Jackson Hole, Wyoming

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Towering more than a mile above the valley known as Jackson Hole, the Grand Teton rises to 13,770 feet above sea level. Grand Teton National Park and the John D. Rockefeller, Jr. Memorial Parkway offer a variety of activities such as traditional mountain hiking, wildlife viewing, photography, climbing, swimming, boating, floating, canoeing, fishing, and biking. In addition to grand mountain vistas, the Tetons host some of the best wildlife hideouts from birds to bison.

This area has superior wildlife viewing opportunities, especially early or late in the day. Expect to see a variety of waterfowl, moose, deer, elk, bison, and birds of all kinds. There is also unique shopping, excellent dining, and luxurious spa experiences to be had here.

PARK ENTRY FEES: $35 per private vehicle; $30 for a motorcycle; or $20 for each visitor 16 years and older entering by foot, bicycle, ski, etc. These fees provide the visitor with a 7-day entrance permit for Grand Teton National Park and the John D. Rockefeller, Jr. Memorial Parkway only. Yellowstone National Park has a separate entrance fee. https://www.nps.gov/grte/planyourvisit/fees.htm

The Jackson Hole Airport (JAC) is about 15 minutes from the Town of Jackson; Teton Village and Jackson Hole Mountain Resort are about 20 minutes from town.

Four Seasons Resort and Residences Jackson Hole

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Nestled in a verdant mountain valley in Teton Village, this Five-Star alpine Resort is surrounded by some of America’s most rugged peaks and an inspiring array of wildlife in nearby Grand Teton National Park. Fuel up with a hearty breakfast at Westbank Grill before your hike, bike, raft – you name it – then come back for a soothing massage in the Spa. Enjoy the panoramic views of the Teton Range from the Resort’s fully heated, 75 foot outdoor pool or from any of the three hot-spring-style outdoor whirlpools.  Meet for for dinner at The Handle Bar featuring a wide selection of American and international beers, whiskeys and provisions, and you’ll soon see why it’s one of Jackson Hole’s favorite restaurants.

In the evening, kick up your boots and gather with friends and family around the fire. Guest can stay fit with complimentary access to the Fitness Center with workout attire upon request, Movement Studio, free weights, cardiovascular and weight-training equipment, steam room, cold and hot plunge pools, and refreshments. Kids ages 5-17 can enjoy the Youth Entertainment Center.

Spacious Guest Rooms feature 1 King bed or 2 Double Beds, comfortable seating area, flat screen Smart TV with Guestek that allows guests to stream music and movies, safe, iron/board, tea/coffee maker, mini refrigerator, complimentary standard Wi-Fi access, full marble bathroom, bathrobes, hair dryer, twice-daily housekeeping service, local newspaper and global news available through Press Reader,  and more. Four Seasons Resort and Residences Jackson Hole is lcoated approximately 20 miles from the Jackson Hole Airport (JAC). Valet parking only at the Reosrt, reduced to $30 per car, per night  with unlimited in-and-out privileges for those who book their room via NWS/NWWT only (normally $35 per car, per night, subject to change)

Email us at info@northwestseminars.com 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 emergency medicine 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
Grand Teton National Park (Jackson Hole), Wyoming
May 18-22, 2020

Monday, May 18

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Sepsis 2020: What's Old Is New K.Enfield  
  0830 Top 10 Articles of 2019 and Early 2020 K.Enfield  
  0930 Break
  0945 Clostridium Difficile in the ICU: Stewardship of Antibiotics, Testing, and the Environment K.Enfield  
  1045 ECMO / Impella L.Guzzi  
  1145 Post-Cardiac Arrest Care L.Shiber  
  1245 Adjourn
0.4 Pharmacology Hours

Tuesday, May 19

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 What's New in ARDS? K.Enfield  
  0830 Bedside Tools to Improve Ventilator Management: Driving Pressure, the Ultrasound, and Impedance


  0930 Break
  0945 Who Benefits From the ICU? K.Enfield  
  1045 PICS: How Can We Help the Primary Care Provider? K.Enfield  
  1145 Shock: An Overview L.Shiber  
  1245 Adjourn
0.3 Pharmacology Hours

Wednesday, May 20 - Day Open

Thursday, May 21

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Airway Management L.Guzzi  
  0830 Nuclear, Biologic and Chemical Terrorism: An Intensivist View L.Guzzi  
  0930 Break
  0945 EKGs (a Curriculum of Lectures: Ischemia, Infarction, Arrhythmias, etc.) L.Shiber  
  1045 ICU Stroke Care L.Shiber  
  1145 REBOA: Coming to the ED/ICU Near You! L.Shiber  
  1245 Adjourn
0.5 Pharmacology Hours

Friday, May 22

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Arterial Blood Gas Evaluation: Ions, Acids and Bases - Part I L.Guzzi  
  0830 Arterial Blood Gas Evaluation: Ions, Acids and Bases - Part II L.Guzzi  
  0930 Break
  0945 Management of Blast Injuries: On the Battlefield and Off L.Guzzi  
  1045 Traumatic Brain Injury Update L.Shiber  
  1145 Noninvasive Ventilation in the ED or ICU L.Shiber  
  1245 Adjourn
0.8 Pharmacology Hours

20 CME

20 Class A CE

2 Pharmacology Hours†

  Refreshments served at the meeting are for registered attendees only.  


Kyle Enfield, MD
Associate Professor of Pulmonary Medicine
Director of the Medial ICU
University of Virginia Health System
Charlottesville, Virginia

Louis Guzzi, MD, FCCM
Attending in Anesthesia and CCM
Clinical Professor of Anesthesia and CCM
Florida State University School of Medicine
FHMG Medical Group
Orlando, Florida

Joseph R. Shiber, MD, FACP, FACEP, FAAEM, FCCM
Professor, Department of Emergency Medicine, Neurology and Surgery
Co-Director Neuroscience ICU and ICU UF North
Director ECMO / Advanced Lung Service
Intensivist SICU / TICU
University of Florida College of Medicine
Jacksonville, Florida

Stuart Lowson, BSc, MBBs, MRCP, FRCA
Associate Professor of Anesthesiology
Co-Director Surgical 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 Anesthetists for 20 Class A CE; Code Number 1038142; Expiration Date 5/22/2020.

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 March 19, 2020 to April 18, 2020. No refund after April 18, 2020; 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!

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.

Airfare available through Universal Travel. Be sure to mention Northwest Seminars when booking. Contact Kellee Gray: Phone number: (858) 456-7962 - Email: kellee@universaltravel1.com


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.