“I choose to attend Symposia Medicus conferences because the staff has high attention-to-detail, materials are well-organized, and when or if I need to call I can always talk to a friendly and helpful staff member. The topics are always relevant and speakers are high quality”
- M. Prince, MD

“I love your meetings, they are always wonderful! I learn a lot, thanks!”
- E. Edison, NP

“It is considered excellence when you want to take a class despite the environmental temptations that accompany beautiful locations. Symposia Medicus does a great job!”
- T. Abooms, MD


Emergency and Urgent Care medicine involves the delivery of immediate medical care for the treatment of acute and chronic illness and injury. Practitioners providing emergency and urgent care need to be proficient in evaluating and caring for patients presenting with a broad range of acute medical problems.
Our Summer Conference on Acute Care of the Critically Ill Patient is designed to provide emergency physicians, nurses, nurse practitioners, PAs, as well as out-of-hospital providers with an extensive scope of knowledge and expertise in the evaluation and treatment of acute medical conditions. 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 Summer Conference on Acute Care of the Critically Ill Patient while sharing ideas and experiences with colleagues from across the country in the beautiful setting of Big Sky, Montana.


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

List current AHA recommendations for neonatal and pediatric resuscitation

Identify the two types of respiratory failure

Describe the clinically relevant physiology of compartment syndrome

Identify which patient populations are at high risk for misdiagnoses of acute coronary syndromes (ACS)

Develop methods that you can use to rationally prescribe analgesics for those in pain while limiting the risk for abuse, misuse, and diversion


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, Summer Conference on Acute Care of the Critically Ill Patient, with a beginning date of 07/24/2019, 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.

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 1 hour 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 $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.


Robert S. Hoffman, MD, FAACT, FACMT, FRCP Edin, FEAPCCT
Professor of Emergency Medicine & Medicine
Director, Division of Medical Toxicology
New York University School of Medicine & Bellevue Hospital Center
New York City, New York

Mimi Lu, MD
Clinical Assistant Professor
University of Maryland School of Medicine
Director of Pediatric Emergency Medicine
Upper Chesapeake Medical Center
Baltimore, Maryland

Haney A. Mallemat, MD
Associate Professor of Emergency Medicine
Associate Professor of Internal Medicine
University of Maryland School of Medicine
Baltimore, Maryland

Amal Mattu, MD, FAAEM, FACEP
Conference Chairman

Professor & Vice Chair of Emergency Medicine
University of Maryland School of Medicine
Baltimore, Maryland

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

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, July 24

7:00am Registration & Check-in
8:00 Welcome & Introduction
Amal Mattu, MD
8:15 Pediatric Resuscitation
Mimi Lu, MD
9:00 Respiratory Failure Made Ridiculously Simple
Haney A. Mallemat, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 Compartment Syndrome: Clinical Pearls
Arun Sayal, MD, CCFP(EM)
11:15 Why We Miss Acute Coronary Syndrome in the ED
Amal Mattu, MD
Noon The Six Million Dollar Man: When Medical Devices Fail
Haney A. Mallemat, MD
12:45pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:30 Adjourn for the Day

Group Reception
(Faculty, Participants, and Guests)

Thursday, July 25

8:00am ST Elevation Myocardial Infarction (STEMI) Without the STE: Non-ST-Segment Elevation (NSTE) Cases You’ve Got to Know!
Amal Mattu, MD
8:45 Stroke Mimics: Call the Alert, Hold the Tissue Plasminogen Activator (tPA) (Rx = 5 minutes)
Robert S. Hoffman, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Pediatric Tricks of the Trade
Mimi Lu, MD
11:00 Bites & Envenomations (Rx = 10 minutes)
Robert S. Hoffman, MD
11:45 Approach to the Patient with Undifferentiated Shock
Haney A. Mallemat, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, July 26

3:00pm Critical ECGs
Amal Mattu, MD
3:45 Challenging Pediatric Cases in a Community ED
Mimi Lu, MD
4:30 Break
4:45 Joint Dislocation Reductions: Hands-on Demonstration
Arun Sayal, MD, CCFP(EM)
5:30 Acid-Base Disorders (Finally) Made Easy
Robert S. Hoffman, MD

Adjourn for the Day

Saturday, July 27

8:00am Critical Care Year in Review
Haney A. Mallemat, MD
8:45 Pain Management: Balancing Good Care with Addiction (Rx = 20 minutes)
Robert S. Hoffman, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Identifying High-Risk Fractures: Looking Beyond the Obvious
Arun Sayal, MD, CCFP(EM)
11:00 Right Ventricular Dysfunction & Pulmonary Hypertension
Haney A. Mallemat, MD
11:45 Cooling the Fire!: Modern Management of Cardiac Arrest (Rx = 25 minutes)
Amal Mattu, 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


The setting for our conference is the beautiful Big Sky Resort, nestled in the majestic Northwestern Rockies, just an hour’s drive from Bozeman, Montana.

Big Sky is host to a multitude of summer activities. Take a scenic chair-lift ride up Lone Mountain and experience wonderful hiking and mountain biking, enjoy an invigorating horseback ride, or take to the rivers for incredible fly fishing and whitewater rafting. Big Sky also offers an 18-hole golf course, as well as a number of tennis courts, all offering spectacular views of the surrounding mountains.

The resort’s close proximity to Yellowstone National Park (the northwest border of the park is just 18 miles away) is yet another element of Big Sky’s appeal. Plan to spend time in Yellowstone observing the nation’s most impressive geysers and hot springs, including “Old Faithful” geyser, and be awestruck by the ever-present wildlife and majestic scenery in our country’s first established National Park.

Big Sky Resort is a self-contained village with many restaurants from which to choose, as well as live evening entertainment and dancing. The resort has a giant heated indoor/outdoor swimming pool, full spa, and whirlpools to help soothe those aching muscles at the end of a busy day. A full range of shops are available in and around Big Sky Resort offering everything from hiking supplies to fine art.

Whatever your pleasure, you’ll be sure to find it in Big Sky, at our Summer Conference on Acute Care of the Critically Ill Patient.


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
May 15, 2019
If postmarked after
May 15, 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 email


Conference group rates have been arranged at the Big Sky 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 accommodations are non-smoking and include
complimentary internet access in-room and throughout the resort)
Huntley Lodge: Main hotel lodge containing the Conference Center and spa
Huntley First Class (Room) $209/night 4 375 Rooms have two queen beds, mini refrigerator, TV, bathroom, wet bar, coffeemaker, iron & ironing board, and blow dryer.
Shoshone Building: Attached to the Huntley Lodge & Conference Center Most rooms face Lone Mountain or Andesite Mountain
Shoshone 1-Bedroom Condo $299/night 6 790 Has a private bedroom with one queen bed, 1-3/4 bathrooms, Murphy bed and double sleeper sofa in living room, fully-equipped kitchen, gas fireplace, and a small balcony.
Summit Building: Euro-western luxury hotel adjacent to the Mountain Village
A two-minute walk to the Huntley Lodge & Conference Center
*Summit Studio $269/night 2 450 Has a queen pull-down Murphy bed, kitchen, dining area, and bathroom.

*Summit Hotel
(2 Queen Beds)

$279/night 4 400 Has two queen beds, wet bar, and bathroom.

*Summit Hotel
(King Bed)

(Must call Symposia
Medicus for availability)

$289/night 2 400 Has one king bed, wet bar, and bathroom.
*Summit 1-Bedroom
$349/night 4 880 Has one or two queen beds, one sleeper sofa, full kitchen, dining area, and two bathrooms.

*Summit 2-Bedroom Condo

$409/night 6 1300 Has one queen bed in one bedroom, one king or two queen beds in second bedroom, and queen sleeper sofa in living room; three bathrooms, full kitchen and fireplace.
Village Center: Located between the Summit and Shoshone buildings and adjacent to the Huntley Lodge & Conference Center
Village 1, 2, & 3 Bedroom units may be available. Please call Symposia Medicus for rates and availability.
*Village Studio $269/night 2 432 Has queen pull-down Murphy bed, microwave, coffeemaker, small refrigerator & dishwasher, and bathroom.

*Units are VERY limited. Reserve early or, where indicated, call Symposia Medicus for availability at (925) 969-1789.


Hotel Policies

Above conference group rates are per room, per night and do not include the following (subject to change):
- 7% state accommodation tax
- 3% resort tax
- 9% resort service fee*

*The resort service fee includes the following (subject to change): Scenic lift rides, boat rentals at Lake Levinsky every Wednesday from 9am-1pm, resort bellman shuttle for transport within the Big Sky community, children’s activities in the Huntley Lodge lobby, nightly movies in the amphitheater, use of tennis courts, self-parking, luggage storage with bell staff upon arrival and/or departure, and assistance in printing boarding passes from Concierge.

Maximum guestroom occupancy as stated above cannot be exceeded

Mandatory additional occupant charge (over two in room), 13 years and older, is $25 per person, per night (includes daily buffet breakfast, taxes and gratuities)

Children 12 years and under are complimentary staying in room with adult (includes daily buffet breakfast) – not to exceed stated maximum occupancy

Rollaways & Cribs: Rollaway beds and cribs are $20 each, per night (based on availability and subject to change)

Check-in time is 5:00pm 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.

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 per day for estimated 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 $15 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 June 19, 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 May 22, 2019. Between May 23, 2019 and June 19, 2019, one night’s deposit is forfeited. After June 19, 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 Bozeman, Montana (BZN), which is approximately one hour from the Big Sky Resort. For information on ground transportation, please visit our website.

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.

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 ECMZ987 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 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