CELEBRATING 13-DAY SOUTH AFRICAN SAFARI 40 YEARS June 11-23, 2017 OF EXCELLENCE IN CONTINUING EDUCATION ANESTHESIA UPDATE ON SAFARI

PO Box 2797 Pasco, WA 99302 www.nwas.com (800) 222-6927 MEETING SCHEDULE 13-DAY SOUTH AFRICAN SAFARI Lectures and times subject to change due to local circumstances. Any change will be announced in class. June 11-23, 2017 SUNDAY, JUNE 11 – ARRIVE , 2100 Real World Cases: Root Cause Analysis J.Augoustides Make air arrangements on your own to Cape Town International Airport (CPT) – 2200 Adjourn Transfer to Radisson Blu Hotel. (Dinner on your own.) SATURDAY JUNE 17 – KRUGER NATIONAL PARK MONDAY, JUNE 12 – CAPE TOWN 0700 Breakfast ANESTHESIA UPDATE ON SAFARI 0630 Breakfast 0800-1100 Morning Game Drive 0730 City Tour: , The Castle, Company Gardens, 1200 Lunch Begin your safari adventure in Cape Town, South Africa, where you’ll tour the city including several popular Houses of Parliament, City Hall, Slave Lodge, Malay Quarter, Bo-Kaap – 1245 Registration – Mandatory Sign In (Lunch on your own) 1300 On Safari – Malaria: What Can It Do? J.Augoustides landmarks. Next, head into the wild African landscape where herds of elephants amble toward the muddy 1445 Registration – Mandatory Sign In 1400 On Safari – Malaria: What About My Anesthetic? J.Augoustides bank of a watering hole and giraffes stretch their dappled necks for treetop delicacies. Here, eland graze 1500 Welcome NWAS Staff 1500 Adjourn 1510 Introduction J.Augoustides 1500-1800 Afternoon Game Drive serenely on the plain, and just over the rise, a pride of tawny lions emerge, surveying the land, keen for a 1515 South African Flavors: Porphyria and Anesthesia J.Augoustides 1900 Dinner 1615 Pheochromocytoma in Southern Africa A.Levin hunt. Observe all of this and more in the safety of Kruger National Park, South Africa, and Chobe National 1715 Hypoxic Pulmonary Vasoconstriction A.Levin SUNDAY, JUNE 18 – KRUGER NATIONAL PARK Park, Botswana. Spectacular falls and rivers also await you at Victoria Falls, Zimbabwe. 1815 Perioperative Medicine in Limited Resource Settings Prof. Biccard 0600 Morning Game Drive (Time Permitting) 1915 Obstetric Anesthesia Updates R.Dyer 0845 Breakfast 2015 Adjourn 0945 Depart for Airport for fl ight to Johannesburg 2020 Dinner 1330 Arrive Johannesburg – Transfer to Peermont D’Oreale Grand Hotel ITINERARY* 1430 Lunch on your own TUESDAY, JUNE 13 – CAPE TOWN 1530 Registration – Mandatory Sign In 0645 Registration – Mandatory Sign In – Breakfast 1545 Back in the City – HIV Infection: What Can It Do? J.Augoustides PASSPORT REQUIRED: 0710 Welcome J.Augoustides/J.Swanevelder 1645 Back in the City – HIV Infection: What About My Anesthetic? J.Augoustides MUST be valid for a minimum of six months after your 0715 The Surgical Home Model in the Developing World J Swanevelder 1745 Back in the City – Dexmedetomidine S.Fischer 0830 Tour of 1830 Adjourn – (Dinner on your own.) return and have at least four empty visa pages. and Nagin Parbhoo History of Anesthesia Museum P.Gordon 0930 World’s First Heart Transplant Museum P.Gordon MONDAY, JUNE 19 – JOHANNESBURG – VICTORIA FALLS DAY DATE LOCATION 1030 World’s First Heart Transplant P.Gordon 0730 Breakfast 1130 Adjourn 0830 Transfer to airport – Flight to Victoria Falls, Zimbabwe – (Afternoon free to explore Cape Town on your own. The Tour Transfer to Victoria Falls Safari Lodge Sun June 11 Cape Town, South Africa – is recommended. Lunch and dinner on your own.) (Lunch on your own and afternoon open.) Transfer to the Radisson Blu Hotel 1730 Sunset Cruise – (Dinner on your own.) WEDNESDAY, JUNE 14 – CAPE TOWN 0630 Breakfast TUESDAY, JUNE 20 – VICTORIA FALLS Mon June 12 Cape Town – City Tour 0730 Depart for full day Peninsula Tour and lunch 0700 Breakfast 1745 Registration – Mandatory Sign In 0800 Tour of the Falls – 1800 The Cape of Storms – Your Friend Is Vasopressin J.Auguoustides (Lunch on your own and afternoon free to enjoy the area.) Tue June 13 Cape Town – 1900 The Cape of Storms – Rescue with Methylene Blue J.Auguoustides 1800 Boma Dinner 2000 Adjourn – Dinner WEDNESDAY, JUNE 21 – VICTORIA TO CHOBE GAME RESERVE – Wed June 14 Cape Town – Peninsula Tour THURSDAY, JUNE 15 – CAPE TOWN – KRUGER NATIONAL PARK MOWANA SAFARI RESORT 0630 Breakfast 0700 Breakfast Cape Town to Hoedspruit – 0730 Transfer to airport – Flight to Hoedspruit via Johannesburg – 1200 Lunch Thu June 15 Transfer to Kapama River Lodge/Krueger National Park 1500-1800 Afternoon Game Viewing Cruise Transfer to Kapama River Lodge 1500-1800 Afternoon Game Drive 1900 Dinner 1900 Dinner 1945 Registration – Mandatory Sign In 1945 Registration – Mandatory Sign In 2000 On Safari – Ebola: What Can It Do? J.Augoustides Fri June 16 Kapama Game Reserve/Kruger National Park 2000 The Big 5 and Magnesium J.Augoustides 2100 On Safari – Ebola: What About My Anesthetic? J.Augoustides 2100 The Big 5 and Hemodynamic Collapse in the OR J.Augoustides 2200 Adjourn Sat June 17 Kapama Game Reserve/Kruger National Park 2200 Adjourn 24 CME I / 24 CEC / Pharmacology Hours TBD† FRIDAY, JUNE 16 – KRUGER NATIONAL PARK THURSDAY, JUNE 22 – CHOBE GAME RESERVE, BOTSWANA Kapama Game Reserve/Kruger National Park 0700 Breakfast 0700 Breakfast 0800-1100 Morning Game Drive 0800-1100 Morning Boat Cruise Sun June 18 to Johannesburg – 1200 Lunch Break 1200 Lunch Transfer to Peermont D’Oreale Grand 1245 Registration – Mandatory Sign In 1500-1800 Afternoon Game Drive 1300 On Safari – Patient Safety J.Augoustides 1930 Dinner 1400 On Safari – Sentinel Events J.Augoustides Johannesburg to Victoria Falls, 1500 Adjourn FRIDAY, JUNE 23 – DEPARTURE Mon June 19 Zambezi National Park, Zimbabwe – 1500-1800 Afternoon Game Drive 0730 Breakfast 1900 Dinner 0830 Transfer to Victoria Falls Airport – Fly to Johannesburg – Connect to Flight Transfer to Victoria Falls Safari Lodge 1945 Registration – Mandatory Sign In Home – (Book your ight home after 1800.) 2000 Real World Cases: Confusion in the EP Lab J.Augoustides Tue June 20 Victoria Falls FACULTY Victoria Falls to Chobe Game Reserve, Botswana – John G. T. Augoustides MD, FASE, FAHA Robert Dyer, MD Andrew Ian Levin, MMed, MBChB, PhD, FCA Wed June 21 Professor of Anesthesiology Professor of Anesthesia Professor and Head Transfer to Mowana Safari Resort & Spa and Critical Care Groote Schuur Hospital Department of Anesthesiology and Critical Care Perelman School of Medicine Cape Town, South Africa University of Stellenbosch and Hospital University of Pennsylvania Tygerberg, South Africa Thu June 22 Morning Boat Cruise – Chobe Game Reserve Philadelphia, Pennsylvania Peter Gordon, MD Professor of Anesthesia Professor Justiann Swanevelder Bruce M. Biccard Groote Schuur Hospital Chief of Anesthesia Transfer to Victoria Falls Airport – Department of Anesthesia Cape Town, South Africa Groote Schuur Hospital Fri June 23 and Perioperative Medicine Cape Town, South Africa Depart for Johannesburg, Connect to Flight Home Stephanie Fischer and New Groote Schuur Hospital Specialist Anesthetist Cape Town, South Africa Private Practice *Locations and times subject to change. See full meeting schedule for meeting times. Johannesburg, South Africa SAFARI LOCATIONS & ACCOMMODATIONS

SUNDAY, JUNE 11 – THURSDAY, JUNE 15 – Cape Town to Kapama Game Reserve/ Arrive in Cape Town, South Africa – Transfer to Hotel Kruger National Park Cape Town is the second-most populated city in South Africa Fly to Hoedspruit and transfer into famous Kruger National Park after Johannesburg, and the provincial capital and primate city and the luxurious Kapama River Lodge. The world-renowned of the Western Cape. As the seat of the National Parliament, it is Kruger National Park offers a wildlife experience that ranks with SUNDAY, JUNE 18 – Kapama Game Reserve/Kruger National Mowana Safari Lodge lies on the banks of the Chobe river, also the legislative capital of the country. The city is famous for its the best in Africa. Established in 1898 to protect the wildlife of Park – Johannesburg where four African countries (Botswana, Zambia, Namibia and harbor, its natural setting in the Cape fl oral kingdom, and also the the South African Lowveld, this national park of nearly 7,722 Zimbabwe) meet. At this point the Chobe and Zambezi rivers well-known landmarks of Table Mountain and . square miles, Kruger National Park is unrivalled in the diversity Morning game drive (time permitting) then transfer to airport for converge – the Zambezi river being the home of the NyamiNyami of its life forms, and a world leader in advanced environmental fl ight to Johannesburg. Afternoon class. Located on the shore of , Cape Town was originally (or River God). If you want to learn more about African myths management techniques and policies. Truly the fl agship of the developed by the Dutch East India Company as a supply station The 5-star Peermont D’Oreale Grande Hotel at Emperors Palace and legends, the Chobe area around the Mowana Safari Lodge South African National Parks, Kruger is home to an impressive for Dutch ships sailing to East Africa, India, and the Far East. is conveniently located next to O.R. Tambo International Airport is the place to visit! The Chobe Game Reserve is famous for its number of species: 336 trees, 49 fi sh, 34 amphibians, 114 reptiles, Jan van Riebeeck’s arrival on April 6, 1652 established the fi rst in Johannesburg and the Emperors Palace Casino. enormous elephant population—it is said that 45,000 of these 507 birds, and 147 mammals. Man’s interaction with the Lowveld permanent European settlement in South Africa. Cape Town interesting creatures roam the plains of Chobe. They share the environment over many centuries—from bushman rock paintings Accommodations – Peermont D’Oreale Grand Hotel quickly outgrew its original purpose as the fi rst European outpost area of almost 3,861 square miles with lion, leopard, giraffe, to majestic archaeological sites like Masorini and Thulamela—is www.doreale.com at the , becoming the economic and cultural cheetah, buffalo, approximately 450 bird species, as well as very evident in Kruger National Park. These treasures represent hub of the Cape Colony. Until the Witwatersrand Gold Rush and puku and Chobe bushbuck, which are indigenous to Chobe the cultures, persons, and events that played a role in the history the development of Johannesburg, Cape Town was the largest MONDAY, JUNE 19 – Johannesburg to Victoria Falls National Park. of the Kruger National Park, and are conserved along with the city in South Africa. park’s natural assets. Afternoon game drive and evening class. Transfer to airport and fl y to Victoria Falls, Zimbabwe. Afternoon Today Cape Town is one of the most multicultural cities in the open. Sunset Cruise. THURSDAY, JUNE 22 – Accommodations – Kapama River Lodge world, refl ecting its role as a major destination for immigrants Chobe Game Reserve, Kasane, Botswana www.kapama.co.za/kapama-river-lodge Accommodations – Victoria Falls Safari Lodge and expatriates to South Africa. As of 2011, the metropolitan www.victoria-falls-safari-lodge.com Morning boat cruise and afternoon game drive. region had an estimated population of 3.74 million. The city was Victoria Falls Safari Lodge provides luxury accommodation named the World Design Capital for 2014 by the International FRIDAY, JUNE 23 – Council of Societies of Industrial Design. in Victoria Falls. Set high on a natural plateau, the westward facing Victoria Falls Safari Lodge borders the Zambezi National Transfer to Victoria Falls Airport for ight to Johannesburg Visit: http://www.youtube.com/user/CapeTownTourism Park and is 2.5 miles from the thundering Victoria Falls, Southern Connect with your fl ight home. Make your reservation for Accommodations – Radisson Blu Hotel Africa’s foremost attraction. your Johannesburg fl ight home to depart after 6pm. www.radissonblu.com/hotel-capetown Enjoying uninterrupted views of spectacular African sunsets and AIR: You are responsible for making your own air reservations year round game at its on-site waterhole, accommodations at and purchasing your tickets for the ights from your home Victoria Falls Safari Lodge are ideally positioned to offer the most to Cape Town and Johannesburg home. Arrive in Cape Town discerning traveller a taste of Africa at its best. on June 11. Departure from Johannesburg MUST be after TUESDAY, JUNE 20 – Victoria Falls Safari Lodge 6pm on June 23. Breakfast, tour of the Falls, Boma Dinner. We recommend using Universal Travel or Sita World Tours Within the expansive Kapama Game Reserve, River Lodge to make your reservations. Be sure to mention Northwest epitomizes fi ve-star safari accommodations. The majestic WEDNESDAY, JUNE 21 – Anesthesia Seminars when booking. Booking fee applies. northern Drakensberg mountains form the backdrop to the Victoria Falls – Chobe Game Reserve, Kasane, Botswana 64-suite River Lodge, which is positioned along a bend of the Universal Travel: seasonal Kapama River. It’s the largest luxury game lodge in the Afternoon game drive viewing cruise and evening class. Contact: Kellee Kilmer, Phone: (858) 456-7887 Greater Kruger National Park area, and is stylishly furnished to Accommodations – Cresta Mowana Safari Resort & Spa (Pacifi c Standard Time) ensure an unforgettable African safari experience. www.mowanasafarilodge.net Email: [email protected] MONDAY, JUNE 12 – Cape Town Situated in South Africa’s northernmost province of Limpopo, Sita World Tours: Morning city tour. Locations include: Table Mountain (weather renowned for its prolifi c and diverse wildlife, Kapama Private Contact: Max Aly, Phone: (800) 421-5643 permitting), (one of the offi cial New 7 Wonders of Nature), The Game Reserve is home to over 40 different mammal species, Email: [email protected] Castle, Company Gardens, House of Parliament, City Hall, Slave including the most dangerous Big Five of elephant, lion, leopard, Lodge, Malay Quarter, Bo-Kaap, and complimentary Diamond Tour. buffalo, and rhinoceros. Approximately 350 bird species and Afternoon class. a myriad smaller species can also be seen here in their natural environment. Twice-daily game drives through the reserve, TUESDAY, JUNE 13 – Cape Town accompanied by expert guides and trackers, ensure memorable wildlife encounters in the African bush. Morning class and Groote Schuur Hospital Tour, Chistiaan Barnard Heart Transplant Museum tour. FRIDAY, JUNE 16 – Kapama Game Reserve/Kruger National Park WEDNESDAY, JUNE 14 – Cape Town Full Day Peninsula Tour Morning and afternoon game drives. Afternoon and evening class. Visit the African Penguins. Cape Point Nature Reserve, on the most south-westerly tip of Africa, is a spectacular, narrow fi nger SATURDAY, JUNE 17 – of land covered in endemic fynbos, and home to picturesque Kapama Game Reserve/Kruger National Park bays, beaches, rolling green hills and valleys. Evening class. Morning and afternoon game drives. Afternoon class. ACCREDITATION AND REGISTRATION READY TO REGISTER? ONLINE REGISTRATION FORM: http://nws.ac/sa

COURSE DIRECTOR: Mark T. Murphy, MD, MSN Education, Austin, ACCREDITATION: This activity has been planned and implemented in VIA PHONE: 1 (800) 222-6927 or 1 (509) 547-7065 Texas, and Medical Director, Northwest Anesthesia Seminars, Pasco, accordance with the accreditation requirements and policies of the Ac- Washington creditation Council for Continuing Medical Education (ACCME) through the joint providership of The A. Webb Roberts Center for Continuing PASSPORT REQUIRED valid for a minimum of six months TARGET AUDIENCE: This course is designed for physicians, certifi ed Medical Education of Baylor Scott & White Health and Northwest Anes- registered nurse anesthetists, physician assistants, nurse practitioners, thesia Seminars. The A. Webb Roberts Center for Continuing Medical after return with a minimum of four empty visa pages registered nurses and other medical care providers who must maintain Education of Baylor Scott & White Health is accredited by the ACCME to state-of-the-art knowledge of the specialty or are impacted by it. provide continuing medical education for physicians. By registering for this course, you are agreeing to attend lectures for the entire duration of the tour. Due to the nature of the tour, partial registrations are not allowed. PROGRAM PURPOSE: The practitioner of anesthesiology must pos- The A. Webb Roberts Center for Continuing Medical Education of Bay- sess the scientifi c background for clinical practice; maintain state-of- lor Scott & White Health designates this live activity for a maximum of the-art knowledge of not only the specialty, but also of all additional 24 AMA PRA Category I Credit(s)™. Physicians should claim only the TUITION: TOUR RATES: related disciplines which may impact it; maintain an up-to-the-minute credit commensurate with the extent of their participation in the activity. armamentarium of knowledge and skills for the selection and use of American Board of Anesthesiology: CME credit will be sent directly TUITION: In US$ MD/DO CRNA/PA/AA RN/Others $6,655 per person, double occupancy complex equipment, pharmacological agents, and procedures nec- to The American Board of Anesthesiology to fulfi ll the Part 2 require- essary for the provision of quality patient care; manage self and col- Early $8,600 single occupancy ment for the Maintenance of Certifi cation in Anesthesiology Program (Payment received $1000 $950 $900 leagues to function toward common goals in the clinical setting, the (MOCA®). clinical and educational institutions, and the community in which the prior to 8/23/16) No triple or quad occupancy rates. Children 12 and over pay practice resides; serve as an expert in matters involving health care Canadian Physicians: This activity is eligible for Section 1 credits in the the adult rate. *No children allowed under age 12. delivery; serve as an informed manager of clinical and educational ser- Royal College’s Maintenance of Certifi cation (MOC) Program. Participants Regular vices provided, including the acquisition and distribution of resources must log into MAINPORT to claim this activity. (Payment received necessary in meeting professional goals; and provide assistance with $1100 $1050 $1000 Rates Include: Certi ed Registered Nurse Anesthetists: This program has been pri- between 8/23/16 and support of other service providers, departments, institutions, and or approved by the AANA for 20 Class A CEC; AANA Code #1033917; and 4/22/2017) Safari as outlined in schedule, including guides, accommodations, organizations dependent upon the professional expertise of the prac- Expiration Date 6/21/21. some meals, and transportation between points indicated. titioner. Presentations are designed to facilitate the physician, nurse Late Not included: International airfare, lunch, dinner, and beverages specialist, and other providers maintaining skills of the same kind to Nurse Practitioners: The American Academy of Nurse Practitioners (Payment received $1200 $1150 $1100 review and update knowledge and abilities in one or more of these anywhere except Kruger National Park and Chobe, gratuities, any Certifi cation Program (AANPCP) and the American Nurses Credential- after 4/22/2017) areas vital to the practicing professional. ing Center (ANCC) accept CME from organizations accredited by the expense of personal nature, and any extra charges for luggage ACCME. beyond permitted size/weight. In addition, any extra service OBJECTIVES: required, i.e., delivery of delayed luggage or transfer if you are At the conclusion of this activity, the participant will be able to: Osteopathic Physicians: This program is eligible for Category 2 credit What information should I have ready? with the American Osteopathic Association (AOA). delayed will be at your expense. Round-trip airfare from home Apply the pertinent physical and behavioral sciences—to include but • Names exactly as they appear on passports for each person to Cape Town and Johannesburg to home is not included. We Physician Assistants: The American Academy of Physician Assistants not be limited to advanced anatomy and physiology, pathophysiology, highly recommend travel insurance. chemistry, physics, psychology, and social sciences—as they impact (AAPA) accepts certifi cates of participation for educational activities • Your home address, phone number, and e-mail address certifi ed for AMA PRA Category I Credit™ from organizations accred- and are affected by the planning, delivery, and monitoring of anesthe- • Your arrival and departure dates sia and related services inherent in the anesthesia professions. ited by ACCME or a recognized state medical society. Physician as- DEPOSIT: sistants may receive a maximum of 24 hours of Category I credit for • Date of birth for each person Explain the selection, dosing considerations with methods of adminis- completing this program. YOU MUST RESERVE your SPACE with a deposit of $2,000 tration, safe use, and contraindications and precautions of presented • AANA# or last 4 digits of your SSN# or SIN# if applicable per person. Payment schedule will be as directed by the agent. pharmacological agents through the understanding of their phys- Registered Nurses: NWAS is an approved provider for the following icochemical properties, pharmacokinetics and pharmacodynamics, state nursing boards: California Board of Registered Nursing (Provider • American Board of Anesthesiology # if applicable Due to the nature of this program, you must book your tour Number 4833), District of Columbia Board of Nursing (Provider Num- updated uses, and more recently developed additional, related, and • The number of room accommodations you’ll require package through NWAS to attend. similar drugs. ber 50-7480), Florida Board of Nursing (Provider Number 50-7480), Georgia Board of Nursing (Provider Number 50-7480), and the South Space is limited and will not be held without a deposit. You Outline comprehensive management plans for the group of patients Carolina Board of Nursing (Provider Number 50-7480). This program PLEASE NOTE: MUST call us at 1 (800) 222-6927 or (509) 547-7065. discussed, whether related in age, physical status, cultural back- offers 24 contact hours. ground, invasive procedure, anesthetic or analgesic requirements, All travel and activities are at your own risk. Travel insurance †Pharmacology hours subject to change. clinical setting, adverse reactions, and/or goals of care. is highly recommended. By registering for this tour package, CANCELLATION: Apply the principles of safety and asepsis in the performance of an- COURSE CANCELLATION BY PROVIDER you understand and accept the risks and release Northwest Tour Cancellation Fee: No penalty if cancelled prior to March 6. esthetic procedures and administrations, equipment use, and other We reserve the right to cancel a course for any reason. In such case, a Anesthesia Seminars, Northwest World Wide Travel and the tour For cancellations between March 6 to April 6, there is a $1,000 applications encountered during the provision of anesthesia and an- minimum of 60 days notice will be given to those registered and 100% providers from any liability. per person penalty. After April 6 there is a 100% nonrefundable algesia whether in the surgical unit, the labor and delivery suite, the of tuition paid will be refunded. NWAS and NWWWT will not be respon- penalty for cancellation for any reason. Travel insurance is highly pain management clinic, or other more remote location of anesthetiz- sible for any non-refundable airfare, hotel, or other liabilities you may recommended. Extra charge for any deviation from published ing services. incur. We highly recommend purchase of travel insurance. Travel at HEALTH AND SAFETY: your own risk. schedule. No refund for any package items not used. Incorporate the appropriate recommendations and/or requirements General guidance on vaccinations and other health precautions of pertinent external organizations, institutions, and professional SCHEDULE AND FACULTY CHANGES may be found on the Travelers’ Health page of the Centers for Course Cancellation Fee: $0 until Apr. 22, 2017. $100 between groups—recognized as serving as the authority for and/or holding the Factors beyond our control sometimes necessitate changes in the Disease Control (CDC) website: Apr. 22 and May 22, 2017. No refund after May 22; however, 50% responsibility to compile and approve such tenets—in the provision of schedule and faculty. If time permits, we will inform all registrants of of tuition paid may be applied toward tuition for another NWAS anesthesia and related services, whether medical, legal, philosophi- any changes prior to the program. Changes on site due to local condi- http://www.cdc.gov/travel program within 12 months. Cancellation must be in writing. cal, ethical, or health care management standards. tions will be announced in class. Apply the new techniques in the clinical setting of the participant. PAYMENT METHODS: Payment methods accepted for tuition and accommodations include Visa, Mastercard, American Express, Discover, check, or money order in US funds, payable to Northwest Worldwide Travel. Northwest Worldwide Travel, PO Box 2797, Pasco, WA 99302

ERRONEOUS PRICING NOTICE: Northwest Anesthesia Seminars, Northwest Seminars, and Northwest World Wide Travel reserves the right not to honor any

Rev. 4/28/17 Rev. published prices or coupons that it determines were erroneous due to printing, electronic, or clerical error.