Emergency Medicine CME Southern Caribbean Cruise Conference, Round-trip San Juan, Puerto Rico, April 8 - 15, 2017
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University at Sea®
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Emergency Medicine

Event Photo
Apr
08
Apr 08 - Apr 15 - San Juan
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Emergency Medicine

7-Night Southern Caribbean Cruise Conference
Round-trip San Juan, Puerto Rico
April 8 - 15, 2017

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

Royal Caribbean's Wonderful Adventure of the Seas
Royal Caribbean's Adventure of the Seas

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours
4½ Hours of Pharmacology for NPs

Course Fees:
$895 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$695 for Physician Assistants, Nurse Practitioners
$495 Nurses, Residents, Students & Others
BIAS FREE CME - No Commercial Support was provided for this CME activity.

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.
Target Audience
Physicians, Physician Assistants, Nurses, Nurse Practitioners
Program Purpose / Objectives
Topics:
  1. Toxicology/Poisonings ‐ What’s Old and What’s New
  2. The New Anticoagulants ‐ He's Bleeding Doctor…Now What Do We Do?
  3. Emergencies in Hematology and Oncology‐Heme Horrors
  4. Syndromes you can't afford to miss
  5. Thermal Emergencies ‐ Cold As Ice/Hot Blooded
  6. Vertigo ‐ I'm So Dizzy, My Head Is Spinning
  7. Pulmonary Embolism ‐ What if the Patient is Pregnant and Who Can I Send Home with a PE? 2 controversies in the diagnosis and management of PE
  8. Stroke I: Epidemiology & Pathophysiology of Acute Stroke. Correlating physical exam, stroke score and associated vascular lesion.
  9. Emergency Management of Acute Ischemic Stroke: Paradigm Shift for EM
  10. Sepsis Update: Evolution of Early Goal Directed Therapy, Implications of ProCESS, & ARISE Trials
  11. Update on Non-Invasive Positive Pressure Ventilation & Hi-Flow Oxygen: Strategies for avoiding intubation in ED respiratory failure
  12. Toxicology; Intralipid as an antidote in severe poisoning
  13. Disparities in Healthcare: Working for Diversity and Inclusion Quality Patient Care
  14. Disparities in Healthcare: Interpretation the emergency Department.
Learning Objectives:
  1. Toxicology/Poisonings—What’s Old and What’s New
    • Review the fundamentals of examining and diagnosing the poisoned patient.
    • Discuss appropriate strategies for managing the common toxicologic emergencies.
    • Analyze some common and interesting cases in which a poisoned patient presented to the emergency department.
    • Introduce the listeners to some of the new, and up-and-coming recreational drugs of abuse.
  2. The New Anticoagulants ‐ He's Bleeding Doctor … Now What Do We Do?
    • Discuss new drugs to reverse warfarin, low-molecular-weight heparins, fondaparinux, dabigatran, and rivaroxaban/apixaban.
    • Describe the mechanisms of how the new drugs work.
    • Explore some cases in which an anticoagulated patient is bleeding.
  3. Emergencies in Hematology and Oncology ‐ Heme Horrors and Oncology Uh‐Oh's
    • Discuss a few of the common yet complicated hematologic emergencies.
    • Discuss a few of the common yet complicated oncologic emergencies.
    • Develop a simplified approach to a very complicated topic.
    • Analyze some difficult cases in hematology and Oncology.
  4. Syndromes you can't afford to miss
    • Discuss some of less frequently seen syndromes that are potentially very dangerous if they are not recognized.
    • Describe the pattern‐recognition approach to help in diagnosing these conditions.
    • Explore some cases in which patients presented with these problems.
  5. Thermal Emergencies ‐ Hot Blooded/Cold As Ice
    • Describe the common presentations of patients with hot and cold injuries.
    • Discuss a new understanding of the mechanisms of, and therapies for patients presenting with accidental hypothermia.
  6. Vertigo ‐ I’m So Dizzy, My Head Is Spinning
    • Describe the common presentations of peripheral and central vertigo.
    • Describe and review some of the provocative testing which can help to differentiate between a benign presentation of vertigo and a more serious central vertigo.
    • Explore a systematic approach to patients presenting with vertigo.
  7. Pulmonary Embolism ‐ What if the Patient is Pregnant and Who Can I Send Home with a PE? 2 controversies in the diagnosis and management of PE
    • Describe the various tests for PE and how they apply to the pregnant patient.
    • Explore a novel algorithm to evaluate for PE in pregnancy.
    • Survey the literature that supports the practice of discharging low-risk PE patients.
    • Discuss some scoring systems to risk stratify patients with PE to determine those who can be safely discharged.
  8. At the completion of this session the participants will know cerebral vascular anatomy and will be able to relate stroke score to involved artery and location of the vascular lesion.
  9. At the completion of this session the participants will
    • Understand strategies for giving lytic therapy for " wake up stroke"
    • Understand how to interpret CTP, CTA and define the penumbra
    • Know the role of MRA an MRI in the evaluation of acute stroke
  10. At the completion of this session the participants will:
    • Understand the parameters involved in the decision to give lytic therapy in stroke patients
    • Know the indications for mechanical thrombectomy
    • Know the risks, benefits and alternatives for each therapy.
  11. At the completion of this session the participants will:
    • Understand contemporary definition of a TIA
    • Understand the appropriate workup TIA
    • Know the indications for admission versus outpatient evaluation of a TIA
    • Understand the comorbidities associated with TIA.
  12. At the completion of this session the participants will:
    • Understand the initial response to EGDT in sepsis treatment
    • Know the impact of changes supported by large recent clinical trials
    • Understand the implications of and response to severe sepsis.
    • Understand the new sepsis definition and guidelines issued in the spring of 2016.
    • Gain Understanding the evolution of EGDT, and the modifications suggested by recent clinical trials especially ProCESS and ARISE
  13. At the completion of this session the participants will:
    • Know the indications and contraindications for NIPPV, (CPAP and BiPAP)
    • Understand how to select initial ventilator settings
    • Know how to evaluate response to NIPPV treatment and Know when/how to wean and release a patient from NIPPV.
    • Understand the indications for high flow oxygen by nasal cannula along with its advantages and limitations.
  14. At the completion of the session attendee will:
    • Understand the usefulness of Intralipid for lipophilic drug overdoses.
    • Also understand the mechanism of action of Intralipid as a drug overdose
  15. At the completion of the session attendees will:
    • Understand the issues with disparities in healthcare the American healthcare system.
    • Understand the impact on the quality of healthcare caused by healthcare disparities.
    • Understand the pros and cons of using professional language interpreters as compared to ad hoc language translators in emergency medicine.
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.
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Emergency Medicine

Event Photo
Apr
08
Apr 08 - Apr 15 - San Juan
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.
Faculty
Colin G. Kaide, MD, FACEP, FAAEM, UHM
Associate Professor of Emergency Medicine, Board-Certified Specialist in Hyperbaric Medicine, Specialist in Wound Care, The Wexner Medical Center at The Ohio State University, Columbus, Ohio.

Colin Kaide is an associate professor of Emergency Medicine at the Wexner Medical Center at The Ohio State University in Columbus, Ohio. As a native of Chicago, Illinois, he completed Undergraduate Studies and Medical School at the University of Illinois, Urbana/Champaign. He completed a residency in Emergency Medicine at the Ohio State University (1993-1996). After residency, he served as the assistant director of the emergency department in Lima, Ohio for 3 years while serving as part-time faculty at OSU. In 2000 he joined the department at OSU as a full-time faculty member. He is board-certified in Emergency Medicine and Hyperbaric Medicine. In addition to emergency medicine and hyperbarics, he completed advanced training in wound care and is certified by the Council for Medical Education and Testing. He does wound care at the Ohio State Comprehensive Wound Center.

His academic interests include: Medical education, Rapid-Sequence Intubation and the Advanced Management of the Difficult Airway, Hematological and Oncological Disorders, Anticoagulation and its Reversal, Procedural Sedation, Hyperbaric Medicine and Chronic Wound Care. He was honored as "Teacher of the Year" for the Department of Emergency Medicine (2008) and has received both the OSU College of Medicine Excellence in Teaching Award (2004) and Outstanding Teaching Award (2008). He is core faculty in the Emergency Medicine residency program at OSU.

One of his outside interests is martial arts. He has participated in the combative arts since 1978 and holds a 3rd-degree black belt in Goshin Jitsu. He has been a teacher of self-defense since high school and has developed a specialized course for EMS providers and healthcare professionals. He has also been a principal developer and Chief Medical Editor for a medical software company that produces a computer-based electronic medical record product that creates computerized ED and inpatient discharge instructions, prescriptions, and work excuses with over 800 hospitals using the software and instructions.

Kevin L. Ferguson MD FACEP
Dr. Ferguson is currently Professor of Emergency Critical Care Medicine at Cobia Delta Medical Center in Visalia, California , where he is also Medical Director for the Stroke Program, associate program director for the Emergency Medicine residency program, and Chair of the Internal Review Board at cobia.

He has academic appointment as Professor of Emergency Critical Care Medicine at the University of California Irvine, and the American University Antigua. He has lectured extensively on topics in emergency critical care as well as international & global health medicine.

Dr. Ferguson is an emergency intensivist physician and a graduate of University Michigan medical school. He completed his emergency medicine residency at Martin Luther King LA County medical center in 1988. He also complete a critical care Fellowship at State University of New York in Syracuse in 1991. He is Board Certified in Emergency Medicine and Board Eligible in Critical Care Medicine.

He was a member of the founding faculty in emergency medicine at the University of Michigan from 1991 through 1997. He joined the faculty at the University of Florida in Gainesville in 2001 and founded the emergency medicine residency program at UF.

He also founded the emergency medicine track for the critical care Fellowship at University of Florida with the Department of anesthesiology. At that time, he held a dual appointment in emergency medicine and anesthesiology critical care and was promoted to Associate Professor in 2010.

He was a member of the University of Florida's NASA medical support team from 2001 until the end of the shuttle program in 2011; during the last three years, he was medical director of the medical support team. At the University of Florida, he was recognized as a master educator in medical education and twice received exemplary teacher awards from University of Florida. He was subsequently inducted as a member of the Society of Teaching Scholars in Medical Education at the University in 2011. Also at the University of Florida, he founded "Project Thailand" a global health program designed to teach students and residents topics in tropical medicine and global health, as well as bring primary medical care to the hill tribes people of northern Thailand.

He enjoys attending concerts, hunting sharks teeth on the beach, golf, and international travel.
Accreditation

Accredited Continuing Medical Education Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc. designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.


ANCC Accredited Continuing Nursing Education
Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

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.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits™ as needed.
Pharmacology credits are identified on individual activities.

Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

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.

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.

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.
Cruise Itinerary
DATE PORT OF CALL ARRIVE DEPART
Sat Apr 08 San Juan, Puerto Rico
- 8:30 pm
Sun Apr 09 Philipsburg, St.Maarten
8:00 am 5:00 pm
Mon Apr 10 Basseterre, St. Kitts
8:00 am 5:00 pm
Tue Apr 11 St. John's, Antigua
8:00 am 5:00 pm
Wed Apr 12 Castries, St. Lucia
9:00 am 6:00 pm
Thu Apr 13 Bridgetown, Barbados
8:00 am 5:00 pm
Fri Apr 14 *At Sea
- -
Sat Apr 15 San Juan, Puerto Rico
6:00 am -
*Tentative course schedule, actual class times may differ.
Ports of Call
San Juan, Puerto Rico (Embark and Debark) - In days of yore, the waters near Puerto Rico teemed with pirate ships commanded by the likes of Sir Francis Drake. Aye, they are long gone, but in their wake they have left an island of national treasures: La Casa Blanca, built in 1501 for the island's first governor, Ponce de Leon; the cobblestone streets of Old San Juan; the tropical rain forests of El Yunque. Port tips from our blog
Basseterre, St. Kitts - The island England zealously defended from Brimstone Hill, the "Gibraltar of the West Indies." In Basseterre, a mini-London, there's Piccadilly Circus to shop and a gingerbread version of Big Ben by which to check the hour.
Bridgetown, Barbados - An island some say is more British than Britain. Here, cricket is the national sport and afternoon tea goes without saying. But Barbados is true blue Caribbean as well, with classic sand beaches, and wild monkeys in the jungle.
Castries, St. Lucia - Watch natives fashion boats from gum trees, write postcards in a Creole cafe. Shop for black coral carvings and exquisite silk-screened fabrics.
Philipsburg, St. Maarten - An island under two flags. Sample the Dutch treats of Philipsburg: chocolate, cheese, delftware. On the French side linger over bouillabaisse, shop for Parisian perfumes.
Saint Johns, Antigua - An enterprising man, Codrington had come to Antigua to find out if the island would support the sort of large-scale sugar cultivation that already flourished elsewhere in the Caribbean. His initial efforts proved to be quite successful, and over the next fifty years sugar cultivation on Antigua exploded. By the middle of the 18th century the island was dotted with more than 150 cane-processing windmills--each the focal point of a sizeable plantation.

Today almost 100 of these picturesque stone towers remain, although they now serve as houses, bars, restaurants and shops. At Betty's Hope, Codrington's original sugar estate, visitors can see a fully-restored sugar mill.

Our staff can assist you with all your travel arrangements.

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.

Adventure 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.
Cruise Pricing

Prices below are for the full cruise including meals and evening entertainment

STATEROOM DETAILS
PRICING
PER PERSON
Owner's Suite (OS) - Queen-size bed, private balcony, separate living area with queen-size sofa bed, private bathroom with bathtub, separate shower and bidet, and concierge service.(559 sq. ft., balcony 90 sq. ft.)
Call
800-422-0711
for Availability
Grand Suite (GS) - Two twin beds that convert to a Royal King measuring 72.5 inches wide by 82 inches long, private balcony, sitting area (some with sofa bed), and concierge service. (349 sq. ft., balcony 100 sq. ft.).
Call
800-422-0711
for Availability
Junior Suite with Balcony (JS) - Two twin beds that convert to a Royal King, measuring 72.5 inches wide by 82 inches long, private balcony, private bathroom with bathtub and a sitting area.
(264 sq. ft., balcony 75 sq. ft.)
Call
800-422-0711
for Availability
Superior Ocean View Stateroom with Balcony (D1) Quad - Two twin beds that convert to a Royal King, measuring 72.5 inches wide by 82 inches long, private balcony, sitting area and a private bathroom. Rates vary from deck to deck. (179 sq. ft., balcony 52 sq. ft.)
Call
800-422-0711
for Availability
Superior Ocean View Stateroom with Balcony (D3) - Two twin beds that convert to a Royal King, measuring 72.5 inches wide by 82 inches long, private balcony, sitting area and a private bathroom. Rates vary from deck to deck. (179 sq. ft., balcony 52 sq. ft.)
Call
800-422-0711
for Availability
Deluxe Ocean View Stateroom with Balcony (E2) - Two twin beds that convert to a Royal King, measuring 72.5 inches wide by 82 inches long, private balcony, sitting area and a private bathroom. Rates vary from deck to deck. (164 sq. ft., balcony 51 sq. ft.)
Call
800-422-0711
for Availability
Family Ocean View Stateroom (FO) - Two twin beds that convert to a Royal King, measuring 72.5 inches wide by 82 inches long, additional bunk beds in separate area, separate sitting area with sofa bed, and a private bathroom with shower. Stateroom can accommodate up to 6 guests. ((265 sq. ft.)
Call
800-422-0711
for Availability
Ocean View Stateroom (I) - Two twin beds that convert to a Royal King, measuring 72.5 inches wide by 82 inches long, sitting area, vanity area, and a private bathroom. (160 sq. ft.)
Call
800-422-0711
for Availability
Interior Stateroom (N)- Two twin beds that convert to a Royal King, measuring 72.5 inches wide by 82 inches long, sitting area, vanity area, and a private bathroom. (150 sq. ft.)
Call
800-422-0711
for Availability
Prices are Per Person, Double Occupancy, Subject to change
Port Charges, Taxes & Fees $262.12
Deposit $250 per person

Cancellation Policies vary by cruise line, destination and sailing date.
Please check with one of our cruise consultant for policies applicable to this cruise.

Important Note: Not all staterooms within each category have the same furniture configuration and/or facilities. Appropriate symbols within the rooms on the deck plans describe differences from the stateroom descriptions . All information is subject to change.
Course Fee Cancellation Policy: 30 days from sailing-None; 7-29 days-50%; Less than 7 days-100%
* 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.
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.

TravelSafe.comPlease visit TravelSafe.com for travel insurance information.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.