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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 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
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.
Faculty

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

DATE PORT OF CALL ARRIVE DEPART
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 pm 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 - Ketchikan sits at the southern end of Alaska’s Inside Passage— a gateway to the wild landscapes and seascapes of Misty Fjords National Monument. The canned salmon capital of the world, it’s a hub for fishing and outdoor sports. It’s also home to three tribes of Northwest Coast Indians, making it a great place to get a taste for the local culture. You’ll see it in the colorful, hand-carved totems that line the city’s streets and parks, and in the unique stilted homes that cling to Deer Mountain’s slopes. If you want to get up close and personal with nature, venture into the Tongass National Forest, the largest in the United States. Or head to Ketchikan Creek Waterfall for amazing views of downtown Ketchikan and a glimpse at the yearly salmon runs.

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 - The tiny town of Skagway still looks like it did during the Klondike Gold Rush over 100 years ago— and today it remains an outpost for thrilling Alaskan adventure. An old-time street car ride along bustling Broadway Street reveals well-preserved buildings, including the state’s oldest hotel. You can see engraved walrus tusks at the Corrington Museum, or get lost in riveting historical reenactments around town. If outdoor adventure is more your thing, there are plenty of ways to amp up the adrenaline, from sledding with Alaskan Huskies on Laughton Glacier to rafting Lynn Canal, the longest fjord in North America.

Victoria, British Columbia - Though Toronto and Vancouver are the more famous Canadian destinations, it’s high time for the sophisticated and beautiful city of Victoria, British Columbia (BC) to have its big moment. The quaint charm and English manners of Victoria will take you back in time to the days of British occupation in the 19th century. Victoria is known as “the garden city” for its lushness and its commitment to keeping the city beautiful. Head to Butchart Garden or Beacon Hill Park to enjoy nature during your time in port.

Of course, a little history lesson is another must while on a cruise to Victoria, BC. Tour the expertly maintained Craigdarroch Castle and the Parliament Buildings, or stop in the Royal BC Museum, a natural history museum dedicated to the history of human settlement in the region. There’s also the Emily Carr House, a museum dedicated to the life and works of the famous painter, Emily Carr. Victoria exudes an intellectualism where art galleries and afternoon tea await you, but so do long bicycle rides along the seafront. Stylish cafes and restaurants are modernizing the city, all while maintaining its signature look: something straight out of a postcard.

Non-Americans/Canadians, 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.
SHORE EXCURSIONS
Please note that our shore excursions are operated separately and
independently of those offered by the cruise line.
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