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Cruise Conference Planning For Your Association

Critical Care and Pulmonary Medicine
Cardiorespiratory and Renal Physiology and Medicine

7-Night Alaska Dawes Glacier Cruise
Round-trip Seattle, Washington
May 06 - 13, 2022
<em>Celebrity Solstice</em>
Celebrity Solstice
16.0 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours
Course Fees
$995 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy, & Dentists
$750 for Physician Assistants
$595 for Nurses, Residents, Students & Others

Target Audience
Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists
Program Purpose / Objectives

The critical care lectures are designed to, first, broaden the way clinicians think about the intensive care unit and, second, provide a more in-depth foray into one of the most common ICU diagnoses—acute respiratory failure. Thought-provoking talks on topics about how we think of critical care delivery will be presented on (1) invasiveness in ICU and (2) the “24-hour/7-day ICU”. Then, through a series of individual sessions, I aim to paint a picture of how to diagnose, treat, and manage acute respiratory failure requiring assisted ventilation. Together these discussions will allow for exploration of and discussion about how current ICU care works (and sometimes fails to work) for our patients. The ICU is a “team sport” and, thus, all talks will touch peripherally on team outcomes and performance. In specific, in the discussion of the “24-hour/7-day ICU”, we will explore the impact “making night look like day” in the ICU has on various ICU clinician-stakeholders as well as patients and families.

Presented by Dr. Hayley B. Gershengorn, MD, FCCM, ATSF
  1. The value of making the ICU less “invasive”
    • Discuss how ICUs came to be invasive & what data we have for continuing some invasive practices
  2. The “24-7 ICU:” Overnight staffing; should things run the same overnight as they do during the day (i.e., extubation, visitors, etc...)?
    • Discuss what is known about the benefits and risks of practicing ICU medicine the same at 3am on Saturday as we do at noon on Tuesday
  3. ARDS: diagnosis and basic management
    • Diagnosis and manage ARDS using updated criteria
  4. Basics of invasive mechanical ventilation
    • Discuss the basic modes used to ventilate most ICU patients -- including, how to set it up & potential pitfalls
  5. Therapies for ARDS after conventional MV (paralytics, inhaled agents, HFOV, ecmo)
    • Utilize the state-of-the-literature to develop an understanding of "adjunctive" or "salvage" therapies including paralysis, proning, ECMO, etc.
  6. Ventilator Liberation
    • Assess for readiness for extubation to ensure optimal success
  7. Non-invasive Ventilation and ABGs
    • Assess respiratory failure using blood gases; to understand how to use a non-invasive ventilator to achieve optimal patient-support
  8. Sepsis in 2022
    1. These lectures will refresh the learner's knowledge of basic cardiovascular, respiratory and renal physiology. An additional purpose is to expose the learner to new, experimental -research-based physiology. For example, one outcome of these lectures is to help the learner provide patients with a better understanding of basic physiology and how it relates to medicine (e.g. the generation and conduction of cardiac action potentials can lead to rhythm disturbances; how can a healthy lifestyle reduce this potential). Another outcome is to provide learners with new information. Relaying such information to patients might help them make better choices in achieving healthier lifestyles. For example, caffeine impairs the regulation of peripheral blood flow, i.e. caffeine attenuates reactive hyperemia, pressure-flow autoregulation and active hyperemia. Other research has previously shown that caffeine impairs cerebral and coronary circulation. Knowing these things might encourage patients to reduce their consumption of caffeinated beverages.

      1. Cardiac conduction system
        • Describe the origination and conduction of cardiac action potentials and how disturbances might lead to arrhythmias.
      2. Blood flow and its regulation
        • Identify the differences between local or organ/tissue blood flow and its regulation vs cardiac output and its control.
      3. Renal structure and function
        • Identify renal structure and function, be able to separate the structure of the juxtaglomerular apparatus from the physiology of GFR.
      4. Respiratory exchange, transport and regulation
        • Improve understanding of the exchange, transport and regulation of respiratory gases, but also their understanding of respiration/ventilation in general.
      5. Acetaminophen and cardioprotection
        • Expand knowledge of the pharmacological/physiological actions of acetaminophen including cardioprotective properties
      6. Caffeine impairs cardiovascular function
        • Discuss detrimental effects of consuming caffeine on a regular basis (e.g. drinking coffee several times each day).
Conference Sessions generally take place on days at sea (as itinerary allows), giving you plenty of time to enjoy your meals, evenings and ports of call with your companion, family and friends.
IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the University at Sea® meeting group through University at Sea® at 800-926-3775 or by registering online. This ensures our company can provide conference services and complimentary social amenities to all meeting participants and their guests. Thank you for your cooperation.

Gary F. Merrill, PhD

Gary  F. Merrill, PhD
Professor of Physiology
Department of Cell Biology and Neuroscience
Nelson Biological Laboratories/ Busch Campus
Rutgers University
Piscataway, NJ Investigator of the mammalian cardiovascular system, full professor, teacher, author (e.g. Our Intelligent Bodies, 2020; Our Aging Bodies, 2015; Our Marvelous Bodies, 2008; all published by Rutgers University Press).

Hayley B. Gershengorn, MD, FCCM, ATSF

Hayley B. Gershengorn, MD, FCCM, ATSF
Associate Professor
Division of Pulmonary, Critical Care, and Sleep Medicine
University of Miami Miller School of Medicine, Miami, FL 
Adjunct Associate Professor
Division of Critical Care Medicine
Albert Einstein College of Medicine, Bronx, NY
Dr. Gershengorn is an Associate Professor and Interim Vice Chief of the Division of Pulmonary, Critical Care, and Sleep Medicine at the University of Miami, Miller School of Medicine.

She received her medical degree from Harvard Medical School and completed a residency in Internal Medicine at New York Presbyterian Hospital-Cornell and a fellowship in Pulmonary and Critical Care Medicine at New York Presbyterian Hospital-Columbia.

She is Associate Editor for Critical Care of the Annals of the American Thoracic Society, serves on the program committee for Critical Care for the American Thoracic Society, and is Chair-Elect of the Internal Medicine Section for the Society of Critical Care Medicine.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.

Cruise Itinerary

Fri May 06 Seattle, Washington
- 4:00 pm
Sat May 07 *At Sea - Cruising
- -
Sun May 08 Ketchikan, Alaska
7:00 am 4:00 pm
Mon May 09 Endicott Arm & Dawes Glacier
5:30 am 10:00 am
Mon May 09 Juneau, Alaska
1:30 pm 10:00 pm
Tue May 10 Skagway, Alaska
7:00 am 6:00 pm
Tue May 10 Alaska Inside Passage
6:30 am 10:30 pm
Wed May 11 *At Sea - Cruising
- -
Thu May 12 Victoria, British Columbia
5:30 pm 11:59 pm
Fri May 13 Seattle, Washington
6:00 am -
*Tentative course schedule, actual class times may differ.

Ports of Call

Seattle, Washington - The Emerald City of the Pacific Northwest, Seattle is one of America's most vibrant cities. Stroll its bustling waterfront (including Pike Place Market), visit the Space Needle, and find a great coffee-shop to enjoy in this coffee-loving city (the home of Starbucks). One of America's tech centers (Amazon and Microsoft are both headquartered here), the city is abuzz with the interesting people attracted to the opportunities to be found there. There is more than enough to see and do here to keep you busy for a day or two. If you have a little extra time, Seattle is a great place to visit.

At Sea - Cruising - Cruising

Ketchikan, Alaska - Immerse yourself in Tlingit Indian culture as you view the world's largest collection of totem poles; kayak the colorful waterfront.

Endicott Arm & Dawes Glacier - One of Alaska's lesser-known gems, Endicott Arm Fjord marks the southern edge of Fords Terror Wilderness area. As you drift through its 30 -mile-long stretch, you can't help but be awed by the sorrounding granite cliffs, mountain valleys and dozens of gushing waterfalls. Drifting icebergs, deep blue waters and a spectacular tidewater glacier only add to this natural spectacle's appeal.

Skagway, Alaska - A frontier town perfectly preserved as the Klondike Gold Rush National Historic Park. Gateway to the Trail of '98, which you may explore by helicopter or vintage railcar.

Victoria, British Columbia - Stroll through the charming downtown of this very British city, with its double-decker buses, turreted castles, fine British woolens, tea and china. Or, just outside the city, visit the lush flora and fauna of Butchart Gardens.

Non-US/Canadian individuals, please Click here to determine if you'll need a visa to board this cruise which visits Canada.

Our staff can assist you with all your travel arrangements.

Questions? Call us at 800-422-0711.
We can assist you with all your travel arrangements. We'd be happy to help you plan your flights, hotels or tours before and/or after your cruise conference.
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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