Ambergris Caye, Belize

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From the beautiful beaches and azure waters of the Caribbean, to the Maya Mountains and Pine Ridge, there's paradise aplenty for everyone on Ambergris Caye. Discover spectacular vistas, winding waterfalls, pristine tropical rainforests, and hundreds of limestone caves.

The largest island in Belize, Ambergris Caye is the main attraction for travellers to this western Caribbean nation. For centuries, it has been the hub of the area's maritime trade, with San Pedro Town being the only town on the island. This small ville was once supported by the fishing industry and the manufacture of coconut products and chicle. But over the last thirty years, the tourism industry has seen significant growth in the dive and scuba trade, and even the budding trend of ecotourism, making San Pedro Town and Ambergris Caye the gateway to paradise in this beautiful country.

Trek across ancient Mayan ruins and temples that will entice you to learn more of their history. Zipline through the forest, take a nature walk, sail the Caribbean, ride a tube through Mayan caves, or scuba dive and snorkel the Barrier Reef. No matter which adventure you choose, you will find a wonderful, unforgettable journey awaiting you on Ambergris Caye.

Las Terrazas Resort

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Nestled along the glistening, white sand beach and Caribbean Sea, this Belize luxury resort on beautiful Ambergris Caye is pure bliss. Lounge under gently swaying palm trees on the beach with a Belizean rum punch. Relax in the 70-foot infinity pool, indulge in a soothing massage by the beach or paddle a kayak over the island's crystal clear waters.  At Las Terrazas Belize luxury Resort, you're immersed in the tranquility and natural beauty of the island while enjoying luxury living. Savor Central American and Caribbean-inspired cuisine at O Restaurant. Experience a sunset dinner on the Rooftop Sky Lounge with incredible views or private dining on the star-lit beach. Let the concierge plan a cave tubing adventure through the Maya rainforest or a deep-sea fishing excursion.

Dive the world-famous Belize Barrier Reef with the onsite 5-star PADI dive shop. Start each day kayaking in the crystalline waters, race over the waves on a WaveRunner or ride a Hobie Cat. This Belize luxury hotel is a seaside haven for recreation, relaxation and romance. From handcrafted, Belizean furnishings to stainless steel high end appliances and free Wi-Fi, the luxury accommodations offer a blend of island-inspired style and modern amenities. Although unique in size and views, each  unit is furnished with handcrafted local mahogany hardwood furniture and cabinetry, travertine floors, and granite countertops.  In the bathrooms, you will find fine Italian fixtures, plush linens, and lavish bath amenities. Other amenities include a balcony or patio, fully equip med kitchen with granite countertops, coffee makers with condiments, Flat-screen TVs, DVD Players with Surround Sound System, central A/C and Ceiling Fans, full-sized Washer and Dryer, iron/board, safe, luxury bath amenities, plush bathrobes, hair dryer, personal Yoga mats, umbrellas and more.

Las Terrazas Resort is located 3.5 miles north of San Pedro in Ambergris Caye. Guest will want to fly into Philip S. W. Goldson International Airport (BZE). *Pre-arranged Round-Trip Transfers are via 20-minute commuter flight from BZE to San Pedro Air strip, with meet & greet at San Pedro Air strip then transfer of guest and luggage by van to the local marina, and private boat ride to the resort. ($199 per person round trip transfer fee applies. Please note, round trip transfer fee subject to change without notice based on airline fares and costs of fuel.)

Dive Packages

Boat Dives: 12 tank boat dives package - $475


Rental equipment is available on-site. (Rental charges will be paid on-site.)

Be sure to bring your certification cards with you to check in. Space will be limited, we recommend that you book early to ensure your spot with the group dives. No refunds for unused dives for any reason. Dive at your own risk. Divers insurance is recommended.

• Number of divers in your party
• Name of each diver
• Certification/Experience Level of each diver
• Number of dives since Certification
• Number of dives in the past 12 months
• If you plan to rent equipment, we will need height, weight, and shoe size of each diver

Email us at or call us (800) 222-6927 • (509) 547-7065


This course is designed for physicians, certified registered nurse anesthetists, physician assistants, nurse practitioners, registered nurses and other medical care providers who must maintain state-of-the-art knowledge of the anesthesia specialty or are impacted by it.


Presentations are designed to facilitate the physician, nurse specialist, and other providers 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:

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, the 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

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 in reviewing, updating, and/or expanding 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 - to include but not be limited to advanced anatomy and physiology, pathophysiology, chemistry, physics, psychology, and social sciences - as they impact and are affected by the planning, delivery, and monitoring of anesthesia and related services inherent in the anesthesia professions.

Explain the selection, dosing considerations with methods of administration, safe use, and contraindications and precautions of presented pharmacological agents through the understanding of their physico-chemical properties, pharmacokinetics and pharmacodynamics, updated uses, and more recently developed additional, related, and similar drugs.

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 anesthetic procedures and administrations, equipment use, and other applications encountered during the provision of anesthesia and analgesia whether in the surgical unit, the labor and delivery suite, the pain management clinic, or other more remote location of anesthetizing services.

Incorporate the appropriate recommendations and/or requirements of pertinent external organizations, institutions, and professional groups - recognized as serving as the authority for and/or holding the responsibility to compile and approve such tenets - in the provision of anesthesia and related services, whether medical, legal, philosophical, ethical, or health care management standards.

Apply the new techniques in the clinical setting of the participant.

Giant Strides Anesthesia
Ambergris Caye, Belize
April 28 - May 3, 2019

Sunday, April 28

  0730 Registration - Mandatory Sign In*
  0755 Welcome NWAS Staff  
  0800 Trends and Thoughts on Pediatric Premedication W.Jones  
  0900 My Child Has a Cold, Should We Come in for Surgery? W.Jones  
  1000 Break
  1015 Emergency Airway Management C.Smith  
  1115 Anesthetic Considerations for Ocular and Maxillofacial Trauma C.Smith  
  1215 Adjourn 1.3 Pharmacology Hours
  1330 Boats departs for two dives (optional dive package)

Monday, April 29

  0730 Registration - Mandatory Sign In*
  0800 Head Injury C.Smith  
  0900 Massive Transfusion Protocol C.Smith  
  1000 Break
  1015 Anesthesia in the First Ten Days of Life W.Jones  
  1115 Radiologic Exams With Anesthesia: It's Not Like Taking Passport Photos W.Jones  
  1215 Adjourn 0.5 Pharmacology Hours
  1330 Boats departs for two dives (optional dive package)

Tuesday, April 30

  0730 Registration - Mandatory Sign In*
  0800 Preoperative Evaluation of the Patient With Heart Disease: What Are the Current Guidelines?
  0900 Anesthesia for the Patient With Obstructive Sleep Apnea C.Petrovitch  
  1000 Break
  1015 Anesthesia and Fatigue: Just Let Me Close My Eyes a Minute W.Jones  
  1115 Anesthesia Considerations for Cardiac Trauma C.Smith  
  1215 Adjourn 0.2 Pharmacology Hours
  1330 Boats departs for two dives (optional dive package)

Wednesday, May 1 - Day Open

  0800 Boats departs for two dives (optional dive package)

Thursday, May 2

  0730 Registration - Mandatory Sign In
  0800 Mechanisms of Coagulation: Round Up the Usual Suspects C.Petrovitch  
  0900 Drugs That Affect the Hemostatic Mechanism: Part I C.Petrovitch  
  1000 Break
  1015 Drugs That Affect the Hemostatic Mechanism: Part II C.Petrovitch  
  1115 Anesthetic Management of the Burn Patient C.Smith  
  1215 Adjourn 2.5 Pharmacology Hours
  1330 Boats departs for two dives (optional dive package)

Friday, May 3

  0830 Boats departs for two dives (optional dive package)
  1345 Registration - Mandatory Sign In*
  1400 Monitoring and Reversal of Neuromuscular Blockade: Impact of Sugammadex C.Smith  
  1500 PBLD: The 5-Month-Old, Ex-Premature Infant for Inguinal Hernia Repair W.Jones  
  1600 Break
  1615 Fluid Management and Goal-Directed Therapy: Should We Say Goodbye to the CVP Catheter?


  1715 Anesthesia for Prostatectomy and the Da Vinci Robot C.Petrovitch  
  1815 Adjourn
0.5 Pharmacology Hours

20 CME

20 Class A CEC

5.0 Pharmacology Hours†

  *Please plan to eat breakfast prior to the meeting. Daily buffet breakfast is included in the room rate for those who book through NWAS/NWWT only.  
  Refreshments served at the meeting are for registered attendees only.  


Charise Petrovitch, MD
Professor of Anesthesiology
George Washington University
Washington, District of Columbia

William H. Jones, DO
Assistant Professor
Anesthesiology and Pain Management
UT Southwestern Medical Center
Medical Director of Pediatric Anesthesiology Services
Children’s Medical Center of Dallas
Legacy Campus
Plano, Texas

Charles E. Smith, MD
Professor of Anesthesia
Attending Anesthesiologist
Director, Anesthesia Research
MetroHealth Medical Center
Case Western Reserve University
Cleveland, Ohio


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 Anesthesia 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 AANA for 20 Class A CEC; AANA Code #1036613; Expiration Date 5/3/2019.

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: NWAS 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 T. Murphy, MD, MSN Education, LLC, Treasure Island, Florida, Medical Director, Northwest Anesthesia 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. NWAS 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 February 27, 2019 to March 29, 2019. No refund after March 29, 2019; however, 50% of tuition paid may be applied toward tuition for another NWAS 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 NWAS including net hotel and tuition booked through NWAS (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 NWAS! Click here for more information.

Lecture notes will be provided via download in PDF format.

You must sign-in every day you attend to receive credit.

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.

Travel at your own risk.

Airfare available through Universal Travel. Be sure to mention Northwest Anesthesia Seminars when booking (booking fees may apply.) Contact Kellee Kilmer: Phone number: (858) 456-7962 - 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.