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!

The Royal Sonesta San Juan

Nestled on Isla Verde Beach, The Royal Sonesta San Juan is just steps away from the beautiful Atlantic waters and immaculate white sand. Embrace the laid-back vibe of the island as you stroll the beach and listen to the soothing sounds of ocean waves.
Enjoy a refreshing swim in the lagoon-style pool  With direct access to the beach, you'll be seconds away from water sports, activities, and a calming atmosphere. From jet skiing to paddle boarding there is something for every beach-goer to experience. If you need a break from the beach, treat yourself to a soothing and restorative hydrotherapy treatment, skin-nurturing body wraps, massage or facial at Zen Spa Brisas or try an energizing workout in the state of the art fitness center.

Start you day off right with a light breakfast in the European-style café, elevate your pool time with upscale poolside dining and swim-up bar, or embark on the ultimate culinary and cocktail adventure at Karayaor.

The Royal Sonesta San Juan is close to San Juan entertainment such as the Carolina Children's museum, Museum of Contemporary Art, Teatro Francisco Arriví, and La Placita de Santurce. Take a tour of Old Juan and discover its colonial architecture, dining, shopping, and historic sites. Lace up your hiking boots and explore El Yunque National Forest, Puerto Rico's most beloved natural gem.

When it's time to rest, make yourself at home in your elegant guest room, with a range of amenities designed to make your stay as comfortable as possible such as 1 king or 2 double beds (based on hotel availability), balcony, flat screen TV, mini-fridge, coffee maker, laptop safe, iron/board, walk-in shower, and more.

The Royal Sonesta San Juan is located two miles away from the Luis Muñoz Marín International Airport (SJU). Self parking is discounted for NWS attendees to $15 per car, per day. Valet parking is approx. $32 per day per car. 
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 31-April 4, 2025

Monday, March 31

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWS Staff
  0730 High Risk and Low Prevalence Diseases L.Jagminas
  0830 Massive Hemorrhage: Stops Eventually H.Gill
  0930 Break
  0945 Home the Weary Traveler: Infectious Gifts From Abroad B.Becker
  1045 The Eyes Have It L.Jagminas
  1145 Skin Deep Death: Dermatologic Diseases That Kill B.Becker
  1245 Adjourn

Tuesday, April 1

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 ARDS for the EM Practitioner H.Gill
  0830 Chilling Out While Cooling Out: Surviving Press Ganey, Patient Satisfaction… B.Becker
  0930 Break
  0945 Big Red Catastrophes L.Jagminas
  1045 Literature Updates That All EM Practitioners Need to Know H.Gill
  1145 Burns and Smoke L.Jagminas
  1245 Adjourn

Wednesday, April 2 - Day Open


Thursday, April 3

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Vascular Access Trouble Shooting Secrets H.Gill
  0830 High Risk and Low Frequency Procedures L.Jagminas
  0930 Break
  0945 Physiologically Difficult Airway: Now What? H.Gill
  1045 To Err Is Human, to Forgive, Expensive: Overview of Medical Malpractice Part I B.Becker
  1145 You’ve Been Served: Essential Steps to Survive and Win Your Malpractice Suit Part II B.Becker
  1245 Adjourn

Friday, April 3

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Rocky Mountain High: Understanding, Diagnosing, and Treating AMS, HAPE, and HACE B.Becker
  0830 Geriatric Trauma: Don’t Get Fooled L.Jagminas
  0930 Break
  0945 Managing the Failing RV H.Gill
  1045 Rowers on the Styx: Caring for the Dying Patient and Their Families in the ED B.Becker
  1145 Refractory Hypoxia in the ED H.Gill
  1245 Adjourn  

20 CME

20 Class A CE

20 CE

Pharmacology Hours TBD†

Refreshments served at the meeting are for registered attendees only.
Rev. 3/5/24


Bruce Becker, MD, MPH, FACEP
Professor of Behavioral and Social Science (Adj)
School of Public Health Brown University
Attending Physician, Emergency Medicine
South County Hospital, Roger Williams General Hospital
Wakefield and Providence, Rhode Island
Unity Fort Dodge Hospital
Fort Dodge, Iowa

Harman Singh Gill, MD, FAAEM
Associate Professor of Emergency Medicine and Critical Care Medicine
Associate Chairperson of Research
Assistant Program Director, SBH EM Residency
South Brooklyn Health, NYC Health & Hospitals
Brooklyn, New York

Liudvikas Jagminas, MD, FACEP
Associate Professor of Medical Science (Adj), Medical Education
Brown University and Alpert Medical School
Providence, Rhode Island
Adjunct Medical Faculty Educator, Bryant University Physician Assistant Program
Attending Physician Sturdy Health and Kent Hospital
Attleboro, Massachusetts
Program Coordinator 


Northwest Anesthesia Seminars / Northwest Seminars is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Northwest Anesthesia Seminars / Northwest Seminars 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 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: 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 January 30, 2025 to March 1, 2025. No refund after March 1, 2025; 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