Billings, Montana

Hike up to the 70-million-year-old peak of the Rimrocks, where the views are stunning any time of the day, or wade, fish, and float along the famous Yellowstone River system, overflowing with pike, walleye, and smallmouth bass. Take a day trip to explore ancient caves where prehistoric tribes once lived and hunted at Pictograph Cave State Park. Students of US history can discover the site of the Battle of Little Bighorn, retrace the steps of the Lewis and Clark expedition at Pompeys Pillar National Monument, or see where the dinosaurs once roamed at Makoshika State Park.

Get everything you need to gear up before hitting the trails or maybe find that perfect trip souvenir. Rimrock Mall, Downtown Billings, and Billings Heights offer a wide selection of shops, galleries, and boutiques. Once you've worked up an appetite, head Downtown for award-winning Western cuisine, fresh tapas, or your favorite pub fare. From locally sourced beef to wines and craft brews, the food scene of Billings is as farm-to-table as it gets.

Northern Hotel

Northern Hotel has been a part of Billings' history for more than a century and has earned a place on the National Register of Historic Places. The Northern Hotel’s enduring story began in 1902 when P.B. Moss and Colonel Henry W. Rowley began construction on what was to be the most modern hotel in Montana. The hotel was completed in 1904, and enjoyed over three decades of prosperity, until the fall of 1940 when it burned to the ground in a sudden fire.

But like a phoenix from the ashes, the Northern Hotel rose again, more sophisticated and beautiful than ever. Located in the heart of Downtown Billings, the Northern is within walking distance to museums, galleries, fine arts theaters, shopping, and dining. Back at the hotel, enjoy dining at Bernie’s Diner offering a modern menu with a retro twist and TEN serving up fine dining with handcrafted cocktails and a farm-to-table menu. Shop Northern Boutique to find made in Montana gifts and goodies and other mementos to remind you of your trip. Stay fit in the fully-equipped gym facility featuring kettlebells, treadmills, and weightlifting equipment.

When it's time to relax, unwind in luxuriously renovated guest rooms featuring warm, contemporary interiors equipped with the Goldilocks sleep system, not too hard, not too soft. Guest rooms also feature amenities such as complimentary high speed wireless Internet, workspace, flatscreen TV, safe, iron/board, bathrobes, hairdryer, in-room spa amenities and more.

Northern Hotel is located just 7 minutes from Billings Logan International Airport (BIL). On availability basis, the Northern Hotel provides complimentary airport transport for our customers who arrive at Billings Logan International Airport (BIL). Subject to change without notice.

Contact us here or call (800) 222-6927 • (509) 547-7065
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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.


The practitioner of anesthesiology 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, 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; 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 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.

Relevant Topics in Anesthesia
Billings, Montana
October 6-9, 2022

Thursday, October 6

  0700 Registration - Mandatory Sign In - Breakfast
  0725 Welcome NWAS Staff  
  0730 Yes, I Take a Blood Thinner: Managing the Trauma Patient on an Oral Anticoagulant T.Grissom  
  0830 Airway Management in the Trauma Patient: Dogma and Controversy T.Grissom  
  0930 Break
  0945 ECMO / Impella: Part I L.Guzzi  
  1045 ECMO / Impella: Part II L.Guzzi  
  1145 Nuclear, Biological and Chemical Bioterrorism: An Update for the Anesthesia Provider: Are You Ready?
  1245 Adjourn
1.9 Pharmacology Hours

Friday, October 7

  0700 Registration - Mandatory Sign In - Breakfast
  0730 New Developments in Oxygen Transport and Monitoring: Part I S.Barker  
  0830 New Developments in Oxygen Transport and Monitoring: Part II S.Barker  
  0930 Break
  0945 Update on Resuscitation of the Trauma Patient T.Grissom  
  1045 In Search of the Perfect Clot: Management of the Actively Bleeding Patient T.Grissom  
  1145 Intraoperative Cardiac Arrhythmias: Recognition and Management L.Guzzi  
  1245 Adjourn
1.6 Pharmacology Hours

Saturday, October 8

  0700 Registration - Mandatory Sign In - Breakfast
  0730 Anesthesia and Obesity: A Growing Problem L.Guzzi  
  0830 Anaphylaxis: The Sting Can Come From Anywhere - An Anesthesia Review L.Guzzi  
  0930 Break
  0945 Anesthesia for the Elderly S.Barker  
  1045 Blood Gas Analysis S.Barker  
  1145 Ketamine: Sooner or Later, Everything Old Is New Again T.Grissom  
  1245 Adjourn
1.8 Pharmacology Hours

Sunday, October 9

  0700 Registration - Mandatory Sign In - Breakfast
  0730 Blood Pressure Targets: How Bad is Hypotension in the OR? T.Grissom  
  0830 Management of the Septic Patient: Bringing the ICU Into the OR T.Grissom  
  0930 Break
  0945 Blast Injuries and Acute Lung Injury L.Guzzi  
  1045 Pulse Oximetry: Progress and Limitations S.Barker  
  1145 Flying the Anesthesia Machine: So Easy a Caveman Can Do It? S.Barker  
  1245 Adjourn
1.5 Pharmacology Hours

20 CME

20 Class A CE

6.8 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 9/2/22


Steven J. Barker, PhD, MD
Professor Emeritus of Anesthesiology
University of Arizona College of Medicine
Tucson, Arizona

Thomas E. Grissom, MD, MSIS, FCCM
Associate Professor, Department of Anesthesiology
University of Maryland School of Medicine
Division of Trauma Anesthesiology
R Adams Cowley Shock Trauma Center
Baltimore, Maryland

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


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: This activity contributes to the CME component of the American Board of Anesthesiology’s redesigned Maintenance of Certification in Anesthesiology™ (MOCA®) program, known as MOCA 2.0®. Please consult the ABA website,, for a list of all MOCA 2.0® requirements.

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 Anesthesiology for 20 Class A CE credits; AANA approval number 1041296; Expiration Date 10/09/2022.

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/NWS is an approved provider for the following state nursing boards: Arkansas State Board of Nursing (Provider Number 50-7480), 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).

The AANA is an approved provider by the California Board of Registered Nursing, CEP #10862.

This program offers 20 contact hours.

†Pharmacology hours subject to change.


Mark T. Murphy, MD, MSN Education, LLC, Treasure Island, Florida, Medical Director, 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 days notice will be given to those registered and 100% of tuition paid will be refunded. NWAS/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 August 7, 2022 to September 6, 2022. No refund after September 6, 2022; however, 50% of tuition paid may be applied toward tuition for another NWS/NWAS program within the next 12 months. Cancellation must be made in writing. No tuition credit or refund will be issued for attendees that are no-shows for the program.

FAP (Frequent Attendee Points)

We value your patronage and have a simple program to reward you. Our Frequent Attendee Points (FAP) program gives you an added bonus for money spent on our seminars, as well as cruise cabins booked through our in-house travel agency, Northwest Worldwide Travel.

You are automatically enrolled in this program with your paid registration. Click here for more information.

*Effective January 1, 2023, net hotel stays for 2023 and beyond will no longer be included in FAP calculations.

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.


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.

Click Here to Register