York City) reflect his passion for farm-to-table cuisine. At Condado Vanderbilt Hotel, Chef Cuevas crafts contemporary gourmet cuisine faithful to the locavore movement, which promotes preparing only the finest and freshest locally-produced ingredients. Choose from luxurious lounges and fabulous bars to elegant San Juan restaurants and spacious and breezy, casual outdoor dining options. An oasis in the midst of San Juan, Condado Vanderbilt provides a resort ambiance notwithstanding its location within minutes of the airport, Old San Juan, Plaza Las Américas and the business district.

Run of the House guestrooms feature 1 king or 2 queen beds (*based on hotel availability) and luxurious amenities such as 300 Thread count Rivolta Carmignani® linens, Bamboo towels, in-room French press coffee maker, featuring premium Puerto Rican coffee and tea
bottled water, alarm clock, in-room safe, hair dryer, C.O. Bigelow® amenities, 48” Samsung® Full HD LED Smart TV with Apple TV and more.

Email us at or call us (800) 222-6927 • (509) 547-7065


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 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 evidenced 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.

Topics in Emergency Medicine
San Juan, Puerto Rico
May 20-24, 2019

Monday, May 20

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWS Staff  
  0730 Clinical Decision Rules That Change My Practice D.Diercks  
  0830 Ten Overdoses You Should Know Well L.Velez  
  0930 Break
  0945 Thoracic Emergencies: Searching for an Aortic Dissection D.Diercks  
  1045 The Opioid Epidemic B.Lo  
  1145 Diabetic Emergencies: From High to Low L.Velez  
  1245 Adjourn 0.5 Pharmacology Hours  

Tuesday, May 21

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Ophthalmology D.Diercks  
  0830 Boy It's Hot Outside: Heat-Related Illnesses B.Lo  
  0930 Break
  0945 Obstetrics in the ED D.Diercks  
  1045 Review of Useful Antidotes L.Velez  
  1145 A Standardized Approach to Syncope B.Lo  
  1245 Adjourn 0.7 Pharmacology Hours  

Wednesday, May 22 - Day Open

Thursday May 23

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Best Studies of the Year D.Diercks / B.Lo / L.Velez  
  0830 SVT to Afib: Rhythms That Raise Your Heart Rate D.Diercks  
  0930 Break
  0945 Clinical Manifestations, Diagnosis, and Management of the Cardiovascular Complications of Cocaine Abuse B.Lo  
  1045 GI Emergencies L.Velez  
  1145 CHF: What Is New and What Is Not B.Lo  
  1245 Adjourn 0.5 Pharmacology Hours  

Friday, May 24

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Updates in Stroke Management D.Diercks  
  0830 Management of Asthma and COPD L.Velez  
  0930 Break
  0945 Chest Pain Patients: Can Some Go Home? D.Diercks  
  1045 Does the Patient Need a D-dimer? Risk Stratification and Management of PE B.Lo  
  1145 Panel Discussion D.Diercks / B.Lo  
  1245 Adjourn 0.3 Pharmacology Hours  

20 CME

20 Class A CEC

2 Pharmacology Hours†

  Refreshments served at the meeting are for registered attendees only.  


Deborah B. Diercks, MD, MSc
Professor and Chair
Department of Emergency Medicine
UT Southwestern Medical Center
Dallas, Texas
Program Coordinator

Bruce Lo, MD, MBA
Chief, Sentara Norfolk General
Department of Emergency Medicine
Professor, Eastern Virginia Medical School
Norfolk, Virginia

Larissa Velez, MD
Vice Chair of Education
Department of Emergency Medicine
UT Southwestern Medical Center
Dallas, 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 CEC; AANA Code #1036866; Expiration Date 5/24/2019.

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 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 30 days notice will be given to those registered and 100% of tuition paid will be refunded. 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 March 22, 2018 to April 21, 2018. No refund after April 21, 2018; however, 50% of tuition paid may be applied toward tuition for another NWS program within the next 12 months. Cancellation must be made in writing.

FAP (Frequent Attendee Points)

FAP lets you accumulate points based on dollars spent with NWS including 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!

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. The concierge can provide you with childcare information.

We have a block of rooms for seminar participants. Once this block is sold, rooms are based upon availability only and may be at a higher rate. Rooms are available only through us 1 (800) 222-6927.

Travel at your own risk.

Airfare available through Universal Travel. Be sure to mention Northwest Seminars when booking. Contact Kellee Kilmer: Phone number: (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.