“I have always enjoyed Symposia Medicus conferences and every location has been amazing.”
– S. Mahbubani, MD

“Great topics and speakers. I will be booking another Symposia Medicus conference next year!”
– K. Capusan, PNP

“Excellent speakers, with up-to-date and relevant topics for current practice.”
– J. Cope, DO


Our 23rd Annual Spring Conference on Pediatric Emergencies focuses on many challenges facing pediatric and emergency physicians, nurse practitioners, PAs, nurses, and other healthcare professionals involved in the clinical care of children. The goal of this conference is to increase the 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 23rd Annual Spring Conference on Pediatric Emergencies while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Kauai.


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

Recognize orbital infections and tumors that are vision-threatening

Explain approaches for treating new and novel drugs of abuse

Formulate an evidence-based diagnostic plan for utilization of CT in pediatric trauma victims

Describe what is new in the area of fever and a cogent approach to managing a child who presents without a source

Identify the risk of suicidality due to antidepressant medications in children, adolescents, and young adults


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.

This continuing medical education activity has been reviewed by the American Academy of Pediatrics and is acceptable for a maximum of 18 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics.

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

This Live activity, 23rd Annual Spring Conference on PEDIATRIC EMERGENCIES, with a beginning date of 04/03/2019, 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 1.75 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, flash drive, or digital copy) will be available one week after the conference. The cost is $60 for a hard copy, $30 for a flash drive, and $25 for the digital copy. To place your order, please email publications@symposiamedicus.org.


The resort provides complimentary airport shuttle service, 24 hours a day, to/from the Lihue Airport. To receive additional information on ground transportation, the conference hotel, location, tours and/or nearby attractions, please visit our website at www.symposiamedicus.org.


Christopher S. Amato, MD, FAAP, FACEP
Associate Professor, Department of Emergency
Medicine & Pediatrics
Sidney Kimmel Medical College
Director, Pediatric Emergency Medicine
Medical Director, Pediatric Advanced
Life Support
Atlantic Health System
Attending Physician
Pediatric Emergency Medicine
Morristown Memorial Hospital
Goryeb Children’s Hospital
Morristown, New Jersey

Jefferson B. Prince, MD
Director, Child Psychiatry
MassGeneral Hospital for Children at North Shore Medical Center
Instructor in Psychiatry
Harvard Medical School
Staff, Child Psychiatry
Massachusetts General Hospital
Boston, Massachusetts

Cyrus Rangan, MD, FAAP, FACMT
Conference Co-Chair

Assistant Medical Director
California Poison Control System
Medical Toxicologist
Children’s Hospital Los Angeles
Los Angeles, California

Conference Co-Chair

Assistant Professor of Clinical
Emergency Medicine
Keck School of Medicine
University of Southern California
LAC + USC Medical Center
Los Angeles, California

Binita R. Shah, MD, FAAP
Distinguished Professor of Emergency Medicine & Pediatrics
SUNY Downstate Medical Center
Director Emeritus
Pediatric Emergency Medicine
Kings County Hospital Center
Brooklyn, 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 session materials for this activity, and speakers will provide a slide disclosure for each presentation, and will also verbally disclose on-site.


Wednesday, April 3

7:00am Registration & Check-in
8:00 Welcome & Introduction
Cyrus Rangan, MD
8:15 When It’s NOT Abuse: Conditions Mistaken for Child or Sexual Abuse
Binita R. Shah, MD
9:00 Cardiac Disease in Children (Rx = 10 minutes)
Emily Rose, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Toxicology Tests: Who Needs Them & When to Get Them
Cyrus Rangan, MD
11:15 Pediatric Respiratory Emergencies
Christopher S. Amato, MD
Noon Assessing Suicidality & Antidepressants in the Pediatric Patient (Rx = 45 minutes)
Jefferson B. Prince, 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, April 4

8:00am Critical Concepts in Pediatric Trauma
Emily Rose, MD
8:45 Newer Drugs of Abuse: Old Minds Gape at What Teenagers Find (Rx = 15 minutes)
Cyrus Rangan, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Herbal Medications, Dietary Supplements, and
Human Guinea Pigs: Poisonings & Drug Interactions
(Rx = 15 minutes)
Cyrus Rangan, MD


Rashes in the ED: Recognizing the Most Important
(Rx = 15 minutes)
Emily Rose, MD
11:45 Managing Self-Care & Burnout in the Pediatric Practitioner
Jefferson B. Prince, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, April 5

3:00pm Smaller Group Breakouts – Session One
. A. Big Problems in Little People: Pediatric Stroke, Myocardial Infarction, and Venous Thromboembolism
Emily Rose, MD
. B. Pediatric Jeopardy – A Teaching Game Show
Christopher S. Amato, MD
. C. Genitourinary Emergencies: Not to Miss the Costly “Oops”!
Binita R. Shah, MD
. D. Managing Agitation in a Pediatric Patient
Jefferson B. Prince, MD
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, April 6

8:00am Rapid Fire Visual Diagnoses: Sharpen Your Diagnostic Skills
Binita R. Shah, MD
8:45 Pediatric Fever
Christopher S. Amato, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable
10:15 Arthropod Envenomations: Spiders, Bees, Ants, Scorpions, and Marine Creatures (Rx = 5 minutes)
Cyrus Rangan, MD
11:00 Ophthalmologic Conditions: Seeing the Dangers
Binita R. Shah, MD
11:45 Pediatric Orthopedics: When to Consult & When to Defer
Christopher S. Amato, 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


Aloha! Kauai, known as Hawaii’s “Garden Island,” offers scenic splendor along its 90 miles of coastline. Kauai is famous for its breathtaking botanical beauty and spectacular white-sand beaches. The island offers a wealth of diverse ecosystems that can be explored with a rental car. You can head to the north shore, where you will find the legendary Napali coast, with its rich green cliffs and breathtaking waterfalls; or, head into the heart of Kauai to discover Waimea Canyon, the “Grand Canyon of the Pacific,” with its unforgettable views of crested buttes and deep valley gorges.

Warm island hospitality meets the idyllic location of the Garden Isle at the Kauai Marriott Resort. Uniquely situated on Kalapaki Bay, this Kauai beach resort invites you to soak up island adventures with a variety of recreational activities, including one of the largest family-friendly pools in Hawaii and a Jack Nicklaus-designed championship golf course at the adjacent Hokuala Golf Course. Indulge in some tropical tranquility at the full-service spa or escape to your elegantly appointed guest room, many of which offer spectacular views and balconies. Learn surfing, kayaking, scuba diving, and stand-up paddling or visit beautiful Wailua Falls, just five minutes away from the resort. You can also enjoy the Hawaii Alive! Luau at the Kauai Marriott Resort and be immersed in the Hawaii of yesterday and today. It is one of the longest continually running shows in Hawaii, entertaining guests for over 50 years!

Whatever your pleasure, you’ll be sure to find it on Kauai, at our 23rd Annual Spring Conference on Pediatric Emergencies.


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 23, 2019
If postmarked after
January 23, 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, 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 Kauai Marriott 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.


All rooms are approximately 425-450 sq. ft., and have a king or two double beds (two bedded rooms are very limited), pillow top mattress and duvet, iron/ironing board, hair dryer, coffee/tea maker, mini-refrigerator, in-room safe, and tub/shower combination.

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


Lush tropical garden view with a balcony
Pool View $369/night Overlooking the inviting 26,000 sq. ft. pool, with a balcony

Partial Ocean View

$399/night Combination of garden and ocean views with a balcony
Ocean View $429/night Overlooking the white sand beach of Kalapaki with a balcony

Deluxe Ocean View

(Limited availability, reserve early)

$439/night Overlooking the crystal blue waters of the Pacific Ocean, with some rooms including a balcony

By booking your lodging with Symposia Medicus, the resort fee charge of $30.00 per room, per night is discounted to $10.00. The Resort Fee includes (subject to change) self-parking, enhanced internet service, choice of 2 Mai Tais or 2 - 16 oz. Kauai coffees or 2 breakfast pastries at Aupaka Terrace (per room, per stay), 800 local/long distance calls, 60 minutes of international calls, cultural classes, fitness classes, bottled water (one liter) per day, and professional photo session with one complimentary digital photo and 10% off professional photo session (55 images) with Bali Hai Photo (appointments required).

The resort also provides complimentary airport shuttle service, 24 hours a day, to/from Lihue Airport.


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 14.962% state & local taxes
- $10.00 resort fee (discounted from $30.00)

Maximum guestroom occupancy is four, regardless of age

Mandatory additional occupant charge (13 years and older) is $50.00 per person, per night (includes additional occupant lodging fee, daily buffet breakfast, taxes, and gratuities)

Children 12 years and 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. PLEASE NOTE TWO BEDDED ROOMS ARE VERY LIMITED. THE RESORT WILL TRY TO ACCOMMODATE YOUR REQUEST, HOWEVER, IT IS NOT GUARANTEED.

Rollaway beds are available at an additional cost of $35.00 per night and cribs are available on a complimentary basis (subject to availability and change). Only one rollaway bed OR one crib is allowed per room.

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.

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 $25.00/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: Self-parking is complimentary and valet is available for $10.00 per day (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
February 27, 2019; however, tuition, less 10% processing fee, may be applied to a future Symposia Medicus

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 30, 2019. Between January 31, 2019 and
February 27, 2019, one night’s deposit is forfeited. After February 27, 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 Lihue Airport (LIH), which is approximately 10 minutes from the Kauai Marriott 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 ECMZ813 in the “Discount Code” box, located at the right-hand side of the page.
Please note discount has blackout dates of March 29-31, 2019 and April 5-7, 2019; discount will only apply to flights before or after these dates.
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.
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 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