“Symposia Medicus has great speakers and consistently great programs.”
– T. Sennholz, MD

“The material and speakers provided greater understanding in the approach to my emergency department patients. Excellent conferences and great locations.”
– P. Hurst, PA-C

“Great conference with dynamic speakers. An enjoyable learning experience.”
– T. Cook, DO


Our 30th Annual Spring 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.

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 30th Annual Spring Conference on Emergency Medicine while sharing ideas and experiences with colleagues from across the country in the beautiful setting of St. Kitts.


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

Demonstrate strategies for treatment of skin and soft-tissue infections

Recognize when circulation takes priority over airway resuscitation

Explain the management of patients using novel psychoactive drugs

Recognize the physiologic changes associated with pregnancy, and how these changes modify the typical approach to trauma diagnosis and resuscitation

Apply best practices for discharging the patient with asthma


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, 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 hours(s) of ACEP Category I credit.

This Live activity, 30th Annual Spring Conference on EMERGENCY MEDICINE, with a beginning date of 03/27/2019, 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 Content for Prescriptive Authority
A maximum of 3 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.


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, FACEP, FIDSA
Conference Co-Chair

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

David G. Jacobs, MD
Medical Director
F. H. “Sammy” Ross, Jr. Trauma Center
Chief, Trauma Section
Division of Acute Care Surgery
Department of Surgery
Carolinas Medical Center
Charlotte, North Carolina

Frank LoVecchio, DO, MPH, FACEP, ABMT
Professor of Emergency Medicine,
Medicine, and Pharmacology
University of Arizona College of Medicine
Co-Medical Director
Banner Good Samaritan Regional Poison Center
Vice Chairman & Research Director
Maricopa Medical Center
Department of Emergency Medicine
Phoenix, Arizona

Lewis S. Nelson, MD, FACEP, FACMT
Professor & Chair
Department of Emergency Medicine
Director, Division of Medical Toxicology
Rutgers New Jersey Medical School
Chief of Service, Emergency Department
University Hospital of Newark
New Jersey Poison Information &
Education System
Newark, New Jersey

Robert Vissers, MD, FACEP, FRCPC
Conference Co-Chair

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

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, March 27

7:00am Registration & Check-In During Continental Breakfast
8:00 Welcome & Introduction
Fredrick M. Abrahamian, DO
8:15 Avoiding the Crash: Optimizing Airway Management
Robert Vissers, MD
9:00 Achieving Optimal Outcomes for Patients with Major Pelvic Fractures: It Takes a Team
David G. Jacobs, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Deadly Infections (Rx = 30 minutes)
Fredrick M. Abrahamian, DO
11:15 Pharmacology & Toxicology of Street Drugs
(Rx = 5 minutes)
Lewis S. Nelson, MD
Noon Overview of Animal Bites & Envenomations
Frank LoVecchio, DO, MPH
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, March 28

7:30am Continental Breakfast
8:00 EKG Pearls for Your Practice
Fredrick M. Abrahamian, DO
8:45 Violence Prevention: What the ED Practitioner Needs to Know (and Do...)
David G. Jacobs, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break


The Latest in Management of Asthma & Chronic Obstructive Pulmonary Disease in the ED
(Rx = 20 minutes)
Frank LoVecchio, DO, MPH
11:00 Antibiotic Update (Rx = 45 minutes)
Fredrick M. Abrahamian, DO
11:45 Trauma in Pregnancy: What’s Good for the Mother is Good for the Child
David G. Jacobs, MD
12:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, March 29

3:00pm Smaller Group Breakouts – Session One
. A. Respiratory Emergencies: Not All Wheezing is Asthma
Frank LoVecchio, DO, MPH
. B. Medical-Legal Case Review
Fredrick M. Abrahamian, DO
. C. Toxic Warfare: Beyond Conventional Chemical Weapons: The Clinical Toxicology of Chemical Terrorism
Lewis S. Nelson, MD
. D. Airway Nightmare Cases
Robert Vissers, MD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, March 30

7:30am Medically Unexplained Physical Symptoms
(Rx = 15 minutes)
Edward Walker, MD, MHA
8:00 The Three Facts of the Opioid Epidemic
(Rx = 5 minutes)
Lewis S. Nelson, MD
8:45 Head Cases: Critical Neuro Emergencies
(Rx = 15 minutes)
Robert Vissers, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 The Changing Faces of Antidotes
(Rx = 45 minutes)
Lewis S. Nelson, MD
11:00 The Black Box: Approach to Emergent Abdominal Pain
(Rx = 15 minutes)
Robert Vissers, MD
11:45 Geriatric Trauma: A Different Disease
David G. Jacobs, 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


St. Kitts is an island of wonder. With its intoxicating natural beauty, sunny skies, warm waters, and white sandy beaches, St. Kitts is one of the most alluring spots in the Caribbean.

St. Kitts Marriott Resort & The Royal Beach Casino will exceed your every expectation with a remarkable location and truly extraordinary amenities. Make yourself at home in spacious hotel rooms, featuring unique West Indian accents and modern perks. Try your luck at The Royal Beach Casino, located at the resort, or book a blissful treatment at the Emerald Mist Spa. Golfers will be thrilled with the championship course at Royal St. Kitts Golf Club.

Whether by land or sea, adventure and exploration awaits you on St. Kitts. Take a hike up to the Valley of Giants or the dormant Mount Liamuiga volcano, zip line over the tropical rainforests, or take a plunge into beautiful dive sites, marked by massive beds of coral, teeming with fish of every stripe and color. With over a dozen white-sand beaches to choose from, the possibilities are endless.

Experience a rich culinary culture that fuses island ingenuity with Old World traditions at numerous local restaurants. For all your shopping needs, head to the capital, Basseterre, where you will find a delightful mix of small shops and manageable malls, carrying a wide assortment of Kittitian delights and merchandise. When the sun goes down, head to The Strip on Frigate Bay, the undisputed number one hot-spot for dancing and nightlife!

Whatever your pleasure, you’ll be sure to find it in St. Kitts, at our 30th Annual Spring 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
January 16, 2019
If postmarked after
January 16, 2019
Physicians $685 $785
Residents, Nurses, PAs, & All Others $585 $685

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, continental breakfast on Wednesday, Thursday, and Saturday mornings, and break refreshments for conference registrants. Tuition also includes group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via emaill


Conference group rates have been arranged at the St. Kitts Marriott Resort & The Royal Beach Casino. 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 Group Rates (Single/Double) View Description
Resort View


View of the resort’s luscious island grounds
Pool View $309/night View of one of the resort’s three freeform swimming pools
Ocean View $325/night View of the Atlantic Ocean

All rooms are approximately 415 square feet, located in either the Frigate Bay Building or in one of the resort’s Garden Houses. All rooms have a king bed or two double beds, a terrace or balcony depending on the floor, a mini refrigerator, and bathrooms include a tub/shower combination with Marriott amenities. Access to the fitness center is complimentary.

By booking your lodging with Symposia Medicus, the internet access charge of $9.00 per room, per night is waived.


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 12% Government Tax
- 12.5% Service Charge

Maximum guestroom occupancy is four, regardless of age

Mandatory additional adult charge (19 years and over) is $30.00 per person, per night

Children 18 years and under are complimentary (when staying with paying adult) – 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 ONLY available in king bedded rooms and are subject to availability. The fee of $20.00 per night is WAIVED when booking your lodging through Symposia Medicus.

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

Check-in time is 4:00pm and check-out time is noon. 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 of changes to your arrival and/or departure dates as soon as possible. If you depart prior to your confirmed departure date, an early departure fee of $250.00 will be assessed.

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 $100.00/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 not available at this resort.

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 February 20, 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 January 23, 2019. Between January 24, 2019 and February 20, 2019, one night’s deposit is forfeited. After February 20, 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 Robert L. Bradshaw International Airport (SKB), which is approximately 15 minutes from St. Kitts Marriott Resort & The Royal Beach Casino. For information on ground transportation, please visit our website.

Symposia Medicus has arranged for discount fares with 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.

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 NMS74 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.
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 ZFMB292493 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 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