St. Louis, Missouri

With its iconic Arch soaring over the city skyline, St. Louis treats visitors to a variety of big city experiences in charming historic neighborhoods. Take a walking tour or food tour of downtown, shop the St. Louis Galleria, or hit up a number of local historic sites and landmarks including the Gateway Arch or the Old Courthouse.

Bring the kids to the St. Louis Zoo, home to 6,600 animals and 15 major exhibit areas including tigers, bears, and elephants. Art buffs will enjoy the Saint Louis Art Museum with its comprehensive collection of original works of art and artifacts spanning five millennia and six continents. Admission to the Museum is free every day, and admission to special exhibitions is free on Fridays. And don't forget the Missouri Botanical Garden for science, conservation, education and horticultural displays. Renowned as one of the top three botanical gardens in the world, the Missouri Botanical Garden features 79 acres of horticultural displays, including indoor conservatories and demonstration, formal and international gardens.

Need high-octane thrills? The Rusty Wallace Driving Experience puts you in the driver's seat of a real NASCAR race car on a real track! There's plenty of safety measures and options for a ride-along, so your only worry will be your finish time. When it's time to dine, hit the town for everything from tapas to savory steaks and seafood, drinks and pub fare to delicate bistro entrees. St. Louis has experiences as diverse as your imagination.

The Ritz-Carlton, St. Louis

Tucked within the upscale Arts and Garden District of Clayton, Missouri, The Ritz-Carlton, St. Louis offers a hotel experience unlike any other in the area. Step out onto the balcony of your luxury room and catch a glimpse of the skyline, share a meal in St. Louis’s largest dine-in wine cellar or pamper yourself with a massage using locally sourced ingredients. The dining options at The Ritz-Carlton, St. Louis are as distinct as they are satisfying.

You'll will find something to suit every taste - from an exclusive cigar lounge to an urban grill. The Restaurant offers an all-day breakfast spread and is the perfect spot to fuel up for a busy day exploring. The Ritz-Carlton, St. Louis offers both an expansive fitness center and a tranquil day spa, featuring a carefully crafted menu of services to address the impact of today’s fast-paced lifestyle. Spa treatments are focused on massage, with signature experiences incorporating locally sourced ingredients including red granite; additional services include invigorating facials and body scrubs and wraps. Pre or post-treatment, guests are encouraged to enjoy the steam and sauna facilities at the hotel. Kids are VIP's here and from the moment of arrival, the hotel welcomes kids by encouraging them to explore the sights and sounds of the hotel and its environment.

Guided by playfulness and a sense of wonder, Ritz Kids delights and engages children to interact with their surroundings in a fresh and exciting way. When it's time to rest, you'll find luxury awaits. Deluxe guest rooms are approximately 530 square feet, and feature 1 King or 2 Queen beds, a private Juliet balcony, flat-panel TV, coffee/tea maker, fully stocked mini refreshment bar, sumptuous marble baths, European toiletries, Plush terry cloth robes and slippers and more.Located approximately 8.6 miles from the St. Louis Lambert International Airport (STL), The Ritz-Carlton, St. Louis is ideally located in the pleasant, walkable suburb of Clayton, and offers easy access to the city’s most renowned attractions by car or light rail. The Forsyth Station is less than two blocks from the hotel and offers convenient light rail service to the city’s attractions, neighborhoods and airport.

Valet parking is available for approximately $30 per night, with Self-Parking for approximately $25 per overnight stay or $10 per day parking. Parking rates subject to change without notice.

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


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.

Current Topics in Trauma Anesthesia
St. Louis, Missouri
November 2-5, 2021

Tuesday, November 2

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0655 Welcome NWAS Staff  
  0700 Update on Resuscitation of the Trauma Patient J.Richards  
  0800 In Search of the Perfect Clot: Management of the Actively Bleeding Patient J.Richards  
  0900 Yes, I Take a Blood Thinner: Managing the Trauma Patient on an Oral Anticoagulant T.Grissom  
  1000 Break
  1015 Perioperative Considerations for the Multisystem Orthopedic Trauma Patient J.Richards  
  1115 Current Trends in Regional Anesthesia for Trauma J.Wirthlin  
  1215 Truncal Blocks in Trauma Anesthesia M.Fingerman  
  1315 Adjourn
2.8 Pharmacology Hours

Wednesday, November 3

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 ECMO in the Operating Room T.Grissom  
  0800 Going Crazy: Management of the Agitated and Altered Patient T.Grissom  
  0900 Anesthetic Management of Thoracic Trauma J.Richards  
  1000 Break
  1015 Current Concepts in the Management of Traumatic Brain Injury J.Richards  
  1115 Damage Control Radiology in Trauma: What the Anesthesia Provider Needs to Know T.Grissom  
  1215 Are You and Your Hospital Ready for a Mass Casualty Event T.Grissom  
  1315 Adjourn
2.6 Pharmacology Hours

Thursday, November 4

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Airway Management in the Trauma Patient M.Hanna  
  0800 Fluid Resuscitation and Management in Burn Injury M.Hanna  
  0900 Increasing the Use of Tranexamic Acid in Spine Surgery M.Hanna  
  1000 Break
  1015 Handover in the Post Anesthetic Care Unit M.Hanna  
  1115 Preoperative Assessment and Optimization of the Pediatric Trauma Patient T.Grissom  
  1215 Right Ventricular Dysfunction in Noncardiac Surgery J.Richards  
  1315 Adjourn
2 Pharmacology Hours

Friday, November 5

  0630 Registration - Mandatory Sign In - Continental Breakfast
  0700 Intraoperative Management of Sepsis and Septic Shock: Bringing the ICU to the OR J.Richards  
  0800 Intraoperative Low Tidal Volume Ventilation Strategies: Does One Size Fit All? J.Richards  
  0900 Perioperative Considerations for the Patient With Spinal Cord Injury T.Grissom  
  1000 Break
  1015 Crystalloids and MTP in Trauma S.Rajagopalan  
  1115 Geriatric Trauma S.Rajagopalan  
  1215 Bedside Thoracotomy S.Rajagopalan  
  1315 Adjourn
2 Pharmacology Hours

24 CME

24 Class A CE

9.4 Pharmacology Hours†

Refreshments served at the meeting are for registered attendees only.
Rev. 7/29/21


Mitchell Fingerman, MD, FASA
Associate Professor
Division Chief & Associate Fellowship Director
Regional & Ambulatory Anesthesiology
Washington University School of Medicine
St. Louis, Missouri

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

Mary Hanna, MD
Trauma Anesthesiology Fellow
Barnes Jewish Hospital
Washington University
St. Louis School of Medicine
St. Louis, Missouri

Suman Rajagopalan, MD
Associate Professor, Department of Anesthesiology
Director, Pre-Anesthesia Clinic and Testing Center
Director of Trauma Anesthesia
Baylor College of Medicine
Houston, Texas

Justin E. Richards, MD
Assistant Professor
Department of Anesthesiology
University of Maryland School of Medicine
Division of Trauma Anesthesiology
R Adams Cowley Shock Trauma Center
Baltimore, Maryland

James Douglas Wirthlin, MD
Major, USAF, MC, FS
Anesthesia Fellow Physician
Regional Anesthesia & Acute Pain Medicine
Department of Anesthesiology
Washington University in St. Louis
St Louis, Missouri


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 American Association of Nurse Anesthesiology for 24 Class A CE credits; Code Number 1038427; Expiration Date 11/5/2021.

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 September 3, 2021 to October 3, 2021. No refund after October 3, 2021; 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 Going Places. Be sure to mention Northwest Anesthesia Seminars when booking (booking fees may apply.) Contact Kellee Gray: 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.