Topics in Critical Care for Primary Care Providers CME Eastern Mediterranean Cruise Conference Round-trip Rome, Italy: October 12-23, 2015
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Topics in Critical Care for Primary Care Providers

11-Night Eastern Mediterranean Cruise Conference
Round-trip Rome, Italy
Celebrity Reflection
October 12 - 23, 2015

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.

Celebrity's Beautiful Celebrity Reflection
Celebrity Reflection

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours

Course Fees:
$795 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$550 for Physician Assistants, Nurse Practitioners, Nurses & 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. Pulmonary Edema and Acute Respiratory Distress Syndrome (ARDS)
  2. Update of the Surviving Sepsis Campaign Guidelines for Severe Sepsis and Septic Shock
  3. ICU triage
  4. End of life decision making in the ICU
  5. Excellence in Medicine
  6. Pandemics and Mass Disasters
  7. Critical Care in the Elderly
  8. Recognition and assessment of the critically ill patient
  9. The difficult airway
  10. The problem with evidence-based medicine
  11. Intra-abdominal hypertension
  12. New developments in the management of pulmonary hypertension
  13. The ethics of futility
  14. Shock
Learning Objectives:

Upon completion of this educational activity, participants should be able to :
  1. Discuss the different methods used to differentiate cardiac and non-cardiac pulmonary edema and the different methods used to treat them.
  2. Describe the most recent recommendations for patients with severe sepsis and septic shock and the reasons for these recommendations. The main focus will be on fluid, vasopressor, steroid and glucose control therapy and ulcer and deep venous thrombosis prophylaxis.
  3. Analyze the most recent literature related to ICU triage to help physicians make better ICU triage decisions.
  4. Explain the religious and cultural differences noted for ICU end of life decisions and the differences in end of life decision making around the world.
  5. Describe the 10 characteristics which make physicians excellent and help health care professionals improve their skills in providing their patients the best possible care.
  6. Discuss recent recommendations for preparing for pandemics and other disasters.
  7. Describe the differences found in elderly patients compared to younger patients with particular emphasis on sepsis.
  8. Discuss the parameters that define a critically ill patient and will be able to describe a general approach to the acute care of these patients.
  9. Describe the main elements of the pathophysiology of pulmonary hypertension and describe some of the treatments available
  10. Define futile care and discuss the approach to management of terminal critically ill patients.
  11. Discuss the recognition and treatment of intra-abdominal hypertension, as well as an approach to optimal ventilation when IAH is present.
  12. Analyze some of the pitfalls and the place evidence-based medicine (EBM) in perspective.
  13. Determine strategies to deal with the expected and unexpected difficult airway – participants should have a clear idea of the range of options available when encountering the difficult airway
  14. Discuss and define shock and differentiate between the different types of shock.
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.
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
Charles L. Sprung MD, JD, MCCM, FCCP
Director, General Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine; Professor of Medicine and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel

Professor Charles Sprung is the Director of the General Intensive Care Unit in the Department of Anesthesiology and Critical Care Medicine at Hadassah Hebrew University Medical Center in Jerusalem, Israel where he has worked for the last 24 years. He was previously the Director of the Section of Critical Care Medicine in the Department of Medicine at the VA Medical Center and the University of Miami for 13 years. He graduated the University of Miami School of Law in 1988. Professor Sprung was the Chairman of the Committee on Ethics Section of the US Society of Critical Care Medicine and of the European Society of Intensive Care Medicine (ESICM) for many years.

Professor Sprung has been active in research particularly studying sepsis, septic shock and ethical issues for 35 years. He was a member of the ACCP/SCCM consensus conference on definitions of sepsis in 1991 and a member of the recent 2012 Surviving Sepsis Campaign guidelines. He has participated in many sepsis studies including those of encephalopathy and treatments with corticosteroids, monoclonal antibodies to endotoxin and tumor necrosis factor, interleukin-1 receptor antagonist, antithrombin III, tissue factor pathway inhibitor, human activated protein C and recombinant platelet-activating factor.

Professor Sprung has also served as a member of Clinical Evaluation and Data Safety and Monitoring Committees for many phase III, multicenter sepsis trials. Professor Sprung coordinated the prospective, multicenter European trial of corticosteroids in septic shock, Corticus. He was the Coordinator of several multi-center studies in ethics including End of Life Decision Making and Procedures in European Intensive Care Units ETHICUS, Systematic Study of General Ethical Principles Involved in End of Life Decisions for Patients in European Intensive Care Units ETHICATT and Triage Decision Making for the Elderly in European Intensive Care units ELDICUS.

Professor Sprung has been or continues to be a member of several international committees of medical organizations, world health organizations and governmental agencies. He has published extensively on all of the above and multiple ICU areas with approximately 300 original articles and 50 book chapters. He received the 2011 ESICM Medal for outstanding contributions to both ESICM and to the development of Intensive Care Medicine worldwide and the Roger C. Bone Advances in End-of-Life Care Award from the CHEST Foundation of the American College of Chest Physicians in October 2013.



Prof P.V. van Heerden, MBBCh, MMed(Anaes), PhD, DA(SA), FFARCSI, FANZCA, FCICM, FJFICMI
Associate Professor of Anaesthesiology, Hebrew University of Jerusalem. Director, Medical Intensive Care Unit Hadassah University Hospital, Ein Kerem Jerusalem, Israel

Professor van Heerden's aim throughout his medical career has been to maintain balance between the clinical and academic aspects of his work. His main contribution as an academic in the area of education, outside of his university activities, has been as a strong advocate of the specialty of intensive care medicine, working hard in organisations that promote the development of the specialty and education of intensive care specialists. He served on the board of the Joint Faculty of Intensive Care Medicine for 10 years as communications officer, treasurer, vice censor, censor and Dean.

He effectively steered the board of the Joint Faculty during the process of establishing the College of Intensive Care Medicine of Australia and New Zealand. He served as the inaugural president of the new college from 2008-2010. This is a body which oversees the training of over 700 intensive care specialists in Australia, New Zealand, Hong Kong, Singapore, India, Canada, the UK and Ireland. The CICM also looks after the continuing professional development and welfare of over 700 intensive care specialists.

Professor van Heerden has also served on the boards of other august bodies such as the board of the Australian and New Zealand College of Anaesthesia (ANZCA) and the Committee of Presidents of the Medical Colleges of Australia and New Zealand (CPMC) powerful organisations that oversee specialist training in Australia and New Zealand.
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
Mon Oct 12 Rome (Civitavecchia), Italy
- 5:00 pm
Tue Oct 13 *At Sea
Lectures: 8:00am-12Noon; 1:00pm-5:00pm
- -
Wed Oct 14 Santorini, Greece
Lectures: 7:30am - 1:30pm
2:00 pm 10:00 pm
Thu Oct 15 Athens (Piraeus), Greece
9:00 am -
Fri Oct 16 Athens (Piraeus), Greece
- 6:00 pm
Sat Oct 17 Mykonos, Greece
7:00 am 6:00 pm
Sun Oct 18 Ephesus (Kusadasi), Turkey
8:00 am 5:00 pm
Mon Oct 19 Rhodes, Greece
8:00 am 5:00 pm
Tue Oct 20 Chania (Souda), Crete, Greece
8:00 am 5:00 pm
Wed Oct 21 *At Sea
- -
Thu Oct 22 Naples, Italy
7:00 am 6:30 pm
Fri Oct 23 Rome (Civitavecchia), Italy
5:00 am -
*Tentative course schedule, actual class times may differ.
Ports of Call
Civitavecchia (Rome), Italy (Embark and Debark) - Ah, the Eternal City: Romance, culture, food, history and fashion. You'll have to plan your time carefully as the sights of Rome are captivating and seemingly endless: the Colosseum and Forum, the Pantheon and Trevi Fountain and, of course the Vatican and the Sistine Chapel.You can't fit it all in one day (or even a week, to be honest). Be sure to spend at least a couple days enjoying the many pleasures Rome has to offer before and/or after your cruise conference.
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!
Istanbul, Turkey - Istanbul, the only city in the world built on two continents, stands on the shores of the Istanbul Bogazi (Bosphorus) where the waters of the Black Sea mingle with those of the Sea of Marmara and the Golden Horn. Here on this splendid site Istanbul guards the precious relics of the three empires of which she has been capital; a unique link between East and West, past and present.
Kusadasi (Ephesus), Turkey - Ephesus, one of the world's finest archeological sites, awaits. Here you will walk the Arcadian Way, view the facade of the Library of Celsus and visit the Amphitheatre.
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.
Naples, Italy - Capital of Southern Italy, the largest city of Campania, Naples is the third most populated city in Italy (after Rome and Milan), with over a million inhabitants, and is the most important industrial center and trading port for the South. Naples itself can provide a day's fun and entertainment, if its somewhat rundown appearance doesn't dissuade you. Or, join a tour of incredible Pompeii, frozen in time since A.D. 79 when Mt. Vesuvius brought an end to that then-thriving city. Or, take a quick ferry across the bay to the flowery Isle of Capri. Or, (yes, there's more) visit fabulous Sorrento, vacation spot for the well to do.
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.

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.

Celebrity Reflection

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
Royal Suite
Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

Stateroom : 538 sq. ft. Veranda: 195 sq. ft.
Call
800-422-0711
for Pricing
Celebrity Suite
Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

Stateroom : 467 sq. ft. Veranda: 79 sq. ft.
Call
800-422-0711
for Pricing

Sky Suite

Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Two lower beds convertible to queen-size. Sitting area, some with sofa bed and lounge chair. Entertainment center with television VCR and DVD player. Bath with shower/tub combination and washbasin. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.

Stateroom : 300 sq. ft. Veranda: 79 sq. ft.
Call
800-422-0711
for Pricing

AquaClass (A1) -These veranda staterooms offer spa elements infused into the stateroom experience and priority seating in the chic AquaClass restaurant, Blu. These spa-inspired staterooms, offer unlimited access to the AquaSpa Persian Garden as well as a host of other soothing extras. If you love the spa, there's no finer way to travel.
Stateroom Includes: Our signature friendly, personalized service with a guest to staff ratio of nearly 2:1, twice daily service (makeup and turndown), daily ice service in stainless steel ice buckets.
Dining: 24 hour complimentary room service, exclusive access to Blu, a specialty restaurant featuring "clean cuisine" that also serves complimentary, full-service breakfast every day, upgraded room service menu
Stateroom features: Interactive Samsung flat-screen television system, private safe, dual voltage 110/220AC outlet.
Services: Daily delivery of bottled water and tea, priority check-in, express luggage delivery, priority disembarkation based on travel needs, complimentary shoeshine service.
Amenities: Complimentary access to the Persian Garden and Relaxation Room, aromatherapy diffuser, Pillow menu, additional bathroom amenities, including shower gel, facial spray and lip balm, plush bathrobes, slippers, On-demand wellness programming including meditation and yoga.
Stateroom:195 sq. ft. Veranda:54 sq. ft.
Call
800-422-0711
for Pricing
Concierge Class Stateroom (C3)
Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Sitting area with sofa. Two lower beds convertible to queen. 20" LCD TV. Vanity. Some staterooms may have a trundle bed . Early embarkation and debarkation. Priority check-in. Sparkling wine, fresh fruit and flowers upon arrival. Main and specialty restaurant seating preferences. Expanded room service breakfast menu. Evening hors d'oeuvres, daily. Pillow menu, Plush Frette® bathrobes Hansgrohe® massaging showerhead. Extra handheld hair dryer. 100% cotton oversized bath towels. Complimentary shoeshine service, use of golf umbrella, & high-quality binoculars. Complimentary beach towel service.

Stateroom: 194 sq. ft. Veranda: 42 sq. ft.
Call
800-422-0711
for Pricing
Deluxe OceanView Stateroom with Veranda (2B)
Floor-to-ceiling sliding glass doors. Veranda with lounge seating. Two beds convertible to queen-size. Sitting area with sofa. 32" LCD TV. Vanity. Some staterooms may have a trundle bed. Complimentary 24-hour room service. Four pillows in every stateroom. Complimentary use of bathrobes. 100% cotton towels. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe.
*Some staterooms in category 2B are wheelchair-accessible.

Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
Call
800-422-0711
for Pricing
OceanView Stateroom (08)
Large ocean view window. Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service.

Stateroom : 177 sq. ft.
Call
800-422-0711
for Pricing
Inside Stateroom (11)
Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service.
* Some staterooms in categories 9 & 10 are wheelchair-accessible.

Stateroom : 183 - 200 sq. ft.
Call
800-422-0711
for Pricing

Please Call for Pricing


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.

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.