Emergency medicine and acute care involves the delivery of immediate medical care for the treatment of acute illness and injury. Practitioners providing emergency medicine and acute care need to be proficient in evaluating and caring for patients presenting with a broad range of acute medical problems.

Designed for emergency physicians, nurses, nurse practitioners, PAs, and out-of-hospital providers, our 22nd Annual Fall Conference on Emergency Medicine & Acute Care takes place over the course of four days. Sharing their extensive scope of knowledge and expertise, our faculty will provide you with skills and strategies for the evaluation and treatment of acute medical conditions. This educational activity aims to increase both the competence and performance of all attendees as well as contribute to your ability to work together as part of a coordinated healthcare team.

Topics for this year’s conference have been selected based on the educational needs underlying 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 such as current clinical guidelines, research findings, literature reviews, and patient safety considerations.

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

The conference format includes didactic lectures, question and answer sessions, case studies, and small group breakouts. Following a group of lectures, the question and answer sessions allow attendees to ask the faculty critical and challenging questions about caring for patients during various emergent and acute care situations.

The breakout sessions, designed to facilitate even greater interaction between faculty and participants, offer an opportunity to engage in group 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.


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

  • Recognize signs and symptoms in patients who present with challenging ingestions in the acute setting
  • Develop a diagnostic approach to undifferentiated abdominal pain
  • Apply techniques for identifying human trafficking victims
  • Identify new and subtle findings of acute coronary syndrome
  • Discuss methods to safely and rapidly improve throughput

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

If postmarked by
September 1, 2021
If postmarked after
September 1, 2021
Physicians $795 $895
Residents, Nurses, PAs, & All Others $695 $795
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.
For this conference, we are offering the below options for attendance:
In-Person: Attend in-person in the conference hotel meeting room. Tuition includes continuing education and online access to educational session materials. Break refreshments for conference registrants will be provided.

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

  • Online via this website (unless otherwise directed) OR:
  • Call (925) 969-1789 Monday-Friday, 8:30am-5:00pm (Pacific Time), with
      Visa, MasterCard, American Express, or Discover; OR
  • By mail; make check payable to Symposia Medicus and send along with registration form to:
    399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2287

Conference registration will be confirmed via email.

Please call (925) 969-1789 for additional questions or information.


After 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, reviewing the educational session materials, and submitting the case studies test, evaluations, surveys, and verification of attendance 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 nursing continuing professional development 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.


Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending. Please check our website for updated credit information.


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™

Pharmacotherapeutic CEUs for Nurses

This activity is designated for a maximum of 3 pharmacotherapeutic credit towards meeting the requirement for nursing pharmacology continuing education. Sessions awarding pharmacotherapeutic credits are denoted with an Rx in the schedule. Please contact your state’s Board of Nursing for specific educational requirements as they may vary state to state.

Andy Godwin, MD, FACEP
Professor of Emergency Medicine; Chair & Chief of Service; Department of Emergency Medicine; Assistant Dean, Simulation Education; University of Florida College of Medicine; Jacksonville, Florida
Amandeep Singh, MD - Conference Co-Chairperson
Medical Director, STEMI/Cardiac Arrest Receiving Program, Department of Emergency Medicine, Alameda Health System - Highland Hospital; Oakland, California; Assistant Clinical Professor of Emergency Medicine, University of California, San Francisco; San Francisco, California
Robert Vissers, MD, MBA, FACEP
Chief Executive Officer, Boulder Community Health; Boulder, Colorado; Adjunct Associate Professor of Emergency Medicine; Faculty, MBA in Health Administration; University of Colorado Denver; Denver, Colorado
Teresa S. Wu, MD, FACEP - Conference Co-Chairperson
Space Operations Physician, SpaceX; Associate Professor of Emergency Medicine; University of Arizona, College of Medicine - Phoenix; Director, Point of Care Ultrasound Program & Fellowships; Banner University Medical Center - Phoenix; Phoenix, Arizona
Tina Wu, MD, MBA
Clinical Associate Professor; Associate Chief of Service, Ronald O. Perelman, Department of Emergency Medicine; Medical Director, Kimmel Pavillion 11, NYU Langone Health, Tisch Hospital; New York City, New York

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 educational session materials for this activity and speakers will provide a disclosure slide for each presentation which they will also disclose verbally onsite.

Wednesday, November 10, 2021
8:15 AMTo the Cath Lab!—The New STEMI Equivalents
Amandeep Singh, MD
9:00Human Trafficking: The Evil in Front of Us
Andy Godwin, MD, FACEP
9:45Questions & Answers / Group Discussion
Faculty Panel & Audience
10:30Masquerade Party: Unmasking Systemic Causes of Abdominal Pain
(Rx = 5 minutes)
Robert Vissers, MD, MBA, FACEP
11:15Updated Approach to the Acute Headache
(Rx = 15 minutes)
Andy Godwin, MD, FACEP
12:00 PMThe Drunk & the Restless: Caring for the Intoxicated Patient
(Rx = 45 minutes)
Tina Wu, MD, MBA
12:45Questions & Answers / Group Discussion
Faculty Panel & Audience
Thursday, November 11, 2021
8:00 AMPoint of Care Ultrasound: Current Trends & Future Directions
Teresa S. Wu, MD, FACEP
8:45Difficult Cases & Pitfalls in Procedural Sedation
(Rx = 20 minutes)
Andy Godwin, MD, FACEP
9:30Questions & Answers / Group Discussion
Faculty Panel & Audience
10:15Avoiding the Crash: Optimizing Airway Management
(Rx = 10 minutes)
Robert Vissers, MD, MBA, FACEP
11:00Hypertensive Management in the ED
(Rx = 20 minutes)
Andy Godwin, MD, FACEP
11:45Healthcare Professional Wellness: Heal Thyself
Robert Vissers, MD, MBA, FACEP
12:30 PMQuestions & Answers / Group Discussion
Faculty Panel & Audience
Friday, November 12, 2021
3:00 PMSmall Group Breakouts – Session One

● Killer Airway Cases: Tales From the Pit

Robert Vissers, MD, MBA, FACEP
 ● Procedural Ultrasound: Tips to Improve Your Everyday Practice
Teresa S. Wu, MD, FACEP
 ● Provider Satisfaction & Staff Mistreatment
Tina Wu, MD, MBA
 ● Subtle ECG Signs of Ischemia & Infarction
Amandeep Singh, MD
4:45Small Group Breakouts – Session Two

● Killer Airway Cases: Tales From the Pit

Robert Vissers, MD, MBA, FACEP
 ● Procedural Ultrasound: Tips to Improve Your Everyday Practice
Teresa S. Wu, MD, FACEP
 ● Provider Satisfaction & Staff Mistreatment
Tina Wu, MD, MBA
 ● Subtle ECG Signs of Ischemia & Infarction
Amandeep Singh, MD
Saturday, November 13, 2021
8:00 AMThe ED Approach to Acute Pelvic Pain in the Non-Pregnant Patient
(Rx = 10 minutes)
Amandeep Singh, MD
8:45A Picture Is Worth a Thousand Words: Visual Diagnoses in Emergency Medicine
(Rx = 5 minutes)
Teresa S. Wu, MD, FACEP
9:30Questions & Answers / Group Discussion
Faculty Panel & Audience
10:15Syncope: Pearls & Pitfalls in the ED Evaluation
Amandeep Singh, MD
11:00Metric Madness: How to Win
(Rx = 45 minutes)
Tina Wu, MD, MBA
11:45Food for Thought: Interesting Ingestions You Need to Know About
(Rx = 5 minutes)
Teresa S. Wu, MD, FACEP
12:30 PMQuestions & Answers / Group Discussion
Faculty Panel & Audience
Rx = Pharmacotherapeutic CEUs for nurses will be granted for these sessions

Conference group rates have been arranged at the JW Marriott Guanacaste Resort & Spa. 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.


Garden View (Single/Double) - $250/night

Ocean View (Single/Double) - $290/night

Ocean Front (Single/Double) - $320/night

All rooms are 556 sq. ft. and feature either a king bed or two double beds. Guest room offers a closet, bathroom, high-speed internet access, 32” flat screen TV, Marriott’s luxury bedding, iron & ironing board, in-room safe, work desk, hair dryer, coffee maker, voice messaging, 24-hour room service, three telephones per room, and terrace or balcony. Rooms only differ by the view and floor they are on within the resort.

By booking your lodging with Symposia Medicus, you will receive the following on a complimentary basis: in-room and resort-wide internet access, self and valet parking, use of the fitness center, nightly turn down service, complimentary access to beach soccer, Dynamic Exercise, aquatic aerobics, volleyball, and giant chess.

The resort has a daily resort fee and some items are not included in our group rate. Upon check-in, you may choose to pay the resort fee to receive the additional resort amenities (subject to change). For more information regarding the resort fee, please contact the hotel.

For information regarding COVID-19, health, and safety at the hotel, please visit: https://whattoexpect.marriott.com/sjojw

Hotel Policies

  • Above conference group rates are per room, per night and do not include the following (subject to change):
    - 13% sales taxes
    - $7.00 mandatory housekeeping fee
  • Maximum guestroom occupancy is four, regardless of age (no exceptions)
  • Mandatory additional occupant charge (13 years and over) is $45.00 per person, per night (includes daily buffet breakfast and taxes)
  • Children 12 years and under are complimentary (includes daily buffet breakfast and taxes
  • Rollaways & Cribs: Rollaway beds and cribs are both complimentary (based on availability and subject to change)
  • Check-in time is 3:00pm and check-out time is 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 $50/day for incidental charges; 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: Valet and self-parking are complimentary when booking with Symposia Medicus
Vaccination/Face Mask Policy

    You must be fully vaccinated in order to attend a Symposia Medicus conference in-person. Proof of vaccination in the form of vaccination record card, a photo of your vaccination card, and QR code (via paper, your smartphone or other portable electronic device). You can submit this prior to the conference via email (to info@symposiamedicus.org) or in-person at the conference venue.

    Face masks are required in the conference room. Symposia Medicus will have disposable masks available at the registration desk.

    Cancellation Policies

    • Conference cancellations must be made in writing (via email) to Symposia Medicus and a refund, less a 10% processing fee, will be given. No refunds will be made if cancellation is received after October 6, 2021; however, tuition, less a 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 by September 8, 2021. Between September 9, 2021 and October 6, 2021, one night’s deposit is forfeited. After October 6, 2021, no hotel refunds can be made.
    • All cancellations must be emailed to registrar@symposiamedicus.org 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.

    Download Session Materials

    Registered Conference attendees can access the Session Material Download from under the user profile icon after logging in, or by using the above link.

    We encourage you to load the session materials on your laptop, tablet or other electronic device for use during the conference, or for review prior to arriving. As a suggestion, some attendees are now bringing iPads and other devices to the conference and using programs like Adobe Acrobat Reader to take and save notes right on top of the presentation.

    Paper copies of the session materials WILL NOT be available. So, please download the session materials prior to the conference.

    Updated session materials, with any changes from the conference, will also be available for download within a week after the conference end.

    Note: Due to conference facility bandwidth limitations, session materials MUST be downloaded PRIOR to the conference start date and will not be available during the conference.

    For more information on downloading the session materials, view our Frequently Asked Questions.

    If you have any questions or comments, please do not hesitate to email us at downloads@symposiamedicus.org.

    The JW Marriott Guanacaste Resort & Spa is located in Guanacaste, in the northwest area of Costa Rica. You can fly into Daniel Oduber Quirós International Airport (LIR - known as Liberia International Airport), which is an approximate 1¼ hour drive to the hotel; however, lower fares can often be found by flying into Juan Santamaria International Airport (SJO), located in Costa Rica’s capital city of San Jose, which is an approximate 4-5 hour drive to the hotel.

    Symposia Medicus has arranged for discount fares with Alaska, Delta, 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.

    Please check directly with the airlines for updated information on their COVID-19 policies.

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

    Airlines that fly into Daniel Oduber Quirós International Airport (LIR - Guanacaste) and Juan Santamaria International Airport (SJO - San Jose):

    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 ECMD507 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 in 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 NY34X in the “Meeting Code” box.
    For questions, please call the Delta Airlines Convention Desk at (800) 328-1111.

    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 ZJVS420980 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.


    Transportation is available through TAM Travel. For more information, please visit https://www.tamcostarica.com/symposia-medicus/.

    Beautiful Costa Rica (bordered by the Caribbean to the east, the Pacific Ocean to the west, and Panama to the south) is a democratic country where peace is the most precious possession of its people. Costa Rica is known for its white sand beaches, beautiful sunsets, mountainous plains, numerous national parks, tropical forests, and wildlife reserves, all protected through renowned conservation efforts. It is a country with modern goods and services combined with exotic charm.

    Our conference resort, the JW Marriott Guanacaste Resort & Spa, is within driving distance to the small town of Tamarindo (about a 20-minute drive from the resort) and tourist attractions such as Arenal Volcano National Park (80 miles northwest of San Jose) and Monteverde Cloud Forest Reserve (110 miles north of San Jose).

    Located on Mansita Beach in Hacienda Pinilla, the JW Marriott Guanacaste Resort & Spa is on the northwest coast of Costa Rica in the province of Guanacaste. Immerse yourself in all that this resort has to offer—a private beach within Hacienda Pinilla, an infinity pool, a championship golf course, an equestrian center, a world-class spa, and so much more.

    During conference breaks, you can also venture out of the resort and experience various activities such as horseback riding, fishing, touring national parks, river floating, canoeing, snorkeling, ATV riding, scuba diving, and zip-lining through the canopies of the rain forest.

    Costa Rica is truly a paradise for those who are in search of a combination of beauty, history, culture, and both land and water sports. Costa Rica’s exotic setting, combined with our 22nd Annual Fall Conference on Emergency Medicine & Acute Care, make this an opportunity you won’t want to miss.