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Continuing Education, Inc.
University at Sea®
5700 4th St. N.
St Petersburg, 
Florida 
33703
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Essential Topics in Critical Care Medicine for
Primary Care Providers

7-Night Alaskan Cruise Conference
Round-trip Seattle, Washington
May 13-20, 2016

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

Celebrity's Beautiful Celebrity Solstice
Celebrity Solstice

14 AMA PRA Category 1 Credit(s)™
14 Contact Hours

Course Fees:
$795 for Physicians, Attorneys, Psychologists, Doctors of Pharmacy & Dentists
$550 for Physician Assistants, Nurse Practitioners, Nurses & Others
BIAS FREE CME - No Commercial Support was provided for this CME activity.

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 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.
Target Audience
Physicians, Nurses, Nurse Practitioners, Physician Assistants
Program Purpose / Objectives
Topics:
  1. Pulmonary Edema and Acute Respiratory Distress Syndrome (ARDS)
  2. Update of the Surviving Sepsis Campaign Guidelines for Severe Sepsis and Septic Shock
  3. ICU triage
  4. End of life decision making in the ICU
  5. Excellence in Medicine
  6. Pandemics and Mass Disasters
  7. How to Improve Your Communication Skills
  8. First do no harm
  9. A physiological approach to managing acute heart failure
  10. Managing metabolic emergencies
  11. Metabolic acidosis made easy
  12. Oxygen - the good, the bad and the ugly
  13. Is multi-organ failure an adaptive phenomenon?
  14. Defining sepsis
Learning Objectives:

Upon completion of this educational activity, participants should be able to :
  1. Discuss the different methods used to differentiate cardiac and non-cardiac pulmonary edema and the different methods used to treat them.
  2. Describe the most recent recommendations for patients with severe sepsis and septic shock and the reasons for these recommendations. The main focus will be on fluid, vasopressor, steroid and glucose control therapy and ulcer and deep venous thrombosis prophylaxis.
  3. Analyze the most recent literature related to ICU triage to help physicians make better ICU triage decisions.
  4. Explain the religious and cultural differences noted for ICU end of life decisions and the differences in end of life decision making around the world.
  5. Describe the 10 characteristics which make physicians excellent and help health care professionals improve their skills in providing their patients the best possible care.
  6. Discuss recent recommendations for preparing for pandemics and other disasters.
  7. Review the importance of communication and ways to improve communication skills with particular emphasis on communication in end of life situations.
  8. Describe a more (physio)logical management strategy that doesn't increase cardiac stress
  9. Explain current failings and how the proposed new definitions of sepsis will bring greater clarity to the area
  10. Discuss the importance of oxygen yet explain how oxygen causes covert harm
  11. Think 'outside the box' about the genesis of multi-organ failure and, consequently, our approach to management
  12. Discuss the processes that cause hyperlactataemia and to learn that the term 'lactic acidosis' is a misnomer
  13. Describe a didactic, physiology/biochemistry-based approach to dealing with common metabolic emergencies
  14. Explain that everything we do to treat our patients carries the risk of harm that is often non-obvious from the end of the bed
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.
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.
Faculty
Mervyn Singer MB BS MD FRCP(Lon) FRCP(Edin) FFICM
Professor of Intensive Care Medicine
University College London
London,UK

Head, Research Department of Clinical Physiology, Division of Medicine
Director, Bloomsbury Institute of Intensive Care Medicine
Editor-in-Chief, Intensive Care Medicine experimental (ICMx)
NIHR Senior Investigator 2009-2017

Mervyn Singer is Professor of Intensive Care Medicine at University College London, UK. He trained in medicine at St Bartholomew's Hospital Medical College, London and then undertook subsequent junior doctor posts in hospitals around the London area. He performed his doctorate research thesis developing a novel hemodynamic monitoring tool using esophageal Doppler ultrasonography; the subsequent technology (CardioQ) is now used in >30 countries worldwide. He then began formal critical care training in an academic rotation at University College London in 1989 and was appointed Professor in 2001.

He is Director of the Bloomsbury Institute of Intensive Care Medicine and runs a research group totaling 15 people performing bench-to-bedside research. Specific interests include sepsis and multi-organ failure, tissue oxygenation, infection, novel diagnostics and monitoring. Funding comes from the Wellcome Trust, UK Medical Research Council, European Union, and UK National Institute of Health Research (NIHR) among others. He has published widely, with multiple papers in the New England Journal of Medicine, Lancet and JAMA. Apart from the above-mentioned esophageal Doppler monitor, he has developed a novel tissue PO2 monitor (gauging the adequacy of tissue perfusion) entering clinical trials in 2016, and a novel drug inducing a 'suspended animation' state intended for ischaemia-reperfusion injury that is scheduled to go into man also in 2016. He is also the clinical lead investigator of studies on novel diagnostics for sepsis and infection, and the first intensivist to be appointed a Senior Investigator by the NIHR.

He lectures widely and has delivered four plenary lectures at the annual Congresses of the European Society of Intensive Care Medicine and the US Society of Critical Care Medicine. He has authored/edited several textbooks including the Oxford Textbook of Critical Care and the Oxford Handbook of Critical Care. He is currently Editor-in-Chief of Intensive Care Medicine Experimental (ICMx), co-chair of the new Sepsis Redefinitions Task Force, Council Member of the International Sepsis Forum, Critical Care Theme Lead of the NIHR Health Informatics Collaborative, and does 13 clinical on-call weeks per annum in the ICU.

Charles L. Sprung MD, JD, MCCM, FCCP
Director, General Intensive Care Unit, Department of Anesthesiology and Critical Care Medicine; Professor of Medicine and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel .

Professor Charles Sprung is the Director of the General Intensive Care Unit in the Department of Anesthesiology and Critical Care Medicine at Hadassah Hebrew University Medical Center in Jerusalem, Israel where he has worked for the last 24 years. He was previously the Director of the Section of Critical Care Medicine in the Department of Medicine at the VA Medical Center and the University of Miami for 13 years. He graduated the University of Miami School of Law in 1988. Professor Sprung was the Chairman of the Committee on Ethics Section of the US Society of Critical Care Medicine and of the European Society of Intensive Care Medicine (ESICM) for many years.

Professor Sprung has been active in research particularly studying sepsis, septic shock and ethical issues for 35 years. He was a member of the ACCP/SCCM consensus conference on definitions of sepsis in 1991 and a member of the recent 2012 Surviving Sepsis Campaign guidelines. He has participated in many sepsis studies including those of encephalopathy and treatments with corticosteroids, monoclonal antibodies to endotoxin and tumor necrosis factor, interleukin-1 receptor antagonist, antithrombin III, tissue factor pathway inhibitor, human activated protein C and recombinant platelet-activating factor. He has also served as a member of Clinical Evaluation and Data Safety and Monitoring Committees for many phase III, multicenter sepsis trials. Professor Sprung coordinated the prospective, multicenter European trial of corticosteroids in septic shock, Corticus. He was the Coordinator of several multi-center studies in ethics including End of Life Decision Making and Procedures in European Intensive Care Units - ETHICUS, Systematic Study of General Ethical Principles Involved in End of Life Decisions for Patients in European Intensive Care Units - ETHICATT and Triage Decision Making for the Elderly in European Intensive Care units - ELDICUS. He has been or continues to be a member of several international committees of medical organizations, world health organizations and governmental agencies. He has published extensively on all of the above and multiple ICU areas with approximately 300 original articles and 50 book chapters. He received the 2011 ESICM Medal for outstanding contributions to both ESICM and to the development of Intensive Care Medicine worldwide and the Roger C. Bone Advances in End-of-Life Care Award from the CHEST Foundation of the American College of Chest Physicians in October 2013.
Accreditation

Accredited Continuing Medical Education Accreditation: Continuing Education, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation: Continuing Education, Inc. designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Each physician should claim only the credit commensurate with the extent of their participation in the activity.


ANCC Accredited Continuing Nursing Education
Continuing Education, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea or ANCC of any commercial products displayed or used with an activity.

Nurse Practitioners: can claim either ANCC Contact Hours or AMA PRA Category 1 Credits™ as needed.
Pharmacology credits are identified on individual activities.

Physician Assistants: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME.

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.

Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA) .

US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.

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
May 13
Seattle, Washington
-
5:00pm
May 14
At Sea
-
-
May 15
Ketchikan, Alaska
7:00am
4:00pm
May 16
Tracy Arm Fjord, Alaska
(Scenic Cruising)
6:00am
10:00am
May 16
Juneau, Alaska
1:30pm
10:00pm
May 17
Skagway, Alaska
7:00am
6:00pm
May 17
Inside Passage, Alaska
(Scenic Cruising)
6:30pm
10:30pm
May 18
At Sea
-
-
May 19
Victoria, British Columbia
6:00pm
11:59pm
May 20
Seattle, Washington
7:00am
-

Ports of Call
Juneau, Alaska - In Alaska's capital, taste salmon baked over an alderwood fire, pan for gold, flightsee the Juneau Ice Field, and walk right up to the Mendenhall Glacier.
Ketchikan, Alaska - Immerse yourself in Tlingit Indian culture as you view the world's largest collection of totem poles; kayak the colorful waterfront. Port tips from our blog
Seattle, Washington - The Emerald City of the Pacific Northwest. In Seattle, stroll the bustling waterfront, visit the Space Needle, sample a local microbrew, a glass of Washington wine and world-famous coffee.
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. Port tips from our blog
Tracy Arm Fjord, Alaska - Amidst the pure silence, you'll sail past translucent blue icebergs silhouetted against a most dramatic backdrop of waterfall-laced rock walls ascending thousands of feet into the sky. This classic fjord, Tracy Arm extends over 30 miles and once seen, it is never to be forgotten.
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.

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.

Celebrity Solstice

IMPORTANT NOTE: All conferees, their families, and guests must book their cruise within the CEI meeting group through Continuing Education, Inc./University at Sea® at 800-422-0711 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.
Cruise Pricing

Prices below are for the full cruise including meals and evening entertainment

STATEROOMS DETAILS
PRICING
PER PERSON
Royal Suite (RS) -
Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe. Stateroom : 538 sq. ft. Veranda: 195 sq. ft.
Call
800-422-0711
for Pricing
Celebrity Suite (CS)
Veranda with lounge seating. Floor-to-ceiling panoramic windows. Separate living room with dining and sitting area. Two entertainment centers with plasma-screen televisions and VCR or DVD player. Music center. Walk-in closet with vanity table. Bath, including tub with whirlpool jets. Glass enclosed sitting area (connecting door to adjacent suite). Butler at your service. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe. Stateroom : 467 sq. ft. Veranda: 79 sq. ft.
Call
800-422-0711
for Pricing
Sky Suite (S2) –
Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Two lower beds convertible to queen-size. Sitting area, some with sofa bed and lounge chair. Entertainment center with television VCR and DVD player. Bath with shower/tub combination and washbasin. Complimentary 24-hour room service. Priority check-in. Priority tender service. Welcome bottle of sparkling wine and fresh fruit. Assistance with packing and unpacking. Full in-suite breakfast, lunch & dinner service. In-suite afternoon tea service. Complimentary espresso & cappuccino (in suite). Evening hors d'oeuvres, daily. Main & specialty restaurant seating preferences. 100% Egyptian cotton oversized bath towels. Plush Frette® bathrobes. Complimentary shoeshine service, use of golf umbrella, & binoculars. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe. Stateroom : 251 sq. ft. Veranda: 57 sq. ft.
Call
800-422-0711
for Pricing
AquaClass (A1) -These veranda staterooms offer spa elements infused into the stateroom experience and priority seating in the chic AquaClass restaurant, Blu. These spa-inspired staterooms, offer unlimited access to the AquaSpa Persian Garden as well as a host of other soothing extras. If you love the spa, there's no finer way to travel.
Stateroom Includes: Our signature friendly, personalized service with a guest to staff ratio of nearly 2:1, twice daily service (makeup and turndown), daily ice service in stainless steel ice buckets.
Dining: 24 hour complimentary room service, exclusive access to Blu, a specialty restaurant featuring "clean cuisine" that also serves complimentary, full-service breakfast every day, upgraded room service menu
Stateroom features: Interactive Samsung flat-screen television system, private safe, dual voltage 110/220AC outlet.
Services: Daily delivery of bottled water and tea, priority check-in, express luggage delivery, priority disembarkation based on travel needs, complimentary shoeshine service.
Amenities: Complimentary access to the Persian Garden and Relaxation Room, aromatherapy diffuser, Pillow menu, additional bathroom amenities, including shower gel, facial spray and lip balm, plush bathrobes, slippers, On-demand wellness programming including meditation and yoga.
Stateroom:195 sq. ft. Veranda:54 sq. ft.
Call
800-422-0711
for Pricing
Concierge Class (C2)
Veranda with lounge seating. Floor-to-ceiling sliding glass doors. Sitting area with sofa. Two lower beds convertible to queen. 20" LCD TV. Vanity. Some staterooms may have a trundle bed . Early embarkation and debarkation. Priority check-in. Sparkling wine, fresh fruit and flowers upon arrival. Main and specialty restaurant seating preferences. Expanded room service breakfast menu. Evening hors d'oeuvres, daily. Pillow menu, Plush Frette® bathrobes Hansgrohe® massaging showerhead. Extra handheld hair dryer. 100% cotton oversized bath towels. Complimentary shoeshine service, use of golf umbrella, & high-quality binoculars. Complimentary beach towel service. Stateroom: 194 sq. ft. Veranda: 42 sq. ft.
Call
800-422-0711
for Pricing
Oceanview Stateroom with Veranda (2B)

Floor-to-ceiling sliding glass doors. Veranda with lounge seating. Two beds convertible to queen-size. Sitting area with sofa. 32" LCD TV. Vanity. Some staterooms may have a trundle bed. Complimentary 24-hour room service. Four pillows in every stateroom. Complimentary use of bathrobes. 100% cotton towels. Bathroom accessories & hair dryer. Complimentary beach towel service. Plentiful storage space in your bathroom & wardrobe. Stateroom: 194 sq. ft. Veranda: 54 sq. ft.
Call
800-422-0711
for Pricing
OceanView Stateroom (08) -
Large ocean view window. Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service. Stateroom : 177 sq. ft.
Call
800-422-0711
for Pricing
Inside Stateroom (10) -
Two twin beds that can be converted to a queen-sized bed. Considerable closet space. Private bathroom with shower stall. Sitting area with desk, drawer space, vanity, and sofa. 32 inch interactive LCD television. Direct-dial telephone. Hair dryer. Mini bar. Individual safe. 100% cotton towels and linens. 24 hour room service. Stateroom : 183 - 200 sq. ft.
Call
800-422-0711
for Pricing
Prices are Per Person, Double Occupancy, Subject to change
3rd/4th in Stateroom - Please Call for Pricing
* COMPETITIVE PRICING PROMISE: While we are not a 'cruise discounter,' we will match any price offered by the cruise line, directly to the general public, at the time of booking. This offers includes many short-term, promotional rates. All cruise line rates can be withdrawn by the cruise line at any time and are capacity controlled.
PRICING SUBJECT TO CHANGE: Although subject to change at any time, the listed prices are generally available up to about 90 days before sailing; at that time they convert to typically higher, market rates. Rates offered directly by the cruise line and quoted by our agents are also subject to change at any time, can be withdrawn at any time and are capacity controlled.
CANCELLATION PENALTY POLICY WILL APPLY: Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please review the policy applicable to this cruise with our staff. We strongly recommend Travel Insurance to cover the unexpected.
FUEL SUPPLEMENT: Cruiselines may implement a fuel surcharge depending on the price of crude oil.
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.

TravelSafe.comPlease visit TravelSafe.com for travel insurance information.

Cruise Line cancellation policies are strictly enforced. For that reason, we urge all of our travelers to carefully consider whether travel insurance is a good value for them.

Certainly, if you have reason to think that "something might come up" that might force you to cancel, travel insurance is worth the cost of the premium. Examples we've seen in the past include ill or frail family members and changes in employment causing relocation.

If travel insurance is the right choice for you, we recommend TravelSafe. To visit their site and explore your options click here or on the link above; this link allows you to price out the insurance plan you prefer. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer. The cruise lines also offer travel insurance and we'd be happy to help you go that route if you'd prefer.

What Our Travel Insurance Can Cover:

  • Trip Cancellation & Interruption
  • Baggage/Personal Effects Loss & Dealy
  • Missed Connection
  • Medical Expense/Emergency Evacuation
  • Non-Medical Emergency Evacuation
  • Accidental Death
  • On-Call 24 Hour Assistance Services
  • Some plans even include cancel for any reason