The course will provide an overview of important pathologies seen commonly in the PICU. It will empower the learners to gain skills that will allow them to recognize critical illness early in children and to intervene in clinical scenarios commonly encountered. The learner will be able to recognize sepsis early and intervene appropriately.
The learner will gain a basic understanding of asthma and how to treat it. The learner will gain tools to treat DKA effectively. Additionally, the breath and depth of the field of pediatric critical care will be explored. Controversial topics such as brain death, vaccinations, and ethics will be covered and explored.
Lastly, the topic of congenital heart disease and repair will be covered.
Pediatric Intensive Care:
Congenital Cardiac Malformations and Repair
Discuss the anatomy and repair of common congenital heart lesions
Pathophysiology and Treatment of Sepsis
List the current treatment goals for sepsis to be delivered in the early hours of therapy.
Vaccine-preventable Illnesses and their ICU Manifestations
Describe the clinical manifestations of several vaccine-preventable illnesses.
Severe Asthma Management: From Home to the PICU
List the most important treatments for severe asthma.
Death by Neurological Criteria: Diagnosis and Management
Describe the criteria for the clinical diagnosis of brain death
Ethical Issues in the PICU
Discuss relevant ethical issues commonly encountered in the PICU
Endocrine Emergencies in the ICU: Case Studies in DKA, Thyroid Storm and Adrenal Insufficiency.
Discuss the appropriate management of endocrine emergencies in the PICU.
Evaluation of Chest Pain and the Cardiac History
Accurately assess and diagnose life-threatening causes of acute chest pain.
Antiplatelet Therapy in Acute Coronary Syndrome
Compare and select appropriate antiplatelet therapy for patients with acute coronary syndrome, with a focus on the appropriate duration of therapy.
New Anticoagulants for Atrial Fib: Where Do They Fit In?
There are now four new oral anticoagulants for atrial fibrillation. There is often confusion regarding appropriate patient selection.
ECG ST Changes for Myocardial Ischemia/Injury
Accurately diagnose cardiac and non-cardiac problems based on the ECG.
Transcatheter Aortic Valve Replacement (TAVR)
Assess which patients would be potential candidates for transcatheter aortic valve replacement surgery.
What is New in the Hypertension Guidelines?
Understand the current blood pressure guidelines for the general population, the elderly, those with kidney disease, and those with heart failure.
What is New in the Hyperlipidemia Guidelines?
Assess atherosclerosis risk based on lipid profile.
IMPORTANT INFORMATION
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
BIAS FREE CME - No Commercial Support was provided for this CME activity.
Chief of Cardiology
Director of the Cardiac Catheterization Laboratory
Saint Alphonsus Medical Group, Nampa, Idaho
Dr. Andrew Michaels received his undergraduate degree in History & Science from Harvard University. He then completed his medical degree, internship, residency, general cardiology fellowship, and interventional cardiology fellowship at the University of California-San Francisco (UCSF).
He stayed at UCSF for 6 years as an Assistant Professor of Medicine and Co-Director of the Cardiac Cath Lab. He was then recruited to the University of Utah as a tenured Associate Professor of Medicine and Director of the Cardiac Cath Lab. He then transitioned to a community-based interventional cardiology practice at St. Joseph Hospital in Eureka, CA for 8 years. Since 2018, he has worked in Boise and Nampa, Idaho for the Saint Alphonsus Medical Group.
He is the Co-Director of the Cardiac Cath Lab and Medical Director of Cardiology in Nampa. He has over 100 publications, and has had clinical research grants from the American Heart Association, American College of Cardiology, and the National Institutes of Health.
Dania Rumbak, MD
Dania Rumbak, M.D.
Attending Physician, Halifax Medical Center
Assistant Professor of Pediatrics
Department of Pediatrics
Florida State University School of Medicine
Dania Rumbak is a pediatrician, pediatric intensivist and healthcare entrepreneur. She received her BA from the University of Florida and her MD from the University of South Florida Morsani College of Medicine and is Board-Certified in Pediatrics and Pediatric Critical Care.
She is currently an Attending Physician in Pediatric Urgent Care at Halifax Medical Center in Daytona Beach, Florida and serves as Assistant Professor of Pediatrics at Florida State University School of Medicine. She has previously worked at Columbia University Medical Center, New York University Medical Center, and the Children's Hospital at Montefiore, where she received all her medical training (residency and fellowship.) She has published multiple works in medical journals. She was also co-founder and Chief Medical Officer of a healthcare startup called Baby Doctor. She lives in Ormond Beach, Florida with her husband and two children.
Accreditation
In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA).
US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.
Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 14 contact hours.
Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity.
Royal College of Physicians and Surgeons of Canada:
Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.
Credit Designation for Pharmacists: This knowledge-based activity is approved for 14 hours of pharmacy continuing education credit.
ITINERARY
DATE
PORT OF CALL
ARRIVE
DEPART
Sun Aug 04
Rome (Civitavecchia), Italy
-
5:00 pm
Mon Aug 05
*At Sea - Cruising
-
-
Tue Aug 06
Santorini, Greece
1:00 am
10:00 pm
Wed Aug 07
Mykonos, Greece
8:00 am
7:00 pm
Thu Aug 08
Athens (Piraeus), Greece
6:00 am
6:00 pm
Fri Aug 09
Katakolon, Greece
9:00 am
5:00 pm
Sat Aug 10
*At Sea - Cruising
-
-
Sun Aug 11
Rome (Civitavecchia), Italy
5:00 am
-
*Tentative course schedule, actual class times may differ.
PORTS OF CALL
Rome (Civitavecchia), Italy - Rome, Italy’s capital, is a sprawling, cosmopolitan city with nearly 3,000 years of globally influential art, architecture and culture on display. Ancient ruins such as the Forum and the Colosseum evoke the power of the former Roman Empire. Vatican City, headquarters of the Roman Catholic Church, has St. Peter’s Basilica and the Vatican Museums, which house masterpieces such as Michelangelo’s Sistine Chapel frescoes.
At Sea - Cruising - Cruising
Santorini, Greece - The view from the top of Santorini is breathtaking. The harbor below is said to be the site of the lost city of Atlantis! Visit the ruins of Akrotiri and discover a recently unearthed Minoan town which was extinguished by a volcanic cataclysm in 1500 B.C.
Mykonos, Greece - For pure Mediterranean pizzazz, Mykonos can't be beat. Designer boutiques and beautifully bronzed Greek gods and goddesses lie on Mykonos' beaches. And Mykonos' famous five white churches look down on it all in oblivious serenity.
Athens (Piraeus), Greece - You'll climb the Acropolis, the site of ancient Athens, crowned by the immortal Parthenon. Its chiseled columns were raised by Pericles, Athens's great general. Rest your running shoes in the temple of Nike. A little shopping and souvlaki in the Plaka and you're practically an (ancient) Athenian!
Katakolon, Greece - Explore the site of the very first Olympic Games! Ancient Olympia is a short drive from Katakolon to see where the sacred flame is still lit every Olympic year. Wonder at the ruins of the awesome Temple of Zeus.
Royal Caribbean's Jewel of the Seas
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.
Prices below are for the full cruise including meals and evening entertainment
STATEROOM DETAILS
PRICING PER PERSON
Suite/Deluxe
Junior Suite with Balcony (J3)
Two twin beds that convert to Royal King, private balcony, sitting area with sofa bed and private bathroom with tub. Stateroom: 299 sq. ft. Balcony: 66 sq. ft.
Agent will check for lower promo pricing at the time of booking
Suite/DeluxeOwner's Suite - 1 Bedroom (OS) Queen-size bed, bathroom with whirlpool tub, double sink and bidet. Separate living area with a double sofa bed. Sleeps up to 4 people. Stateroom: 512 sq. ft. Balcony: 66 sq. ft
Suite/DeluxeOwner's Suite - 2 Bedroom (OT) All staterooms and suites come complete with private bathroom, vanity area, hair-dryer, closed-circuit TV, radio and phone.
These large suites offer two bedrooms, two bathrooms and a living area with a sofa bed.
Two sets of two twin beds that convert to a Royal King bed
One double sofa bed
Two Pullman beds
Oceanview with Balcony (5D)
Quad Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 179 sq. ft. Balcony: 41 sq. ft.
Agent will check for lower promo pricing at the time of booking
Oceanview with Balcony (6D)
Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom. Stateroom: 179 sq. ft. Balcony: 41 sq. ft.
Agent will check for lower promo pricing at the time of booking
BalconyOceanview with Balcony (1D) Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.
Stateroom: 179 sq. ft. Balcony: 41 sq. ft.
BalconyOceanview with Balcony (2D) Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.
Stateroom: 179 sq. ft. Balcony: 41 sq. ft.
BalconyOceanview with Balcony (4D) Two twin beds that convert to Royal King, sitting area, private balcony and private bathroom.
Stateroom: 179 sq. ft. Balcony: 41 sq. ft.
Prices are Per Person, Double Occupancy, Subject to change.
3rd/4th in Stateroom - Call for Pricing
Port Charges, Taxes & Fees $257.58 per person.
Deposit $250.00 per person
Course Fee Cancellation Policy: 30+ days before sailing date - 75% Refund ; 7-29 days before sailing date - 50% Refund; Less than 7 days before sailing date - No Refund
Cruise Cancellation Policy: Cancellation policies vary by cruise line, destination and sailing date. Please check with one of our agents for policies applicable to this cruise.
* COMPETITIVE PRICING PROMISE: While we are not a 'cruise discounter,' we will match any price offered by the cruise line, directly to the general public, at the time of booking. This offers includes many short-term, promotional rates. All cruise line rates can be withdrawn by the cruise line at any time and are capacity controlled.
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
Chubb Travel Protection Overview
Standard Plan Benefits
Travel Basics
Travel Essentials
Travel Choice
Trip Cancellation
100% of Trip Costs ($100,000 maximum)
100% of Trip Costs ($100,000 maximum)
100% of Trip Costs ($100,000 maximum)
Trip Interruption
100% of Trip Costs ($100,000 maximum)
150% of Trip Costs ($150,000 maximum)
150% of Trip Costs ($150,000 maximum)
Trip Interruption - Return Air Only
$500
$750
$1,000
Trip Delay
$500 ($100 per day)
$750 ($150 per day)
$1,000 ($200 per day)
Missed Connection
NA
$250
$500
Baggage & Personal Effects
$750 ($50 deductible)
$1,000
$2,500
Baggage Delay
$200
$300
$500
Accident & Sickness Medical Expense*
$15,000 ($50 deductible)
$25,000
$50,000
Emergency Evacuation & Repatriation of Remains
$150,000
$500,000
$1,000,000
Accidental Death & Dismemberment
NA
$10,000
$50,000
Assistance Services
Included
Included
Included
Additional Benefits (if purchased within 15 days of Initial Trip Payment; Day 1 is the date the Intial Trip Payment is made)
Pre-Existing Medical Condition Exclusion Waiver
Included
Included
Included
Trip Cancellation/ Interruption due to Financial Default
Included
Included
Included
Accident Sickness Medical Expense
Excess Coverage
Primary Coverage
Primary Coverage
Baggage & Personal Effects
Excess Coverage
Excess Coverage
Primary Coverage
Flight Accident
$25,000
$50,000
NA
Missed Connection
NA
Additional $250
Included in base plan
Optional Benefits (if selected byt the Applicant and required premium is paid)
Medical Coverage Upgrade
Included in base plan
Included in base plan
Additional $50,000
including Emergency Evacuation*
Additional $150,000
Additional $500,000
Included in base plan
Car Rental Collision Coverage
$35,000 ($250 Deductible)
$35,000 ($250 Deductible)
$35,000 ($250 Deductible)
Flight Accident
Amount selected up to $500,000
Amount selected up to $500,000
NA
*Coverage, pricing and availability may vary by state *Additional Benefits change not available for CA, CO, KS, MN, MO, MT, NH, NY, PA, TX or WA residents at this time.
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before you cruise
4 Days / 3 Nights Rome Pre/Post Cruise Package
Hotel Imperiale or similar
Day 1: Arrival
Arrive at Rome's airport or at Civitavecchia pier. Private transfer to your hotel. Check in at your centrally located hotel. Overnight.
Day 2: Vatican Tour
Morning tour of Vatican Museums, Sistine Chapel and St. Peter&apost's Basilica. Includes pick up at hotel. Tour will end in Vatican area after 4 hours.
Free afternoon and overnight.
Day 3: Ancient Rome
Afternoon tour of the Colosseum and Roman Forum. Includes pick up at hotel. Your will end in Colosseum area after 4 hours.
Day 4: Departure
Private transfer to the airport or pier
Included:
1 private transfer from airport to hotel or vice-versa
1 private transfer from hotel to pier or vice-versa
1 half day group tour of Vatican Museums, Sistine Chapel and St. Peter's Basilica with skip the line tickets
1 half day group tour of Ancient Rome including Colosseum and Roman Forum with skip the line tickets
3 - night hotel accommodation with breakfast. Hotel Imperiale or similar
Rates per person low season - November 12, 2018 / February 28, 2019
Sharing Double Room $683
Rates per person high season - March 1, 2019/ July 15, 2019 - September 1, 2019/ November 10, 2019
Sharing Double Room $861
Rates per person medium season - July 16, 2019/August 31, 2019
Sharing Double Room $760
**Black -out dates apply**
**Weekend Supplement (Friday/Saturday) $40 per person per night**
SUBJECT TO AVAILABILITY
A 20% advance deposit is required.
PRIVATE TRANSFERS OPERATED FROM 08.00PM TO 07.00AM ARE SUBJECT TO A 30% NIGHT SURCHARGE. HOTEL RATES ARE DYNAMIC AND SUBJECT TO CHANGE, LOCAL TOURIST TAX TO BE PAID AT HOTEL BETWEEN 4 AND 7 EURO PER PERSON PER NIGHT.
All deposits are refundable if a cancellation occurs up to 45 days prior to the beginning of the first service in your reservation. In case of cancellation before the 45th day prior to the first day of service, There will still be a $50 per person handling fee. For cancellations after the 45th day prior to the first service date, there is no refund.
Final and full payment is due before the 45th day prior to the beginning of the first service in your reservation. Modifications are allowed without any additional charge however always subject to hotels and supplier availability and to price changes.
Prices are subject to increase due to any increase in our cost, such as, but not limited to: increase in air, land fares, fuel cost, and currency fluctuation. We reserve the right to revise the price and re-invoice in case of price increase of 5% or more at the time final payment is due.
Questions? Call us at 800.422.0711
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
