Gulf Shores, Alabama

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Adventure, fun, relaxation…you’ll find it all on Alabama’s white-sand beaches. For years, Gulf Shores and Orange Beach remained a little-known vacation treasure, but more and more families are discovering the 32 miles of soft sand and clear waters that lace the edges of Alabama’s southern border to the Gulf of Mexico. With attractions like championship golf, nature trails and water sports, travelers are escaping to the beach for their annual vacations and weekend getaways.

Made almost entirely of quartz grains washed down from the Appalachian Mountains thousands of years ago, the white-sand beaches that make up Gulf Shores and Orange Beach shorelines are some of the finest in the world. But, don’t take our word for it. It’s one of the reasons families return to our Gulf Coast beaches, year after year. There’s no better way to unwind from everyday life than spending your days building sandcastles and soaking up the sun. Seagulls singing, waves crashing, children laughing; it’s everything you need to discover a whole new state of relaxation.

The Lodge at Gulf State Park, a Hilton Hotel

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The New Lodge at Gulf State Park is a model of resilient, environmentally-friendly coastal development where connectivity to the outdoors is a central focus. Experience a unique piece of paradise on the Alabama Gulf Coast where nature is at your doorstep. The Lodge at Gulf State Park, a Hilton Hotel is located on the white sands of Gulf Shores, Alabama inside the naturally beautiful 6,150-acre Gulf State Park. Your Lodge experience is defined by unique architecture designed to allow you to enjoy this distinctive environment and community. The location offers guests access to 28 miles of educational hiking and biking trails, nature center, interpretive center, tennis, kayaking, guided nature walks, butterfly garden, forest and beach pavilions. The beach location provides easy access to a host of water activities such as the Gulf-front infinity pool. As an added bonus, get out and explore the 900-acre freshwater fishing lake. Guests can stay fit at the 24-fitness center.

When it's time to dine, enjoy locally sourced, freshly prepared cuisine at two on-site restaurants featuring gulf views with indoor and outdoor seating. The Lobby coffee and wine bar overlooks the beach and is perfect for beginning your day or unwinding. The pool grill provides casual dining all day. Premium Gulf View Rooms offer beautiful beach views, plus 1 king or 2 queen Serenity Bed (based on hotel availability), down-filled comforters, flat screen, safe, coffee maker, mini-fridge, iron/board, hair dryer and more.

The Lodge at Gulf State Park, a Hilton Hotel is located approximately 37 miles from the Pensacola International Airport (PNS) and 48 miles from the Mobile Regional Airport (MOB). Self-parking is approximately $10 per night; Valet parking is approximately $20 per night. Parking fees subject to change without notice.

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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 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


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.

Relevent Topics in Anesthesia
Gulf Shores, Alabama
September 12-15, 2019

Thursday, September 12

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0655 Welcome NWAS staff  
  0700 The AHA! Effect: 2014 ACC/AHA Guideline on Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery C.Goldstein  
  0800 Cardiac Conundrum: Management of Patients With Valvular Disease C.Goldstein  
  0900 Leadership vs. Management: What's the Difference? M.Gilman-Mays  
  1000 Break
  1015 Strategies for Dealing With Difficult Coworkers / Bullying in the Workplace M.Gilman-Mays  
  1115 Evaluation of the Difficult Pediatric Airway G.Crosland  
  1215 Management of the Difficult Pediatric Airway G.Crosland  
  1315 Adjourn
0.5 Pharmacology Hours

Friday, September 13

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Ketamine: Multiple Uses for an Old Friend G.Crosland  
  0800 Tonsillectomy: Myths and Current Controversies G.Crosland  
  0900 Got Rhythm? Perioperative Management of PMs/ICDs C.Goldstein  
  1000 Break
  1015 Anticoagulation Aggravation? Coagulation Confusion? NOAC, DOAC, TXA, PCC: A Practical Review C.Goldstein  
  1115 Resilience: How to Get It M.Gilman-Mays  
  1215 Burnout: How to Avoid It M.Gilman-Mays  
  1315 Adjourn
2.6 Pharmacology Hours

Saturday, September 14

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Patient Safety Advocacy M.Gilman-Mays  
  0800 Dental Anesthesia for the Special Needs Patient G.Crosland  
  0900 Medical Ethics: The Four Cornerstones G.Crosland  
  1000 Break
  1015 The Future Is Now: ERAS - Enhanced Recovery After Surgery C.Goldstein  
  1115 Back to the Future: GDT - Non-Invasive and Invasive Goal-Directed Therapy Principles Used in Eras C.Goldstein  
  1215 Opioid Epidemic: Time to Talk About Opioid-Free Anesthesia (OFA)? C.Goldstein  
  1315 Adjourn
1.5 Pharmacology Hours

Sunday, September 15

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 The New Kid on the Block (I): TAVR Overview and Anesthetic Considerations C.Goldstein  
  0800 The New Kid on the Block (II): Sugammadex: Overview and Clinical Use C.Goldstein  
  0900 Cultural Diversity M.Gilman-Mays  
  1000 Break
  1015 Neurological Risks of Anesthesia in Pediatrics G.Crosland  
  1115 40 Tricks Not in the Book (Tips Garnered Over 40 Years of Practice) G.Crosland  
  1215 Too Many Cooks: Case Discussion G.Crosland  
  1315 Adjourn 1.1 Pharmacology Hours  

24 CME

24 Class A CEC

5.7 Pharmacology Hours†

  Refreshments served at the meeting are for registered attendees only.  


James Grady Crosland, MD
Associate Professor of Anesthesiology and Emergency Medicine
Assistant Professor of Pediatrics
Division of Pediatric Anesthesiology and Pain Medicine
Arkansas Children's Hospital
Little Rock, Arkansas

Meri Gilman-Mays, DNP, CRNA
Senior Director CRNA and Anesthesia Nursing
Anesthesia Institute
Cleveland Clinic
Cleveland, Ohio

Joseph Christopher Goldstein, MD
Director of Medical Informatics
Director of Anesthesia Clinical Affairs
Co-Director TAVR Program
Staff Anesthesiologist
Department of Anesthesiology
Department of Veterans Affairs, NF/SG VHS
Gainesville, 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 24 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 24 Class A CEC; AANA Code #1036733; Expiration Date 9/12/2019.

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 24 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 24 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 July 14, 2019 to August 13, 2019. No refund after August 13, 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.