Northwest Anesthesia Seminars www.nwas.com [email protected] (800) 222-6927 in U.S. or 1 (509) 547-7065 outside U.S. N AW Northwest Anesthesia Seminars S Continuing Education for the Anesthesia Professional

Presents 13-Day South African Safari Anesthesia on Safari June 21- July 3, 2015 13-Day South African Safari Anesthesia on Safari June 21-July 3, 2015 t is a memory of the morning at the beginning of the world. The landscape teems with I wildlife. Herds of elephants trundle toward the muddy bank of a watering hole. Giraffes stretch their dappled necks. A herd of eland grazes serenely. Over the rise, a pride of tawny lions emerge, surveying the plains like rural gentry out for a hunt. See spectacular falls and rivers teeming with wildlife. Experience Africa on safari in and Kruger National Park, ; Victoria Falls, Zimbabwe; and Chobe National Park, Botswana.

Itinerary * Day Date Location

Sun June 21 Cape Town, South Africa Transfer to the The Radisson Blu Hotel Mon June 22 Cape Town

Tue June 23 Cape Town

Wed June 24 Cape Town Cape Town to Hoedspruit, Kruger National Thu June 25 Park - Transfer to Kapama River Lodge Fri June 26 Kruger National Park

Sat June 27 Kruger National Park

Sun June 28 Kruger National Park - Johannesburg Johannesburg - Victoria Falls, Zambezi Mon June 29 National Park, Zimbabwe - Transfer to Victoria Falls Safari Lodge Tue June 30 Victoria Falls Victoria Falls - Chobe Game Reserve Wed July 1 Kasane, Botswana Cresta Mowana Safari Resort & Spa Thu July 2 Chobe Game Reserve

Fri July 3 Transfer to Victoria Falls Airport - Depart Faculty for Johannesburg, Connect to Flight Home Robert Dyer, MD Joseph J. Kryc, MD, MBA Felipe Montoya-Pelaez, MD Professor of Anesthesia Clinical Associate Professor Department of Anesthesiology Professor of Anesthesia University of Arizona Health Sciences Center *Locations and times subject to change. Cape Town, South Africa Tucson, Arizona Cape Town, South Africa Staff Anesthesiologist Peter Gordon, MD Director of Obstetric Anesthesiology Professor Justiann Swanevelder See full meeting schedule for meeting times. Professor of Anesthesia Banner Baywood Medical Center Chief of Anesthesia Groote Schuur Hospital Mesa, Arizona Groote Schuur Hospital Cape Town, South Africa Cape Town, South Africa

PASSPORT REQUIRED. It MUST be Valid for a minimum of 6 Andrew Levin, MBChB, DA(SA), MMed, PhD, FCA Associate Professor, Department of Anesthesiology and months after your return and have at least 4 empty visa pages. Critical Care University of Stellenbosch and Hospital Stellenbosch, South Africa Meeting Schedule Lectures and times subject to change due to local circumstances. Any change will be announced in class.

Sunday, June 21 - Arrive Cape Town, South Africa 2000 Triggers, Targets and Antithrombotics J.Kryc Make Air Arrangements On Your Own to Cape Town International Airport 2100 Neuraxial Anesthesia and Anticoagulation: Is This a Good Idea? J.Kryc (CPT) - Transfer to Radisson Blu Hotel. Dinner On Your Own. 2200 Adjourn Monday, June 22 - Cape Town Saturday June 27 - Kruger National Park 0645 Registration - Mandatory Sign In 0700 Breakfast 0710 Welcome NWAS Staff 0800-1100 Morning Game Drive 0715 Breakfast/Anesthesia in South Africa Today J.Swanevelder 1200 Lunch 0830 Tour of Groote Schuur Hospital (Hosted) P.Gordon 1245 Registration - Mandatory Sign In 0930 World’s First Heart Transplant Museum P.Gordon 1300 Maternity Mortality: Who, When, Where, and Why J.Kryc 1030 World’s First Heart Transplant P.Gordon 1400 Substance Abuse During Pregnancy J.Kryc 1130 Adjourn 1500 Adjourn 1200 Lunch 1500-1800 Afternoon Game Drive 1245 Wine Tour: Stellenbosch 1900 Dinner 1800 Return to Radisson Blu - Dinner On Your Own 1945 Registration - Mandatory Sign In 2000 Postoperative Pain Management: The Good, the Bad, and the Ugly J.Kryc Tuesday, June 23 - Cape Town 0630 Breakfast Sunday, June 28 - Kruger National Park 0730 City Tour; , The Castle, Company Gardens, Houses 0600 Morning Game Drive - Time Permitting of Parliament, City Hall, Slave Lodge, Malay Quarter, Bo-Kaap - 0845 Breakfast Lunch on your own 0945 Depart for Airport for Flight to Johannesburg 1500 Registration - Mandatory Sign In 1330 Arrive Johannesburg - Transfer to Peermont D’Oreale Grand Hotel 1515 Phaeochromocytoma A.Levin 1430 Lunch On Your Qwn 1615 Obstetric Anesthesia Update R.Dyer 1530 Registration - Mandatory Sign In 1715 Hypoxic Pulmonary Vasoconstriction: 1545 Cardiac Disease in Pregnancy J.Kryc A Myth During One Lung Anesthesia? A.Levin 1645 Preeclampsia: What the Non-Obstetric Anesthetist Needs to Know J.Kryc 1815 Trauma Anesthesia Update F.Pelaez 1745 Obstetric Problems: Blame the Epidural J.Kryc 1915 Dinner 1845 Adjourn - Dinner On Your Own 2030 Pedatric Anesthesia Update TBA 2130 Adjourn Monday, June 29 - Johannesburg - Victoria Falls 0730 Breakfast Wednesday, June 24 - Cape Town 0830 Transfer to airport - Fly to Victoria Falls, Zimbabwe 0630 Breakfast Transfer to Victoria Falls Safari Lodge 0730 Depart for Full Day Peninsula Tour with Lunch Lunch On Your Own and Afternoon Open 1745 Registration - Mandatory Sign In 1730 Sunset Cruise - Dinner On Your Own 1800 Nanotechnology: The Edge of the Cutting Edge J.Kryc 1900 Dinner Tuesday, June 30 Victoria Falls* 2030 Nanotechnology: Medical Applications J.Kryc 0700 Breakfast 2130 Adjourn 0800 Tour of the Falls - Lunch On Your Own and Afternoon Free to Enjoy the Area 1800 Boma Dinner Thursday, June 25 - Cape Town - Kruger National Park 0630 Breakfast Wednesday, July 1 - Victoria to Chobe Game Reserve, Botswana 0730 Transfer to Airport - Flight to Hoedspruit Cresta Mowana Safari Resort Transfer to Kapama River Lodge - Kruger National Park 0700 Breakfast 1200 Lunch 1200 Lunch 1500-1800 Afternoon Game Drive 1500-1800 Afternoon Game Viewing Cruise 1900 Dinner 1900 Dinner 1945 Registration - Mandatory Sign In 1945 Registration - Mandatory Sign In 2000 Cleared for Surgery J.Kryc 2000 Pharmacologic Management of Massive Hemorrhage J.Kryc 2100 Preoperative Evaluation of the Ambulatory Patient J.Kryc 2100 Case Discussion J.Kryc 2200 Adjourn 2200 Adjourn 25 CME I / 25 CEC Friday, June 26 - Kruger National Park Thursday, July 2 - Chobe Game Reserve, Botswana 0700 Breakfast 0700 Breakfast 0800-1100 Morning Game Drive 0800-1100 Morning Boat Cruise 1200 Lunch 1200 Lunch 1245 Registration - Mandatory Sign In 1500-1800 Afternoon Game Drive 1300 Office Based Anesthesia: The Wild, Wild West of Healthcare J.Kryc 1930 Dinner 1400 What Does it Take to Make the Perfect Clot? J.Kryc 1500 Adjourn Friday, July 3 1500-1800 Afternoon Game Drive 0730 Breakfast 1900 Dinner 0830 Transfer to Victoria Falls Airport - Fly to Johannesburg - Connect to Flight 1945 Registration - Mandatory Sign In Home - Make Your Johannesburg-Home Flight for After 1800 Faculty Robert Dyer, MD Joseph J. Kryc, MD, MBA Felipe Montoya-Pelaez, MD Professor of Anesthesia Clinical Associate Professor Department of Anesthesiology Professor of Anesthesia Groote Schuur Hospital University of Arizona Health Sciences Center University of Cape Town Cape Town, South Africa Tucson, Arizona Cape Town, South Africa Staff Anesthesiologist Peter Gordon, MD Director of Obstetric Anesthesiology Professor Justiann Swanevelder Professor of Anesthesia Banner Baywood Medical Center Chief of Anesthesia Groote Schuur Hospital Mesa, Arizona Groote Schuur Hospital Cape Town, South Africa Cape Town, South Africa

Andrew Levin, MBChB, DA(SA), MMed, PhD, FCA Associate Professor, Department of Anesthesiology and Critical Care University of Stellenbosch and Stellenbosch, South Africa Safari Locations

Sunday, June 21 - Arrive in Cape Town, South Africa - Transfer to Hotel

Wednesday - June 24 - Cape Town Full Day Peninsula Tour Visit the African Penguins. Nature Reserve, the most south-westerly tip of Africa, is a spectacular, narrow finger of land Cape Town is the second-most populated city in South Africa after covered in endemic fynbos, and home to picturesque bays, beaches, Johannesburg, and the provincial capital and primate city of the Western rolling green hills and valleys. Evening class. Cape. As the seat of the National Parliament, it is also the legislative capital of the country. The city is famous for its harbour as well as its Thursday, June 25 - Cape Town to Kruger National Park natural setting in the Cape floral kingdom, as well as for such well- Fly this morning to Hoedspruit and transfer into famous Kruger known landmarks as Table Mountain and Cape Point. National Park and the luxurious Kapama River Lodge. The world- renowned Kruger National Park offers a wildlife experience that ranks Located on the shore of , Cape Town was originally developed with the best in Africa. Established in 1898 to protect the wildlife of the by the Dutch East India Company as a supply station for Dutch ships South African Lowveld, this national park of nearly 7,722 square miles, sailing to East Africa, India, and the Far East. Jan van Riebeeck’s arrival SANParks - Kruger National Park is unrivalled in the diversity of its on April 6, 1652 established the first permanent European settlement life forms, and a world leader in advanced environmental management in South Africa. Cape Town quickly outgrew its original purpose as techniques and policies. Truly the flagship of the South African National the first European outpost at the , becoming the Parks, Kruger is home to an impressive number of species: 336 trees, 49 economic and cultural hub of the Cape Colony. Until the Witwatersrand fish, 34 amphibians, 114 reptiles, 507 birds, and 147 mammals. Man’s Gold Rush and the development of Johannesburg, Cape Town was the interaction with the Lowveld environment over many centuries - from largest city in South Africa. bushman rock paintings to majestic archaeological sites like Masorini and Thulamela - is very evident in the Kruger National Park. These Today it is one of the most multicultural cities in the world, reflecting treasures represent the cultures, persons, and events that played a role its role as a major destination for immigrants and expatriates to South in the history of the Kruger National Park, and are conserved along with Africa. As of 2011, the metropolitan region had an estimated population the park’s natural assets. Afternoon game drive and evening class. of 3.74 million. The city was named the World Design Capital for 2014 by the International Council of Societies of Industrial Design. Accommodations - Kapama River Lodge Visit http://www.youtube.com/user/CapeTownTourism www.kapama.co.za/kapama-river-lodge Accommodations - Radisson Blu Hotel Within the expansive Kapama Private Game Reserve, River Lodge www.radissonblu.com/hotel-capetown epitomizes five-star safari accommodation. The majestic northern Drakensberg mountains form the backdrop to the 64-suite River Monday - June 22 - Cape Town Lodge, which is positioned along a bend of the seasonal Kapama River. Morning class then afternoon Winelands tour. It’s the largest luxury game lodge in the Greater Kruger National Park area, and is stylishly furnished to ensure an unforgettable African Tuesday, June 23 - Cape Town safari experience. Situated in South Africa’s northernmost province of Morning city tour including: Table Mountain, (one of the official New 7 Limpopo, renowned for its prolific and diverse wildlife, Kapama Private Wonders of Nature). The Castle, Company Gardens, House of Parliament, Game Reserve is home to over 40 different mammal species, including City Hall, Slave Lodge, Malay Quarter, Bo-Kaap. Afternoon class. the most dangerous Big Five of elephant, lion, leopard, buffalo, and rhinoceros. Approximately 350 bird species and a myriad smaller Wednesday, July 1 - Victoria Falls - Chobe Game Reserve species can also be seen here in their natural environment. Twice-daily Kasane, Botswana game drives through the reserve, accompanied by expert guides and Afternoon game drive viewing cruise and evening class. trackers, ensure unforgettable wildlife encounters in the African bush. Accommodations - Cresta Mowana Safari Resort & Spa Friday, June 26 - Kapama Private Game Reserve-Kruger www.mowanasafarilodge.net National Park Mowana Safari Lodge lies on the banks of the Chobe river, where four Morning and afternoon game drives. Afternoon and evening class. African countries (Botswana, Zambia, Namibia and Zimbabwe) meet. At this point the Chobe and Zambezi rivers converge – the Zambezi Saturday, June 27 - Kapama Private Game Reserve-Kruger river being the home of the NyamiNyami (or River God). If you want National Park to learn more about African myths and legends, the Chobe area around Morning and afternoon game drives. Afternoon and evening class. the Mowana Safari Lodge is the place to visit! The Chobe Game Reserve is famous for its enormous elephant population – it is said that 45,000 Sunday, June 28 - Kapama - Johannesburg of these interesting creatures roam the plains of Chobe. They share the Morning game drive (time permitting) then transfer to airport for flight area of almost 3,861 square miles with lion, leopard, giraffe, cheetah, to Johannesburg. Afternoon class. buffalo, approximately 450 bird species, as well as puku and Chobe bushbuck, which are indigenous to Chobe National Park. The 5-star Peermont D’Oreale Grande Hotel at Emperors Palace is conveniently located next to O.R. Tambo International Airport in Johannesburg and the Emperors Palace Casino.

Accommodations - Peermont D’Oreale Grand Hotel www.doreale.com Discover untold luxury and regal comfort.

Monday, June 29 - Johannesburg to Victoria Falls Transfer to airport and fly to Victoria Falls, Zimbabwe. Afternoon open. Sunset Cruise.

Accommodations - victoria falls safari-lodge www.victoria-falls-safari-lodge.com Victoria Falls Safari Lodge provides luxury accommodation in Victoria Falls. Set high on a natural plateau, the westward facing Victoria Falls Safari Lodge borders the Zambezi National Park and is 2.5 miles from the thundering Victoria Falls, Southern Africa’s foremost attraction. Thursday, July 2 - Chobe Game Reserve, Kasane, Botswana Enjoying uninterrupted views of spectacular African sunsets and year Morning and afternoon game drive. round game at its on-site waterhole, accommodations at Victoria Falls Safari Lodge are ideally positioned to offer the most discerning traveller Friday, July 3 - Transfer to Victoria Falls Airport for a taste of Africa at its best. flight to Johannesburg Connect with your flight home. Make your reservation for your Tuesday, June 30 - Victoria Falls Safari-Lodge Johannesburg flight home to depart after 6pm. Breakfast Tour of the falls Air: You are responsible for making your own air reservations and Boma Dinner purchasing your tickets for the flights from your home to Cape Town and Johannesburg home. Arrive in Cape Town on June 21. Departure from Johannesburg MUST be after 6pm on July 3.

We recommend using Universal Travel or Sita World Tours to make your reservations:

Universal Travel: Sita World Tours: Contact: Kellee Kilmer, Ph: (858) 456-7887 Contact: Max Aly, Ph: (800) 421-5643 (Pacific Standard Time) Email: [email protected] Email: [email protected]

Be sure to mention Northwest Anesthesia Seminars when booking. Booking fee applies. Program Information

COURSE DIRECTOR ACCREDITATION Mark Murphy, MD, Medical Director, Northwest Anesthesia Seminars, Pasco, Washington This activity has been planned and implemented in accordance with the accredita- tion requirements and policies of the Accreditation Council for Continuing Medical TARGET AUDIENCE Education (ACCME) through the co-providership of the A. Webb Roberts Center This course is designed for physicians, certified registered nurse anesthetists, for Continuing Medical Education of Baylor Healthcare System, Dallas and North- physician assistants, registered nurses and other medical care providers who west Anesthesia Seminars. The A. Webb Roberts Center for Continuing Medical must maintain state-of-the-art knowledge of not only the specialty but also of Education of Baylor Healthcare System, Dallas is accredited by the ACCME to pro- all additional, related disciplines which may impact it. vide continuing medical education for physicians.

PROGRAM PURPOSE The A. Webb Roberts Center for Continuing Medical Education of Baylor Health The practitioner of anesthesiology must possess the scientific background for Care System, Dallas, designates this live activity for a maximum of 20­­ AMA PRA clinical practice; maintain state-of-the-art knowledge of not only the specialty Category 1 Credits™ Physicians should claim only the credit commensurate with the but also of all additional, related disciplines which may impact it; maintain an extent of their participation in the activity. up-to-the-minute armamentarium of knowledge and skills for the selection and use of complex equipment, pharmacologic agents and procedures necessary for American Board of Anesthesiology: CME credit will be sent directly to The Amer- the provision of quality patient care; manage self and colleagues to function ican Board of Anesthesiology to fulfill the Part 2 requirement for the Maintenance toward common goals in the clinical setting, the clinical and educational insti- of Certification in Anesthesiology Program (MOCA®). tutions, 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 Physician Assistants: AAPA accepts Category I credit from AOACCME, Prescribed credit and educational services provided, including the acquisition and distribution of from AAFP, and AMA PRA Category 1 Credit™ from organizations accredited by the AC- resources necessary in meeting professional goals; and provide assistance with CME. and support of other service providers, departments, institutions and organiza- tions dependent upon the professional expertise of the practitioner. Presen- Canadian Physicians: The Royal College of Physicians and Surgeons of Canada lists The A. Webb Roberts Center for Continuing Medical Education of Baylor Health Care System, tations are designed to facilitate the physician and nurse specialist and other Dallas, as an approved ACCME accredited provider. The AMA PRA Category 1 Credits™ providers maintaining skills of the same kind to review and update knowledge awarded may be submitted by the participant to the RCPSC for equivalent MOC Section and abilities in one or more of these areas vital to the practicing professional. 1 Credits. OBJECTIVES CRNA: This program has been prior approved by the AANA for 20 CEC; AANA Code At the conclusion of this activity, the participant will be able to: #1030507; Expiration date 7/1/2015. Discuss the pertinent physical and behavioral sciences - to include but not be lim- ited to advanced anatomy and physiology, pathophysiology, chemistry, physics, AA: The NCCAA accepts these ACCME-approved programs for continuing edu- psychology, and social sciences - as they impact and are affected by the planning, cational credits. delivery and monitoring of anesthesia and related services inherent in the anes- thesia profession. RN: NWAS is approved by the California Board of Nursing, Provider Number 04833 and Florida and Washington, DC Boards of Nursing, Provider Number 50- Explain the selection, dosing considerations with methods of administration, 7480. This program offers 25 contact hours. Meets the requirements of the Pennsyl- safe use, and contraindications and precautions of presented pharmacological vania Board of Nursing, Rules and Regulations §21.133. agents through the understanding of their physico-chemical properties, phar- macokinetics and pharmacodynamics, updated uses and more recently devel- Course Cancellation By Provider oped additional, related, similar drugs. We reserve the right to cancel a course for any reason. In such case, a minimum of 60 days notice will be given to those registered and 100% of tuition paid Outline comprehensive management plans for the group of patients discussed, will be refunded. NWAS and NWWWT will not be responsible for any non- whether related in age, physical status, cultural background, invasive proce- refundable airfare, hotel, or other liabilities you may incur. We highly recom- dure, anesthetic or analgesic requirements, clinical setting, adverse reactions, mend purchase of travel insurance. Travel at your own risk. and/or goals of care. Schedule and Faculty Changes Discuss the principles of safety and asepsis in the performance of anesthetic Factors beyond our control sometimes necessitate changes in the schedule and procedures and administrations, equipment use and other applications en- faculty. If time permits, we will inform all registrants of any changes prior to the countered during the provision of anesthesia and analgesia whether in the sur- program. Changes on site due to local conditions will be announced in class. gical unit, the labor and delivery suite, the pain management clinic or other more remote location of anesthetizing services.

Discuss incorporation, into practice, the appropriate recommendations an/or requirements of pertinent external organizations, institutions and professional groups - recognized as serving as the authority for and/or holding the respon- sibility to compile and approve such tenets - in the provision of anesthesia and related services, whether medical, legal, philosophical, ethical, or health care management standards.

Describe the new techniques in the clinical setting of the participant. Rev 10/14/14 City State Street tuition paid may applied be toward tuition for another NWAS program within 12months. Cancellation must inwriting. be COURSE CANCELLATION FEE: $0until Apr. Apr. 22,2015. $100between 22 and May 22,2015. No refund after May 22; however, 50% of M Card or Check Number: □ Checkpayable to Northwest Worldwide Travel □Discover □Amex enclosedor charge my □MasterCard □Visa COURSE REGISTRATION Card or CheckNumber: □ Checkpayable to Northwest Worldwide Travel □Discover □Amex enclosedor charge my □MasterCard □Visa No triple or rates. quad occupancy Children 12and over pay adult the rate. age under 12. *No allowed children No refundpublished schedule. for any items package not used. a 100%nonrefundable for penalty cancellationfor any reason. Travel charge for Extra recommended. any from is highly insurance deviation No ifcancelled penalty prior to March 6.For cancellations March between 6to April 6,there person penalty. is a$1,000per After April 6there is While we strive for inour printed accuracy materials, we cannot held be liable for any errors. website:(CDC) http://www.cdc.gov/travel guidanceGeneral on vaccinations and other precautions health may found be on Travelers’ the Health page of Centers the for Control Disease and accept risks and the release Northwest Anesthesia Seminars, Northwest World Wide Travel and tour the providers from any liability. travelAll are and activities at your risk. Travel own insurance isrecommended. highly By registering for tour this package, you understand 2 American of Board Anesthesiology #______Name DateArrival Date Depart Today’s Date Maximum to of aroom, 2people including children. room(s) Persons reserve Please #Adult □1bed □2beds Ages #Child* (PLEASE PRINT OR TYPE) Phone () M TUITION payment A □ PASSPORT for REQUIRED valid aminimum of six months after returnwith aminimum of four pagesempty visa Late (Payment after received 4/22/2015) Regular (Payment 3/23/15andRegular 4/22/2015) between received Early (PaymentEarly prior received to 3/23/15) TUITION: In US$ nd ccommodations is not is delayed luggage or transfer ifyou are delayed at be your will (Round expense. trip Airfare home to Town Cape and Johannesburg to home of personalnature, and any charges extra for luggage beyond permitted size/weight. In addition required, any i.e., of service extra delivery Not included: International air fare; lunch, dinner and beverages anywhere except Kruger National Park and Chobe, gratuities, any expense Rates: Safari include as outlined including guides, accommodations, some and meals, transportation points between indicated. Space is limited and will not be held without a deposit. You without held adeposit. not be is limitedSpace and will us at 1(800)222-6927or MUST (509)547-7065. call ail to:ail NWS, PO Box 2797,Pasco, WA 99302or FAX (509)547-1265 ail to:ail Northwest Worldwide Travel, POBox 2797,Pasco, WA 99302or FAX (509)547-1265 $6,500 per person, double occupancy person, $6,500 per Person included.) We included.) recommend travel highly insurance. YOU MUST RESERVE your SPACE by agent. the as directed be Payment will of person. $2,000per adeposit with schedule

Due to natureDue the of this program, you your must tour through book NWAS package to attend. : payment Call One Number One Call 1(800)222-6927or 1(509)547-7065 : Names written MUST appear be on as they your passport to register for theseminar andreserve your tour Country DOB: DOB:

AANA# or MD/RNlast 4digits of SS#

Per Person Rates Person Per

□ $1150 □ $1050 MD/DO □ $950 □ $8,500 single occupancy $8,500 single TOUR RESERVATION - Zip Email □ $1100 □ $1000 CRNA/PA/AA □ $900

EXP Date

CVV Africa EXPDate □ $1050 □ $950 RN/Others □ $850 Safari Safari -15JAFS -15JAF