San Antonio, Texas

Few destinations provide a sense of place like San Antonio. Here, the bell towers of Spanish colonial missions have greeted mornings for almost 300 years. Mexican, European and Western cultures blend into a unique personality.

Much of the city’s unforgettable landscape has grown along the banks of the River Walk where stone paths run aside the San Antonio River connecting hotels, restaurants, shops in the downtown core. The 15-mile River Walk also links Spanish Colonial Missions (a World Heritage Site, along with the Alamo), museums, public art and the Pearl, a former brewery reborn into an eclectic mix of shops, restaurants and entertainment. Pearl is the historical district and culture hub in the center of San Antonio. Pearl’s vibrant culinary community with chef-run restaurants, a food hall, cafés and bars, year-round culinary events and special chef-led dinners and tastings. The highly-regarded Culinary Institute of America offers guests opportunities for culinary immersion through frequent food enthusiast programs.

Pearl is also host to a producers-only Saturday farmers market as well as unique shopping opportunities where you'll find everything from custom-made guayaberas, to ultra-chic clothes and jewelry to globally sourced gifts and home decor. Don't forget, San Antonio also offers over 50 golf courses and theme parks like SeaWorld San Antonio and Six Flags Fiesta Texas that make the city a wonderful place for families and adventure seekers alike.

Hotel Emma

This historical hotel is authentic and welcoming and was once a 19th century Brewhouse. Now it’s an extraordinary riverfront hotel and the flagship for Pearl’s culinary and cultural community on the northern edge of downtown San Antonio. When you stay at Pearl’s Hotel Emma, you’ll experience San Antonio as if you are staying at the well-appointed home of extremely interesting friends, your visit peppered with warm social experiences, genuine cultural flavor, insider knowledge, and delightful surprises unique to the hotel, the neighborhood and the city.

Hotel guests will enjoy the rooftop pool, fitness center and complimentary cruiser bikes for guest use. Food is joy, and Hotel Emma celebrated San Antonio’s lively foodways at Supper, Chef John Brand’s American bistro, at Larder, the hotel’s gourmet market and deli, and at Sternewirth, a city bar and clubroom. And keep an eye out for intriguing pop-up tastings and demonstrations throughout the hotel. For those looking for pure relaxation, Hiatus Spa & Retreat’s newest location is just a few steps across Brewer’s Alley in the Cellars Residences building. This highly-regarded spa has 13 treatment rooms, a hydro-therapy room for Vichy shower treatments, a relaxation room, nail therapy room with zero gravity chairs, and more.

Hotels guest will enjoy amenities and services as part of their stay such as a welcome hand-shaken La Babia Margarita in the hotel library upon arrival, complimentary slow pour coffee in the library each morning, daily turndown service that includes homemade Macaroons from the Pearl’s very own Bakery Lorraine, use of in-room robes tailored by renowned Guayabera designer Dos Carolinas and complimentary wireless internet (excludes meeting room). Guest rooms also feature a South Texas Ice Box, serving as your in-room pantry that is stocked with local beer, farmers market provisions and also provides extra room for you to store treats you’ve brought back from Pearl’s world-class restaurants and purveyors.

Hotel Emma is located approximately 6.5 miles from the San Antonio International Airport (SAT). Valet parking is approximately $30 per car, per night. $20 per car per day for visitors who are not staying overnight. Complimentary self-parking available. 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 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
San Antonio, Texas
October 2-5, 2023

Monday, October 2

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWS Staff
  0730 Mechanical Ventilation / ARDS R.Fontenette
  0830 Sedation and Delirium / Alcohol Withdrawal R.Fontenette
  0930 Break
  0945 Sepsis Definitions: What’s in a Name? T.Osborn
  1045 ProMISe, ProCESS and ARISE: Where Are We Now? T.Osborn
  1145 Beyond the Stethoscope: When Physician Becomes Family T.Osborn
  1245 Adjourn

Tuesday, October 3

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Resuscitation R.Fontenette
  0830 Hemostatic Resuscitation R.Fontenette
  0930 Break
  0945 ECMO / Impella (via Zoom) L.Guzzi
  1045 Airway Management (via Zoom) L.Guzzi
  1145 Management of Blast Injuries: On the Battlefield and Off (via Zoom) L.Guzzi
  1245 Adjourn

Wednesday, October 4

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Arterial Blood Gases I (via Zoom) L.Guzzi
  0830 Arterial Blood Gases II (via Zoom) L.Guzzi
  0930 Break
  0945 AKI in the ICU (via Zoom) L.Guzzi
  1045 Leadership Styles T.Osborn
  1145 Stroke Update R.Fontenette
  1245 Adjourn

Thursday, October 5

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Vasopressors: What to Use When? T.Osborn
  0830 The Harsh Reality of More Demand Than Systems Can Handle: Lessons From COVID T.Osborn
  0930 Break
  0945 Traumatic Brain Injury R.Fontenette
  1045 ICH Management R.Fontenette
  1145 Noninvasive Cardiac Management: SVV, CO, CI - Treatment and Science (via Zoom) L.Guzzi
  1245 Adjourn  

20 CME

20 Class A CE

5.7 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 10/2/23


Roderick W. Fontenette, MD, Lt Col (ret), MHCM, CPE, FACEP, FCCM
ICU Program Medical Director
Adventist Health, St. Helena Hospital l Sound Critical Care
Assistant Professor, Uniformed Services University
Volunteer Associate Professor, Department of Emergency Medicine, UC Davis Health
President, Government Services Chapter of ACEP
Sacramento, California

Louis Guzzi, MD, FCCM
Clinical Professor of Anesthesia and CCM
Florida State University School of Medicine
Director Cardiovascular and Vascular Intensive Care Unit
Orlando Regional Medical Center
Orlando, Florida

Tiffany Osborn, MD
Professor or Surgery and Emergency Medicine
Barnes Jewish Hospital
Director: Sepsis Quality Initiative
Director of Leadership and Professional Development
Washington University Department of Surgery
St. Louis, Missouri

(non-speaking role)

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


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 has been prior approved by the American Association of Nurse Anesthesiology for 20 Class A CE credits; AANA approval number 1042412; Expiration Date 10/05/2023.

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 August 3, 2023 to September 2, 2023. No refund after September 2, 2023; 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.

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