“This was an excellent conference with practical, useful, up-to-date information that makes me a better emergency department physician.”
– T. Hale, MD

“Excellent conferences, I always enjoy attending. This is my 10th Symposia Medicus conference and I’ve never been disappointed with the content or venue.”
– P. Broderson, CNP

“As a seasoned emergency physician I know the basics, but want updates in treatments/new thoughts/new research. I found all of these things in Symposia Medicus conferences; many very valuable updates.”
– B. Ellzey, MD


Our 31st Annual Winter Conference on Emergency Medicine is designed to provide emergency physicians, nurses, nurse practitioners, PAs, as well as out-of-hospital providers with state-of-the-art information on a wide variety of topics in emergency medicine. The goal of this conference is to increase knowledge and enhance the competence of attendees. Emphasis will be placed on practical application of the evidence-based topics presented.

Topics for this year’s conference have been selected based on the educational needs determined from the identified professional practice gaps. The gaps were derived from a variety of sources including evaluations and outcomes data from past participants; clinical expert input; Symposia Medicus’ online survey; and other medical and nursing data.

Conference format will include didactic lectures, smaller group breakout and interactive sessions, case studies, and question and answer sessions.

Smaller group sessions will be held Friday afternoon. These breakout sessions are organized to provide greater participant/faculty interaction, and will give you an opportunity to participate in discussions on subjects relating to your particular area of interest. Please indicate your breakout session topic choices on the conference registration form in this brochure. Space is limited so please reserve early.

An outstanding faculty has been assembled for this conference. Each member was selected based on their individual area of expertise and ability to communicate current, evidence-based, and practical information to participants.

You are sure to enjoy our 31st Annual Winter Conference on Emergency Medicine while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Oahu.


As a result of participating in this conference, you should have increased knowledge and enhanced competence to…

Rapidly diagnose and manage challenging ingestions utilizing recent, evidence-based guidelines

Describe treatment priorities for high energy extremity fractures

Identify the medications, transfusions, and procedures for patients with hematemesis

Recognize the indications and employ methods for ED cardioversion of atrial fibrillation

Detail the therapeutic strategies for the management of alcohol withdrawal


At the conclusion of attending this conference, participants are entitled to a certificate of credit which will be available online. Successful completion of this activity is determined by attending the live activity, review of the educational session materials, and submission of the case studies test, surveys, and attendance verification form. Each participant should only claim credit commensurate with the extent of their participation in the activity.


This educational activity was planned and produced in accordance with the ACCME and ANCC Essentials and Standards relating to continuing medical and nursing education.

Symposia Medicus is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Symposia Medicus is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.


Symposia Medicus designates this live activity for a maximum of 18 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved by the American College of Emergency Physicians for a maximum of 18 hour(s) of ACEP Category I credit.

This Live activity, 31st Annual Winter Conference on EMERGENCY MEDICINE, with a beginning date of 01/29/2020, has been reviewed and is acceptable for up to 18.00 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

NCCPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 18 hours of Category 1 credit for completing this program.

Nurse Practitioners/Nurses
The ANCC contact hours awarded for completion of this conference are 18.

Provider is also approved by the California Board of Registered Nursing, Provider #CEP2335, for 21.6 contact hours.

The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit™

Pharmacology Content for Prescriptive Authority
A maximum of 2.25 hours in pharmacology content for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology content for prescriptive authority are denoted with an Rx in the schedule. Please contact your state’s Board of Nursing for specific educational requirements as requirements may vary state to state.


Each registrant will have online access to session materials. The session materials will be available for download approximately one week prior to the conference (you’ll receive an email with instructions). If you wish to receive a hard copy of the session materials, please check the box on the registration form in this brochure.

If you are unable to attend this conference, extra copies of the session materials (either paper, flash drive, or digital copy) will be available one week after the conference. The cost is $65 for a hard copy, $30 for a flash drive, and $25 for the digital copy. To place your order, please email publications@symposiamedicus.org.


To receive additional information about the conference hotel, location, tours and/or nearby attractions, and ground transportation, please visit our website at www.symposiamedicus.org.


Howard Greller, MD, FACEP, FACMT
Affiliated Medical Professor
Department of Clinical Medicine
City University of New York
School of Medicine
Director of Research & Medical Toxicology
SBH Health System – St. Barnabas Hospital
Department of Emergency Medicine
Bronx, New York

Heather Murphy-Lavoie, MD, FAAEM, FACEP, FUHM
Clinical Professor
Director of Faculty Development
Emergency Medicine Residency
UHM Fellowship
LSU School of Medicine/UMC
New Orleans, Louisiana

Arun Sayal, MD, CCFP(EM)
Emergency Physician
North York General Hospital
Associate Professor
University of Toronto
Toronto, Ontario, Canada

Eric Snoey, MD
Conference Co-Chair

Clinical Professor of Emergency Medicine
University of California, San Francisco
Vice Chairman, Department of
Emergency Medicine
Alameda Health System – Highland Hospital
Oakland, California

Teresa Wu, MD, FACEP
Conference Co-Chair

Associate Professor of Emergency Medicine
Simulation Curriculum Director
University of Arizona
College of Medicine - Phoenix
Director, Emergency Ultrasound Program & Fellowships
Banner University Medical Center - Phoenix
Phoenix, Arizona

Consistent with ACCME and ANCC guidelines, it is the policy of Symposia Medicus to ensure balance, independence, objectivity, and scientific rigor in all educational activities. Prior to the planning of this educational activity, all individuals in a position to influence and/or control the content of continuing education activities have been asked to disclose all relevant financial relationships within the past 12 months. Beyond disclosure of relevant financial relationships, faculty are required to disclose when they plan to discuss pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an unapproved or “off-label” use of an approved device or pharmaceutical. Symposia Medicus is committed to providing learners with commercially unbiased continuing education activities. This information is intended to assist learners in forming their own judgments about the content presented. Disclosure information will be included in the session materials for this activity, and speakers will provide a slide disclosure for each presentation, and will also verbally disclose on-site.



Wednesday, January 29

7:00am Registration & Check-in
8:00 Welcome & Introduction
Eric Snoey, MD
8:15 Ear, Nose, and Throat Nightmares: The Good, the Bad, and the Really Ugly
Teresa Wu, MD
9:00 Commonly Mismanaged Hand Injuries
Arun Sayal, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Atrial Fibrillation: A Practical Guide
(Rx = 15 minutes)
Eric Snoey, MD
11:15 Hematemesis: Updates in GI Bleeds
(Rx = 15 minutes)
Heather Murphy-Lavoie, MD
Noon The Opioid Crisis (Rx = 30 minutes)
Howard Greller, MD
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day

Group Reception
(Faculty, Participants, and Guests)

Thursday, January 30

8:00am A Picture is Worth a Thousand Words: Visual Diagnoses in Emergency Medicine
Teresa Wu, MD
8:45 Cardiac Ultrasound
Eric Snoey, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Food for Thought: Interesting Ingestions You Need to Know About
Teresa Wu, MD
11:00 Acute Coronary Syndrome: Risk Assessment & Disposition (Rx = 15 minutes)
Eric Snoey, MD
11:45 Myth Busters in Wound Care
(Rx = 15 minutes)
Heather Murphy-Lavoie, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, January 31

3:00pm Smaller Group Breakouts – Session One
. • A Rational Approach to Antidote Therapy
Howard Greller, MD
. • Challenging Cases in Cardiology 
Eric Snoey, MD
. • Joint Dislocation Reductions: Hands-On Demonstration
Arun Sayal, MD
. • Point of Care Ultrasound: Current Trends & Future Directions
Teresa Wu, MD
4:30 Break

Smaller Group Breakouts – Session Two
(Session One Topics Repeated)

6:15 Adjourn for the Day

Saturday, February 1

8:00am Carbon Monoxide & Cyanide Poisoning
(Rx = 15 minutes)
Howard Greller, MD
8:45 Identifying High-Risk Fractures: Looking Beyond the Obvious
Arun Sayal, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Managing Alcohol Withdrawal
(Rx = 15 minutes)
Howard Greller, MD
11:00 The Approach to the Unknown Rash
(Rx = 15 minutes)
Heather Murphy-Lavoie, MD
11:45 The Acutely Injured Knee: 8 Diagnoses to Consider Before Writing ‘STI Knee’
Arun Sayal, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

Rx = Pharmacology Content for Prescriptive Authority will be granted for these sessions


A rare gem of a destination, the Turtle Bay Resort is truly an iconic Hawaiian landmark. The only resort of its kind anywhere on the north shore of Oahu, this idyllic location is the perfect base to get fully immersed in the authentic island experience. Situated on a majestic outcropping with panoramic views of the breathtaking shoreline, this resort is a true standout among island destinations anywhere in the world.

Located on the North Shore of Oahu, the unequivocal surf capital of the world, Turtle Bay Resort is conveniently located near legendary surf breaks like Pipeline, Sunset Beach, and the big wave mecca that is Waimea Bay. A fifteen-minute drive north takes you to historic Haleiwa, which provides eclectic shopping, fantastic Hawaiian shaved ice, and restaurant options that include everything from shrimp trucks to fine dining.

Paddle out at sunrise for a dawn patrol surf session. Snap a photo of a honu (green sea turtle) while snorkeling. Launch off “Jump Rock” at Waimea Bay. Discover deserted white sand beaches trekking up to Ka’ena Point. You can also enjoy whale watching, as this is the perfect time to see these beautiful creatures in Oahu’s warm waters. The list of what to see and do during your stay at this Oahu resort never ceases to amaze.

Whatever your pleasure, you’ll be sure to find it on Oahu, at our 31st Annual Winter Conference on Emergency Medicine.


Enrollment for this conference is limited in order to provide the best possible learning environment.
Early registration is advised.

You can register and receive conference lodging group rates by reserving the following ways:

On-line at our website, www.symposiamedicus.org; OR

Call Monday-Friday, 8:30am-5:00pm (Pacific Time), (925) 969-1789 with Visa, MasterCard, American Express, or Discover; OR

By mail, make check payable to Symposia Medicus and send with registration form to 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287.

Visit www.symposiamedicus.org or call (925) 969-1789 for additional questions or information.


If postmarked by
November 20, 2019
If postmarked after
November 20, 2019
Physicians $695 $795
Residents, Nurses, PAs, & All Others $595 $695

Discounts are available for retired healthcare providers, active U.S. military, and groups of three or more. For more information, please contact Symposia Medicus prior to registering.

Tuition includes continuing education, online access to session materials, and break refreshments for conference registrants. Tuition also includes group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via email


Conference group rates have been arranged at the Turtle Bay Resort. Rooms at our group rates are limited and on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase. If you wish to extend your stay, group rates may be available three days before and three days after the conference.

Two nights’ deposit (room rate only) must accompany your reservation. The balance of your lodging, hotel fees as stated below, and all incidental charges are due to the hotel. The hotel accepts most major credit cards.


Type of Room Group Rates
Partial Ocean View $329/night Rooms are 478 sq. ft. and offer a king or two queen beds and a balcony. Views are of the ocean, bays, resort elements, and landscaped rooftop gardens. Bathrooms offer double vanities and walk-in stone showers. Each room includes a mini fridge and Keurig coffee machine, blow dryer, in-room safe, iron & ironing board, and 40” flat screen LCD TV.
Ocean View $377/night Rooms are 478 sq. ft. and offer a king or two queen beds and a balcony. Views are of the bays complimented by lush hillside and resort grounds. Bathrooms offer double vanities and walk-in stone showers. Each room includes a mini fridge and Keurig coffee machine, blow dryer, in-room safe, iron & ironing board, and 40” flat screen LCD TV.
Deluxe Ocean View $419/night Rooms are 478 sq. ft. and offer a king or two queen beds, a balcony, and a panoramic ocean view. Bathrooms offer double vanities and walk-in stone showers. Each room includes a mini fridge and Keurig coffee machine, blow dryer, in-room safe, iron & ironing board, and 40” flat screen LCD TV.

Vista Ocean View

Limited availability, reserve early

$482/night Rooms are 478 sq. ft. and offer a king or two queen beds. Your exclusive top floor room gives you access to private club service and endless ocean views. On the Vista Level, you’ll discover exclusive access and special comforts like turn-down service, bathrobe/slipper use, and a large walk-in stone shower. Take advantage of guaranteed late check-out at noon, full day use of snorkeling equipment, daily continental breakfast and afternoon snacks, and dedicated concierge attendant to assist in activity and dining plans. Each room includes a mini fridge and Keurig coffee machine, blow dryer, in-room safe, iron & ironing board, and 40” flat screen LCD TV.

Beach Cottage

Limited availability, must call Symposia Medicus to reserve

$582/night Cottages are 750 sq. ft. and offer a king or two queen beds. The waters in front of these cottages are a globally recognized refuge for sea turtles, whales, and seals. Towering 15-foot ceilings, Brazilian walnut floors, a deep-soaking tub in the context of marble and glass, and cool, white cotton sheeting. The cottages are arranged in clusters of 6 at the water’s edge, and are contained within a very private paradise. Each room includes a mini fridge and Keurig coffee machine, blow dryer, in-room safe, iron & ironing board, and 40” flat screen LCD TV.
By booking your lodging with Symposia Medicus, the Resort Fee charge of $40.00 plus 4.712% tax, per room, per night is discounted to $20.00 plus tax, per room, per night. The Resort Fee includes: password-free internet access, in-room coffee & tea, self-parking, business & fitness center access, one-time 24-hour Go Pro camera demo (subject to availability), use of Beats Pill speaker, two-hour daily snorkel rental for two people per room, one-hour tennis court usage per person, per day (rackets available for a fee), 10-minute stand up paddle clinic (available Monday-Friday 12-2pm, weather permitting), use of Titleist golf clubs on the practice range when purchasing a basket of practice balls, 30-minute golf chipping clinic, golf putting instruction at Guidepost, live entertainment (special events not included), and local phone calls. Items listed are subject to change.


Hotel Policies

Changes to reservations, regardless of reason, made within 25 days of arrival, will be charged the total original reserved stay. If changes are made before 25 days, no penalty will be assessed. Please notify Symposia Medicus of changes.

Above conference group rates are per room, per night and do not include the following (subject to change):
- 14.962% State & local taxes
- $20.00 (plus 4.712% tax) resort fee (discounted from $40.00, plus tax)

Suggested Porterage & Housekeeping Gratuities (not mandatory):
- $9.00 per person (18 years & older) Porterage (bellman) gratuity is suggested
- $3.50 per room, per day housekeeping gratuity is suggested

Maximum guestroom occupancy is four, regardless of age

Mandatory additional adult charge (18 years & over) is $30.00 per person, per night (includes daily buffet breakfast, taxes, and gratuities) – not to exceed stated maximum occupancy

Children 17 years & under are complimentary (includes daily buffet breakfast) – not to exceed stated maximum occupancy

Bed Type Requests: You can select one or two beds; however, requests cannot be guaranteed until check-in

Rollaway beds are NOT available. An air mattress can be requested (subject to availability), which is normally $50.00 per night, plus tax, however, this fee is waived when booking through Symposia Medicus. Only one air mattress is allowed in a room with a king bed.

Cribs are available on a complimentary basis (subject to availability and change)

Check-in time is 3:00pm and check-out time is 11:00am. If you have reserved a Vista Ocean View room, you are guaranteed a check-out at noon. A late check-out can only be confirmed on the date of departure by the front desk. Late check-outs are based on availability and additional charges may apply.

Credit/Debit Card Policy: Upon check-in, the hotel requires a credit card or debit card to ensure that funds are available. Holds are placed on your account for your entire stay, plus $100/day for incidentals; however, the amount may be immediately deducted from your account. The length of time for which these holds remain on your credit or debit account varies from bank to bank.

Parking: Self-parking is complimentary. Valet is available at $15.00 plus tax, per day (subject to change), for hotel and non-hotel guests.

Cancellation Policies

Conference cancellations must be made in writing (via email or mail) to Symposia Medicus and a refund, less a 10% processing fee, will be given. No refunds will be made if cancellation is received after December 25, 2019; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus conference.

Per our hotel contract, hotel reservation cancellations must be made in writing to Symposia Medicus and you will receive a full refund if emailed/postmarked by November 27, 2019. Between November 28, 2019 and December 25, 2019, one night’s deposit is forfeited. After December 25, 2019, no hotel refunds can be made.

All cancellations must be emailed to registrar@symposiamedicus.org OR mailed to Symposia Medicus. If mailed, it must be postmarked by the dates stated above.

In the unlikely event of conference cancellation by Symposia Medicus, full tuition and, if reservation was made with Symposia Medicus, hotel deposit refunds will be made. Symposia Medicus will not be responsible for refunding travel or any other expenses.


You will fly into Honolulu International Airport (HNL), which is approximately 1 ½ hours from the Turtle Bay Resort. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with Alaska, Delta, Hawaiian, and United airlines for this conference. Reservations can be made either through your travel agency or through the airlines at the website or Convention Desk numbers listed below.

In order to receive the discounted rate, you or your travel agent must refer to the Symposia Medicus Group ID number listed here.

Alaska Airlines For discounts on Alaska Airlines flights, please book online at www.alaskaair.com and click on the link “Use Discount Code,” located at the bottom of the “Book Flights” box. Once you click on this link, another page will appear. On this page, you will need to insert
ECMC539 in the “Discount Code” box, located at the right hand side of the page.
Delta Airlines For discounts on Delta Airlines, please visit www.delta.com, enter your travel plans, and then click on the “Advanced Search” link located below the “Passenger” box. Once you click on this link, a panel will appear and you will need to insert NMT7R in the “Meeting Code” box. For questions, please call the Delta Airlines Convention Desk at (800) 328-1111.
Hawaiian Airlines For discounts on Hawaiian Airlines flights, please book online at https://www.hawaiianair.com/affiliate and insert SYMPOSIA MED into the “Preferred Affiliate Program Code” box, located at the right-hand side of page.
United Airlines For discounts on United Airlines, please visit www.united.com and click on Advanced Search, located on the bottom left corner of the “Book Travel” box. Once you click on this link, another page will appear. At the bottom of this page, you will insert ZH4W711859 in the “Promotions and Certificates” box at the end of the page. For questions, please call the United Airlines Convention Desk at (800) 426-1122.


For conference discounts, Symposia Medicus has made arrangements with AVIS and Budget Car Rentals. Reservations can be made online or by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below:

AVIS www.avis.com 800-331-1600 AWD #B766625
Budget www.budget.com 800-772-3773 BCD #U076767