“All the presenters were superb and the information provided was practical and useful. Kudos to Symposia Medicus.”
– D. Levinson, MD

“Outstanding faculty with great planning/timing of the sessions to not only allow for true learning experiences, but also to allow time to enjoy the beautiful surroundings.”
– M. Shortle, PA-C

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


Our 19th Annual Fall Conference on Emergency Medicine is designed to provide emergency physicians, PAs, nurse practitioners, nurses, 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.

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 19th Annual Fall Conference on Emergency Medicine while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Hawaii.


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

Describe the latest advances and limitations of point-of-care ultrasound

Outline evidence-based recommendations from the Surviving Sepsis Campaign

Identify tricks to help improve intubation success rates

Develop an understanding of managing necrotizing skin and soft-tissue infections

Identify the methods of gastrointestinal (GI) decontamination


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 post case study test, evaluations, 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, 19th Annual Fall Conference on Emergency Medicine, with a beginning date of 11/14/2018, 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.

Pharmacology Credit for Prescriptive Authority
A maximum of 4 hours in pharmacology credit for prescriptive authority may be earned by attending this educational conference. Sessions awarding pharmacology credit for prescriptive authority are denoted with an Rx in the schedule.


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.


Each registrant will have online access to session materials. The session materials will be available for download approximately two weeks 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 or digital copy) will be available one week after the conference. The cost is $60 for a hard copy 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.


Fredrick M. Abrahamian, DO,
Conference Co-Chair

Health Sciences Clinical Professor of
Emergency Medicine 
David Geffen School of Medicine at UCLA
Los Angeles, California

Howard A. 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

Sorabh Khandelwal, MD
Samuel J. Kiehl III, MD,
Professor in Emergency Medicine
Program Director
The Ohio State University EM Residency Program
Director, Patient Care Competency
The Ohio State University College of Medicine
Columbus, Ohio

Amandeep Singh, MD
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

Teresa S. 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, November 14

7:00am Registration & Check-in
8:00 Welcome & Introduction
Fredrick M. Abrahamian, DO
8:15 The ABC’s of Misdiagnosis: Understanding Cognitive Errors to Avoid the Bounce-Back
Sorabh Khandelwal, MD
9:00 Rapid Fire: Bedside Ultrasound in the Critically Ill Patient
Teresa S. Wu, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Deadly Infections (Rx = 20 minutes)
Fredrick M. Abrahamian, DO
11:15 Cutting-Edge Cardiac Arrest Care
(Rx = 30 minutes)
Amandeep Singh, MD
Noon Gastrointestinal Decontamination: Controversies & Techniques (Rx = 35 minutes)
Howard A. Greller, MD
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day
5:30-7:00 Group Reception
(Faculty, Participants, and Guests)

Thursday, November 15

8:00am Heart Alert: Challenging ECG Cases from the ED
Amandeep Singh, MD
8:45 Antibiotic Update: Part I
(Rx = 30 minutes)
Fredrick M. Abrahamian, DO
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Sepsis 3.0: How to Operationalize the Surviving Sepsis Campaign Recommendations
(Rx = 25 minutes)       
Amandeep Singh, MD
11:00 Antibiotic Update: Part II
(Rx = 30 minutes)
Fredrick M. Abrahamian, DO
11:45 Pediatric One Pill Killers
(Rx = 25 minutes)
Howard A. Greller, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, November 16

3:00pm Smaller Group Breakouts – Session One
. A. Medical-Legal Pitfalls: Interactive Case Discussion & Review
Fredrick M. Abrahamian, DO
. B. A Rational Approach to Antidote Therapy
Howard A. Greller, MD
. C. Taking Control of Your Life: Building Skills to Prevent Personal & Professional Burnout
Sorabh Khandelwal, MD
. D. How to Integrate Point-of-Care Ultrasound into Your Daily Practice
Teresa S. Wu, MD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, November 17

8:00am A Picture is Worth a Thousand Words: Visual Diagnoses in Emergency Medicine
Teresa S. Wu, MD
8:45 Advanced Cardiovascular Life Support Updates: Cooling, PCI, and CPR Techniques (Rx = 30 minutes)
Amandeep Singh, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Didn’t You See That Coming?: Problem Solving the Difficult Airway (Rx = 10 minutes)
Sorabh Khandelwal, MD
11:00 Ear, Nose, and Throat Nightmares: The Good, the Bad, and the Really Ugly (Rx = 5 minutes)
Teresa S. Wu, MD
11:45 Updates in the Diagnosis & Management of Pulmonary Embolism: Case Discussions
Sorabh Khandelwal, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

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


Home to two of the world’s greatest mountains, one of the world’s most active volcanoes, 11 of the world’s 13 climate zones, and some of Hawaii’s top beaches, the Big Island of Hawaii has much to offer the spirited traveler. The sunny Kohala Coast, 20 minutes from the Kona International Airport, boasts dramatic black lava fields, beautiful beaches, world-renowned golf, and spectacular sunsets.

Inspired by culture, well-being, and genuine Aloha, Fairmont Orchid is a Four Diamond resort and features an award-winning spa, 10,000 square foot oceanside pool, six restaurants, a beach club, year-round children’s program, golf, fitness center, and a tennis pavilion. Immerse yourself in an authentic Hawaiian vacation experience, surrounded by 32 oceanfront acres of lush tropical gardens, cascading waterfalls, and a tranquil white sand beach lagoon. You can celebrate the sunset with exquisite oceanfront dining and also enjoy live entertainment at the lounge.

The best shopping in Hawaii is just around the corner! Located just a quick complimentary shuttle ride away, you will find the Shops at Mauna Lani. Tommy Bahama Restaurant and retail store, Ruth’s Chris Steak House, Foodland Farms Market, and several boutiques, galleries, and other restaurants can be found at this “has it all” plaza. The Shops at Mauna Lani also features amazing weekly Polynesian hula shows – complete with fire dancing, along with a variety of other cultural activities throughout the week.

Whatever your pleasure, you’ll be sure to find it on the Big Island, at our 19th Annual Fall 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
September 5, 2018
If postmarked after
September 5, 2018
Physicians $675 $775
Residents, Nurses, PAs, & All Others $575 $675

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 Fairmont Orchid. 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.


Room Type/View Group Rates (Single/Double) Description
Fairmont Garden View


(Limited number of rooms available at this rate. Once sold, rate will increase to $329/night.)

All rooms are approximately 522 square feet and feature a patio area or balcony, depending on the floor. Each room includes: air-conditioning with climate control, alarm clock-radio, 
bathrobes, Fairmont toiletries, bathroom with separate shower and bathtub, hair dryer, iron and ironing board, in-room safe, refrigerator, Keurig coffee maker, three telephones, 42” LG LCD flat screen television, internet access, writing desk, and one chair.
Partial Ocean View $379/night
Ocean View $419/night

Deluxe Ocean View

(Limited, must call Symposia Medicus for availability)


By booking your lodging with Symposia Medicus, the Resort Fee charge of $30.00 plus 4.166% tax, per room, per night is DISCOUNTED to $10.00 plus 4.166% tax, per room, per night. The Resort Fee includes (subject to change): Unlimited basic internet access in guest rooms, meeting space, and resort public areas (Fairmont Club Members receive an upgrade to premium speed internet access), self-parking for one vehicle per room (Fairmont Gold guests receive valet parking for one vehicle per room), local, domestic, long distance, and 1-800 access calls from guest room, in-room bottled water refreshed daily at turndown, 24-hour access to the fitness center, shuttle transportation (on demand 24 hours a day, 7 days a week) within the Mauna Lani Resort, snorkel equipment (two sets per room, per day – resort use only), various cultural activities including daily arts & crafts, cultural hikes, tide pool and snorkel instruction (subject to space and availability), 45-minute photo shoot on the scenic grounds of the Fairmont Orchid with Pacific Dream Photography (subject to space and availability), and 10% discount on published pricing for the Fairmont Orchid Luau.

Activity Passes are available for purchase for guests of the Fairmont Orchid at the front desk, concierge desk, the Beach Shack, and the Pool Kiosk for $75 per person (13 years and older) and $65 per child (5 to 12 years old). Children under 5 are free.

These one-time purchase passes are good every day of your stay and include all beach rental equipment including boogie boards, soft-top surfboards, stand-up paddle boards, personal floats, one and two person kayaks, noodles, and more!

By booking your lodging with Symposia Medicus, when you buy one Activity Pass at full price, you will get one (at equal or lesser value) free!


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 14.416 % state & local taxes

- $10.00 plus 4.166% tax Resort Fee (discounted from $30.00)

Maximum guestroom occupancy is four, regardless of age.

Mandatory additional person charges (below) include additional lodging fee, daily buffet breakfast, taxes, and gratuities:
- Children 5 years and under are FREE (and eat free from the children’s menus, excluding in-room dining, Brown’s Deli, and Beach & Pool)
- Children 6 to 12 years old are $15/person, per night (and receive 50% off published menus, excluding in-room dining, Brown’s Deli, and Beach & Pool)
- Children 13 to 17 years are $30/person, per night
- Adults 18 years and older are $115/person, per night

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

Rollaway beds are available at an additional cost of $75 per night (subject to availability and change). This fee will be waived if guest is paying additional third and fourth adult fee. Only one rollaway bed is allowed in a room or suite with a king bed. Rooms with two beds cannot accommodate a rollaway.

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

Check-in time is 4:00pm and check-out time is 11:00am. A late check-out can only be confirmed on the date of departure by the front desk. Additional charges may apply for late check-outs and are based upon availability.

Early Departure Fee: Please notify Symposia Medicus before, or the hotel at, check-in, if there are changes to your scheduled departure date, as the full original length of stay will be charged to any guest who checks out prior to their confirmed departure date.

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; 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 for conference guests and valet is $5 per night with unlimited access for hotel guests and $22 per day for non-hotel guests (subject to change).

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 October 10, 2018; 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 September 12, 2018. Between September 13, 2018 and October 10, 2018, one night’s deposit is forfeited. After October 10, 2018, 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 Kona Airport (KOA), which is approximately 30 minutes from the Fairmont Orchid. For information on ground transportation, please visit our website.

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

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 ECMZ414 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 and click on the link “Advanced Search,” located at the bottom of the “Book a Trip” box. Once you click on this link, another page will appear. On this page, you will need to insert NMQC4 in the “Meeting Event Code” box, located at the right hand side of the page. 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 All Search Options, 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 ZE2C279455 in the “Promotions and Certificates” box. 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 by phone; please refer to the conference code and the conference/airport location when making your reservations. Please see below:

AVIS 800-331-1600 AWD # B766625
Budget 800-772-3773 BCD # U076767