Rio Grande, Puerto Rico

Río Grande translates as "Great River," and this charming Puerto Rican town is known for its luxurious hotel resorts, championship golf courses, restaurants, and the 28,000 acre rainforest known as El Yunque. Enjoy a breathtaking array of mountains, waterfalls, and scenic views. There are 150 native fern species and 240 tree species that thrive in this botanical wonderland.

There are myriad hiking trails crossing El Yunque, ranging from easy to expert. There is also La Paseadora, a small ferry that rides along the Espíritu Santo, the only navigable river in Puerto Rico. If you’re looking for something a little bit more daring, tour companies can take you inland where you can practice canyoneering, rock climbing, rappelling, and ziplining.

Enjoy sweeping vistas of El Yunque when you climb up the 98-step spiral staircase that leads to the top of the imposing Yokahú Observation Tower. This landmark’s name is rooted in Puerto Rican mythology and it refers to the deity that watched over nature, according to the native Taíno tribes.

Hyatt Regency Grand Reserve Puerto Rico

Discover the Perfect Tropical Getaway at the Hyatt Regency Grand Reserve Puerto Rico, a family-friendly resort framed against the backdrop of the beautiful El Yunque rainforest. Lounge by the sprawling lagoon-style pool, get a round of golf in at one of two Tom Kite designed 18-hole championship golf courses, or tour the historic buildings of nearby Old San Juan.

Youngsters can play in the resort's kids' pool, while those looking for a more relaxing swim can head to the Regency Club quiet pool. Not getting enough exercise on the three tennis courts? Head to the on-site gym, where cardio machines and free weights help you keep up your fitness routine on your own schedule. Whether you’re craving sushi, steak, or Puerto Rican specialties, you’ll find it among the five restaurants and three bars at Hyatt Regency Grand Reserve Puerto Rico. Wake up to a Caribbean buffet, grab snacks at food trucks, then enjoy an elegant dinner at Nami featuring Asian fusion.

Junior Suites feature 1 King bed or 2 Double beds (based on hotel availability), balcony or terrace, flat screen TV, coffee-maker, mini-refrigerator, iron/board, safe and more.

Hyatt Regency Grand Reserve Puerto Rico is located 23 miles from Luis Muñoz Marín International Airport (SJU). You’ll be a six-mile drive from the trails of El Yunque National Forest, and seven miles from horseback and ATV adventures at Carabalí Rainforest Adventure Park. On-site parking is available for approximately $15 per day for self-parking and $25 per day for valet parking. Parking fees are subject to change without notice.

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 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
Rio Grande, Puerto Rico
March 15-19, 2021

Monday, March 15

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWS Staff  
  0730 Recognition and Management of Acute Respiratory Failure R.Balk  
  0830 Definition and Management Strategies for ARDS R.Balk  
  0930 Break
  0945 ECMO: An Update M.Hulse  
  1045 VADs and Mechanical Support for the Failing Heart M.Hulse  
  1145 Resuscitation R.Fontenette  
  1245 Adjourn

Tuesday, March 16

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Traumatic Brain Injury R.Fontenette  
  0830 ICH Management R.Fontenette  
  0930 Break
  0945 Right Ventricular Failure M.Hulse  
  1045 Update on Inotropes and Pressors M.Hulse  
  1145 Diagnosis and Management of Sepsis and Septic Shock R.Balk  
  1245 Adjourn

Wednesday, March 17 - Day Open

Thursday, March 18

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Recognition and Management of Community-Acquired Pneumonia R.Balk  
  0830 Diagnosis and Treatment of Hospital-Acquired and Ventilator-Associated Pneumonia R.Balk  
  0930 Break
  0945 Stroke Update R.Fontenette  
  1045 Hemostatic Resuscitation R.Fontenette  
  1145 Acute Kidney Injury After Cardiac Surgery M.Hulse  
  1245 Adjourn

Friday, March 19

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Pulmonary Embolism R.Balk  
  0830 Preventing Complications in the Critically Ill Patient R.Balk  
  0930 Break
  0945 Sedation and Delirium in the ICU R.Fontenette  
  1045 Echocardiographic Evaluation of Cardiac Function and Volume M.Hulse  
  1145 Enhanced Recovery After Cardiac Surgery M.Hulse  
  1245 Adjourn

20 CME

20 CEC

Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 2/20/20


Robert A. Balk, MD
Director - Division of Pulmonary, Critical Care, and Sleep Medicine
Associate - Chief Medical Officer for Critical Care
Rush University Medical Center
Chicago, Illinois

Roderick W. Fontenette, MD, Maj, USAF, MC, FS, FACEP
Military Associate Program Director
Emergency Medicine and Critical Care Medicine
DGMC / UC Davis Integrated Emergency Medicine Residency Program
Davis, California

Matthew Hulse, MD
Assistant Professor of Anesthesiology and Critical Care
Medical Director of the Cardiothoracic / Vascular ICU
University of Virginia Health System
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: 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 is designed to meet requirements for Class A CE credit. Once approved by AANA, this will be indicated.

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 January 14, 2021 to February 13, 2021. No refund after February 13, 2021; 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 Gray: 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.