San Diego, California

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San Diego is a world-renowned vacation destination that is vibrant and refreshingly easy to navigate. The region offers a host of attractions including the San Diego Zoo and San Diego Zoo’s Wild Animal Park, SeaWorld San Diego, LEGOLAND California, Balboa Park (the nation’s largest urban cultural park and home to 15 museums), Mission Bay (the largest man-made aquatic park in the country), and the USS Midway Museum to name a few. In addition, the region is dotted with over 90 golf courses, including Torrey Pines (home of the 2008 U.S. Open).

Enjoy numerous casinos, world class shopping and dining, and simple pleasures like a stroll along the bay front, a hike in a nature preserve, or a bonfire on the beach. With 70 miles of breathtaking beaches, spectacular mountains and deserts, there is plenty to see and do. The Gaslamp District, named for the gas lamps that once lined the streets, is the place to be, boasting 94 historic buildings in the one-square-mile area. Victorian Era-themed, these distinctive buildings set the stage for the best dining, shopping, entertainment, and nightlife in town.

Hotel Solamar

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A celebration of sun and sea, Hotel Solamar is a downtown San Diego Kimpton boutique hotel that reflects it’s dynamic San Diego Gaslamp District location. The hotel is centered in one of San Diego’s most vibrant neighborhoods, one block from PETCO Park, two blocks from San Diego’s trolley, and surrounded by an amazing collection of cultural and leisure attractions. Stay fit at Hotel Solamar’s complimentary 4th floor fitness room or do some laps in the heated outdoor pool. Enjoy a complimentary craft beer, seasonal cocktail or glass of wine from 5 to 6 pm daily and complimentary organic morning coffee and tea service in the lobby living room.

Deluxe guestrooms include one king bed or two queen beds (based on availability), complimentary Internet, LCD flat screen television, plush linens, Gilchrist & Soames bath amenities, laptop friendly safe, fully stocked honor bar, terry cloth animal print robes, and more.

Adjacent to Hotel Solamar, Jsix is a bustling Gaslamp District restaurant, winner of San Diego Magazine’s 2007 Best Restaurant award featuring California Coastal cuisine, inspired by the freshest of seafood, artisan produce, and ingredients from nearby farms. LOUNGEsix, located on the rooftop deck of the hotel, is a tropical urban oasis overlooking downtown San Diego and the bay.

Hotel Solamar is located just three miles from the San Diego International Airport.

Room Rate available only through us • Call (800) 222-6927

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 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 evidenced 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.

Emergency Medicine Update
San Diego, California
August 18-21, 2014

Monday, August 18

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome
NWS Staff
  0730 Top Ten EM Articles of 2013 C.Tomaszewski  
  0830 Cases in Hyperbaric Medicine P.Witucki  
  0930 Break
  0945 Update on Seizure Management C.Tomaszewski  
  1045 "It's Just a Virus": Serious Viral Infections in Children P.Ishimine  
  1145 Marine Envenomations P.Witucki  
  1245 Adjourn

Tuesday, August 19

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Sudden Death in Custody Part I: Restraints, Weight Force and Tasers G.Vilke  
  0830 Resuscitation: State of the Art J.Bellezzo  
  0930 Break
  0945 U.S. Land Envenomations A.Schneir  
  1045 Orthopedic M & M's A.Schneir  
  1145 Sudden Death in Custody Part II: Excited Delirium Syndrome G.Vilke  
  1245 Adjourn

Wednesday, August 20

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Cardiac and Neurological M & M's A.Schneir  
  0830 Subtle Findings Obvious Consequences: Radiographic Clues to Serious Conditions in Pediatric Patients P.Ishimine  
  0930 Break
  0945 Adult Complaints in Pediatric Patients P.Ishimine  
  1045 When Patients are Faking It A.Schneir  
  1145 Best Evidence: When Ultrasound Really Makes a Difference C.Fox  
  1245 Adjourn

Thursday, August 21

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Approach to the Patient with an Acute Stroke in the ED: The Latest K.Guluma  
  0830 Should I Squeeze or Should I Fill? Using Ultrasound to Differentiate Fluid Responders from Inotropic Responders C.Fox  
  0930 Break
  0945 Stealth Strokes: The Types of Strokes You're Likely to Miss in the ED K.Guluma  
  1045 Multiple Ultrasound Orgasms: A Sonolicious Case Every 30 Seconds C.Fox  
  1145 Conference Review: Conference Highlights A.Schneir  
  1245 Adjourn 20 CME 1 / 20 CEC  


Paul Ishimine, MD, FACEP, FAAP
Program Director, Pediatric Emergency Medicine Fellowship
Clinical Professor of Emergency Medicine and Pediatrics
Department of Emergency Medicine
UC San Diego Health System and Rady
Children’s Hospital, San Diego, California

Aaron Schneir, MD, FAAEM, FACEP, FACMT
Clinical Professor of Emergency Medicine
Division of Medical Toxicology
Department of Emergency Medicine
UC San Diego Health System
San Diego, California
Program Director

J. Christian Fox, MD, FACEP, FAAEM, FAIUM
Director, Emergency Ultrasound Fellowship
Professor of Clinical Emergency Medicine
Department of Emergency Medicine
University of California
Irvine, California

Christian Tomaszewski, MD, FACEP, FACMT
Clinical Professor of Emergency Medicine
Divisions of Medical Toxicology and Hyperbaric Medicine
Department of Emergency Medicine
University of California
San Diego, California

Joseph Bellezzo, MD
ECMO Director
Vice-Chair, Department of Emergency Medicine
Sharp Memorial Hospital
San Diego, California

Peter Witucki, MD
Assistant Clinical Professor of Emergency Medicine
Division of Hyperbaric Medicine
Department of Emergency Medicine
UC San Diego Health System

Professor of Clinical Emergency Medicine
Director of Clinical Research
Department of Emergency Medicine
Medical Director, Risk Management
University of California San Diego Health System, San Diego, California

Kama Guluma MD
Clinical Professor of Emergency Medicine
Department of Emergency Medicine
University of California San Diego Health System, San Diego, California


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 Healthcare System, Dallas and Northwest Seminars. The A. Webb Roberts Center for Continuing Medical Education of Baylor Healthcare System, Dallas is accredited by the ACCME to provide continuing medical education for physicians.

The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, Dallas, designates this live activity for a maximum of 20 AMA PRA Category 1 Credits™. 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 a maximum of 20.00 hour(s) of ACEP Category I credit.

The 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.

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.

Certified Registered Nurse Anesthetists: This program has been prior approved by the AANA for 20 CEC; AANA Code #1030017; Expiration date 8/21/2014.

Anesthesiologist Assistants: The NCCAA accepts these ACCME-approved programs for continuing educational credits.

Registered Nurses: NWS is approved by the California Board of Nursing, Provider Number 04833 and Florida and Washington, DC Boards of Nursing, Provider Number 50-7480. This program offers 20 contact hours. Meets the requirements of the Pennsylvania Board of Nursing, Rules and Regulations §21.133.


Aaron Schneir, MD, FAAEM, FACEP, FACMT Associate Clinical Professor of Medicine, Department of Emergency Medicine, University of California, San Diego (UCSD), School of Medicine, San Diego, California


Mark Murphy, MD, MSN Education, Austin, Texas 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 June 19 to July 19. No refund after July 19; 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 cruise, net hotel, and tuition booked through NWS (but not air). Once you have enough 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.

NWS has 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 through NWS (800) 222-6927.

Travel at your own risk.

Airfare available through Universal Travel. Be sure to mention Northwest Seminars when booking. Contact Kellee Kilmer: Phone number: (858) 456-7887 - 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.