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 7-11, 2022

Monday, March 7

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWS Staff
  0730 Ventilation and ARDS Update A.Vinayak
  0830 COVID Respiratory Failure: ARDS or Not and Why It Matters A.Vinayak
  0930 Break
  0945 Sepsis Overview P.Marik
  1045 An Evidence-Based Approach to the Management of COVID-19: From Prophylaxis to Treatment P.Marik
  1145 Glucose Control in the ICU R.Lenhardt
  1245 Adjourn

Tuesday, March 8

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Arrhythmias I R.Lenhardt
  0830 Arrhythmias II R.Lenhardt
  0930 Break
  0945 Acute Right Heart Syndromes: The Problem With The Forgotten Ventricle A.Vinayak
  1045 Management of PE: When to Lyse? A.Vinayak
  1145 Lactate Myths P.Marik
  1245 Adjourn

Wednesday, March 9 Day Open


Thursday, March 10

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Fluid Management and Hemodynamic Assessment P.Marik
  0830 LR vs. NS P.Marik
  0930 Break
  0945 Acute Stroke: A Review of Modern Guidelines R.Lenhardt
  1045 Management of Subarachnoid Hemorrhage R.Lenhardt
  1145 Update on Sedation and Delirium A.Vinayak
  1245 Adjourn

Friday, March 11

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Anticoagulation in the ICU R.Lenhardt
  0830 Management of the Brain Dead Donor R.Lenhardt
  0930 Break
  0945 Status Asthmaticus A.Vinayak
  1045 Nutrition in the ICU P.Marik
  1145 Hypertensive Emergencies P.Marik
  1245 Adjourn  

20 CME

20 Class A CE

4.7 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 2/2/22


Rainer Lenhardt, MD, MBA
Professor and Vice-Chair for Clinical Affairs
Department of Anesthesiology and Critical Care
University of Louisville
Louisville, Kentucky

Paul E. Marik, MD, FCCP, FCCM
Professor of Medicine
Chief, Division of Pulmonary and Critical Care Medicine
Eastern Virginia Medical School
Department of Internal Medicine
Norfolk, Virginia

Ajeet G. Vinayak, MD
Director Medical Intensive Care Unit
MedStar Georgetown University
Associate Professor of Medicine
Georgetown University
Department of Medicine
Section of Pulmonary and Critical Care
Washington, District of Columbia


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


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 has been prior approved by the American Association of Nurse Anesthesiology for 20 Class A CE credits; AANA Code #1040789; Expiration date 3/11/2022.

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 6, 2022 to February 5, 2022. No refund after February 5, 2022; 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! Click here for more information.

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

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.


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.