San Juan, Puerto Rico

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 are 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 hawk 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!

San Juan Marriott Resort & Stellaris Casino

Add elegance and comfort to your next getaway with a stay at San Juan Marriott Resort & Stellaris Casino. Whether you wish to explore the city or spend time on Condado beach, this hotel offers easy access to both. Explore the lively culture of Old San Juan or the sunshine by the scenic pool surrounded by swaying palm trees, artistic features and a waterslide. At night you can live it up at the pool bar, on-site casino or on-site lounges. The 24/7 fitness center is the perfect place for you to continue your fitness journey. Fully equipped with several machines, weights and other fitness equipment like yoga balls and mats, you'll be able to take a step forward into your fitness and wellness adventure. Various fitness classes and relaxing spa treatments, will make sure you find wellness in paradise. You'll also find unique dining experiences at San Juan Marriott Resort & Stellaris Casino. From international fare to American dishes, their restaurants will surely have something to tempt your taste buds, including the new Italian restaurant, Terrazo.

After a busy day, escape to your room with features such as a balcony, 1 King or 2 Double beds, flat-panel TV, alarm clock, coffee/tea maker, mini-refrigerator, safe, bathrobes, hair dryer, iron/board, and coffee and more. Extend your adventure on this unique Caribbean island with luxury shopping, postcard-perfect beaches, adventure-filled tours, and a tropical culture you'll never forget. San Juan Marriott Resort & Stellaris Casino is located approximately 5 miles from Luis Munoz International Airport (SJU). Self parking is approximately $20 per day or $6 per hour; Valet parking is approximately $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 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.

Topics in Emergency Medicine
San Juan, Puerto Rico
March 13-17, 2023

Monday, March 13

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWS Staff
  0730 Communication and Conflict in the ED T. Sanson
  0830 Sore Throats That Can Kill and Other Nightmare Emergencies T. Sanson
  0930 Break
  0945 The Quiet Code: ECC in 2023 D.Edwards
  1045 Pain Control in 2023 D.Edwards
  1145 Acute Emerging Viral Threats: Post-Acute COVID Syndrome (Long-COVID) H.Severance
  1245 Adjourn

Tuesday, March 14

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Acute Sickle Cell Related Emergencies H.Severance
  0830 Violence in the Medical Setting T. Sanson
  0930 Break
  0945 ENT Tricks of the Trade T. Sanson
  1045 Resilience and Wellness: Why They Matter T. Sanson
  1145 Stroke and the Sad Saga of tPA D.Edwards
  1245 Adjourn

Wednesday, March 15 - Day Open


Thursday, March 16

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Combative, Convulsing, Agitated Patient T. Sanson
  0830 Litigation Stress T. Sanson
  0930 Break
  0945 Approach to the Headache Patient D.Edwards
  1045 Underwater (SCUBA) Diving Emergencies H.Severance
  1145 Expanding Your Options: Satisfaction and Longevity in (or Outside) Clinical Practice H.Severance
  1245 Adjourn

Friday, March 17

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Life-Threatening Soft Tissue Infections H.Severance
  0830 Approach to the Low-Risk Chest Pain Patient D.Edwards
  0930 Break
  0945 The Pharyngitis Fallacy D.Edwards
  1045 Tales From the ED H.Severance
  1145 Life: On Being a Scientist and Lifelong Learner D.Edwards
  1245 Adjourn  

20 CME

20 Class A CE

20 CE

5.4 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 12/30/22


David S. Edwards, MD
Medical Simulation Director
Associate Residency Director
Medical Student Clerkship Director
Emergency Medicine Residency
Mount Sinai Medical Center
Miami Beach, Florida

Tracy G. Sanson, MD, FACEP
Educator, Coach, Consultant
Founder TracySansonMD, LLC
Lutz, Florida

Harry W. Severance, MD, FACEP
Adjunct Assistant Professor
Department of Medicine
Duke University School of Medicine
Member, Board of Directors
Duke University Collaborative Cardiovascular Society and Research Network (DUCCS)
Duke Health
Attending Physician
Division of Hyperbaric Medicine / Department of Emergency Medicine
HBO / Wound Care Center
Erlanger Baroness Medical Center / Erlanger Health System
Consultant / Peer Reviewer
Blue Cross Blue Shield of Tennessee
Chattanooga, Tennessee

(non-speaking role)

Camiron L. Pfennig, MD, MHPE
Emergency Medicine Residency Director
Department of Emergency Medicine, Prisma Health - Upstate
University of South Carolina School of Medicine Greenville
Clemson University School of Health Research
Clemson, South Carolina


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 20 hour(s) of ACEP Category I credit.

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 1042572; Expiration Date 03/17/2023.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Board (AANPCB) 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.


No penalty if canceled by January 11, 2023. Cancellations between January 12, 2023, and February 11, 2023, incur a $100 fee. Cancellations after February 11, 2023, are not eligible for a refund. However, 50% of the tuition paid can 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.

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