Middleburg, Virginia

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Middleburg is a wine and sporting mecca situated in the beautiful countryside expanses of Virginia. The town has a rich history serving as a popular destination for foxhunting and steeplechasing, earning it a reputation as the “Nation’s Horse and Hunt Capital.” Visitors will enjoy Middleburg’s close proximity to Washington, D.C. The mystique of Middleburg and its estates have captivated many well-known personalities from the Kennedys, Elizabeth Taylor, Robert Wagner, and Oliver North.

There’s always something new to learn at The National Sporting Library & Museum. With its world-class research library and fine art museum, visitors can steep themselves in the rich heritage and tradition of equestrian sport. Middleburg is also a veritable wine capital of the world, boasting over 20 wineries within easy reach. Tour Greenhill Winery and Vineyards, Sunset Vineyard, 50 West Vineyards, Chrysalis Vineyards, Cana Vineyards and Winery, and many more. Sit and sip with a gourmet cheese and fruit plate while taking in the rolling hills and mountains beyond. From sauvignon blanc to merlot, you’re sure to find a new favorite vintage.

Other nearby attractions include the restored gristmill at Aldie Mill Historic Park, once the largest factory of its kind in Loudoun County. The Red Fox Inn & Tavern is a must-see Virginia landmark offering hearty meals in a historic tavern setting. Afterward, grab dessert at The Upper Crust, a quaint bakery and café specializing in cookies and pies.

Salamander Resort & Spa

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Salamander Resort & Spa is a timeless destination, located in historic Middleburg, Virginia. This quintessential town is steeped in equestrian traditions, and easily accessible to Washington, D.C. Middleburg was recognized in 2008 for its historic preservation efforts by being designated a Preserve America Community by then-First Lady Laura Bush. The Mystique of Middleburg and its surrounding estates have captivated many well-known personalities from the Kennedys, Elizabeth Taylor, Robert Wagner, and Oliver North - all of whom have called Middleburg home. A peek behind the grand stone entrances of massive estates with names such as "The Meadows" or "Heathfield" that belong to families such as the Firestones, Mellons, and Marriotts, attending one of the numerous equestrian events in the area, including the oldest horse show in the Country, or spending a day touring any of the nearby 30+ wineries allows visitors a chance to understand just a little of the gracious equestrian and country lifestyle that residents have come to treasure.

Your options for fun in Middleburg are nearly endless. The Salamander Resort & Spa is the ultimate place of discovery and the epitome of luxury, combining artfully designed facilities with unparalleled experiences, all resting on 340 acres framed by Blue Ridge Mountains, lush vineyards and horse farms. Discover exciting adventures, romantic escapades and plenty of family-friendly activities right on the property. Enjoy indoor and outdoor pools, tennis courts, a complimentary putting green for aspiring golfers, full equestrian center, and lawn games including croquet, bocce ball, corn hole and life-sized chess. Also, discover the surrounding area and browse local boutique shops, explore local wineries, zoom down zip lines, enjoy exclusive golf privileges at Creighton Farms. Back at the Resort, guests will find a 23,000-square-foot spa with a private outdoor courtyard with heated pool. Their fitness center is equipped with state-of-the-art training equipment in a naturally lite space overlooking the beautiful countryside. In addition, Salamander has built one of the finest equestrian facilities and programs in the country with 25 on-site acres dedicated to riding and a 14,000-square-foot stable.

The culinary program also does not disappoint with the rustic Harrimans Virginia Piedmont Grill, a multi-experience cooking studio, well-appointed wine bar and jovial billiards room. Also offering zip lining, tennis, nature hikes, archery and an abundant amount of other outdoor activities, the adventures are endless. Estate Rooms feature amenities such as a stone balcony with outdoor seating area, resort views, separate seating and dining area, a 40-inch flat panel television, a mini-bar and refrigerator, a beautification area, and a beautiful bathroom featuring a pedestal tub, experiential shower and dual, marble vanities. Estate King Guest Room are approximately 545 sq. ft and offer 1 King bed. Estate 2 Queen Rooms are approximately 575 sq ft and offer 2 Queen beds. The Salamander Resort & Spa is located approximately 23 miles from Dulles International Airport (IAD) and approximately 50 miles from Ronald Reagan Washington National Airport (DCA).

Email us at info@nwas.com or call us (800) 222-6927 • (509) 547-7065

TARGET AUDIENCE

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.

PROGRAM PURPOSE

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

OBJECTIVES

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.

Anesthesia Update
Middleburg, Virginia
October 28–31, 2019

Monday, October 28

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0725 Welcome NWAS Staff  
  0730 Preoperative Cardiac Evaluation for Noncardiac Surgery: What the Guidelines Do Not Tell Us E.Lobato  
  0830 Preoperative Pulmonary Evaluation: What Do I Need to Know? E.Lobato  
  0930 Break
  0945 Airway Management in the Trauma Patient: Dogma and Controversy T.Grissom  
  1045 Traditional Versus Video Laryngoscopy: Time to Throw Away Your Laryngoscope? T.Grissom  
  1145 Informed Consent: More Important Than Ever C.Lin  
  1245 Adjourn
 

Tuesday, October 29

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Medical-Legal Liability of Peripheral Nerve Blocks C.Lin  
  0830 Medical-Legal Study: Epidural Hematoma C.Lin  
  0930 Break
  0945 Perioperative Management of Cardiac Implantable Electronic Devices E.Lobato  
  1045 Anesthesia and Elderly Patients: Clinical Pearls E.Lobato  
  1145 Top Ten Anesthesia Papers in the Last Year: How Will They Affect Your Practice? T.Grissom  
  1245 Adjourn
 

Wednesday, October 30

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 My Next Patient Is on What!?!?! ECMO in the Operating Room T.Grissom  
  0830 Management of the Septic Patient: Bringing the ICU Into the OR T.Grissom  
  0930 Break
  0945 Medical-Legal Study: Aspiration C.Lin  
  1045 Medical-Legal Study: Awareness C.Lin  
  1145 Cocaine and Elective Surgery: Delay or Press On? E.Lobato  
  1245 Adjourn
 

Thursday, October 31

  0700 Registration - Mandatory Sign In - Continental Breakfast
  0730 Coronary Stents and Noncardiac Surgery: Challenges and Controversies E.Lobato  
  0830 Perioperative Antiplatelet and Anticoagulant Therapy E.Lobato  
  0930 Break
  0945 Traveling Between Scylla and Charybdis: Analgesia for the Pulmonary Patient in Shoulder Surgery C.Lin  
  1045 There Is a Fracture, I Need to Fix It: Management and Operative Timing for Orthopedic Trauma T.Grissom  
  1145 Ketamine: Sooner or Later, Everything Old Is New Again T.Grissom  
  1245 Adjourn    
   

20 CME

20 Class A CEC

Pharmacology Hours TBD†

 

FACULTY

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

Charles J. Lin, MD
Clinical Assistant Professor
Department of Anesthesiology,
University of Pittsburgh Medical Center
Passavant
Pittsburgh, Pennsylvania

Emilio B. Lobato, MD
Anesthesiology Services
North Florida/South Georgia VAMC
Gainesville, Florida

ACCREDITATION

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 #1036620; Expiration Date 10/31/2019.

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.

COURSE DIRECTOR

Mark T. Murphy, MD, MSN Education, LLC, Treasure Island, Florida, Medical Director, Northwest Anesthesia Seminars, Pasco, Washington

SCHEDULE AND FACULTY CHANGES

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.

COURSE CANCELLATION BY PROVIDER

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.

COURSE CANCELLATION FEE

$100 August 29, 2019 to September 28, 2019. No refund after September 28, 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) 456-7887 - Email: kellee@universaltravel1.com

REGISTER EARLY

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.