“Great lectures, important material, and great locations for conferences.”
– J. Cintado, MD

“Symposia Medicus has always offered excellent conferences at excellent venues.”
– D. Jackson, PA-C

“Fun conference, great speakers, up-to-date information, with an accessible format.”
– L. Kietzman, MD


Emergency medicine and acute care involve 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.

Our 24th Annual Fall Conference on Emergency Medicine & Acute Care is designed for emergency physicians, nurses, nurse practitioners, physician associates and out-of-hospital providers. 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 learner knowledge, improve the competence and performance of all attendees, and contribute to their 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 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…

Describe the impact of ED boarding on hospital quality of care

Evaluate and incorporate non-opioid pain management techniques

Describe key components of an efficient and effective orthopedic physical exam

Develop strategies in prehospital and ED settings that can decrease postpartum deaths

Describe causes of malignant arrhythmias that fail to respond to standard ACLS measures


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 accredited education activity was planned and produced in accordance with the ACCME and ANCC Standards for Integrity and Independence in Accredited Continuing 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.

This ACE activity was developed with standards to address California Assembly Bill (AB) 1195 cultural and linguistic competency (CLC) and CA AB 241 implicit bias (IB) to reduce health disparities. Please refer to the accreditation page on our website for resources.

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.

Physician Associates
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. Physician associates 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 2.5 pharmacotherapeutic credits 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.


Each registrant will have online access to educational session materials. The educational session materials will be available for download approximately one week prior to the conference (you’ll receive an email with instructions).

If you are unable to attend this conference, you may purchase an electronic copy of the educational session materials one week after the conference. Please email publications@symposiamedicus.org for more information.


We care about the health and safety of our conference attendees. As the event gets closer, Symposia Medicus will communicate any relevant health and safety policies and procedures implemented by us and/or the conference venue.


We have arranged with TAM Travel, our selected tour company in Costa Rica, to provide Symposia Medicus conference attendees with tour options and ground transportation. For more information and to reserve tours and/or ground transportation, please visit https://www.wetravel.com/trips/symposia-medicus-tam-travel-corporation-72683842.

To receive additional information about the conference hotel, location, tours or nearby attractions, and ground transportation, please visit our website at www.symposiamedicus.org.


Andy Godwin, MD, FACEP
Conference Co-Chair

Professor of Emergency Medicine
Chair & Chief of Service
Department of Emergency Medicine
Assistant Dean, Simulation Education
University of Florida College of Medicine
Jacksonville, Florida

Andrew Herring, MD
Director of Research
Department of Emergency Medicine
Alameda Health System
Highland Hospital
System Director of Substance Use Disorder Treatment
Medical Director, Bridge Clinic
Co-Director, CA Bridge
PI Public Health Institute
Volunteer Assistant Clinical Professor
Emergency Medicine
University of California, San Francisco
San Francisco, California

Carolyn K. Holland, MD, MEd
Clinical Associate Professor &
Vice Chair of Quality & Safety
Department of Emergency Medicine
Division Chief & Interim Fellowship
Program Director
Pediatric Emergency Medicine
Affiliate Clinical Associate Professor
Department of Pediatrics
Medical Director
UF Health Pediatric
Emergency Department
University of Florida Health
Gainesville, Florida

Amal Mattu, MD
Conference Co-Chair

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

Arun Sayal, MD, CCFP(EM), FCFP
Physician, Emergency Department & Fracture Clinic
North York General Hospital
Professor, Division of EM, DFCM
University of Toronto
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 with ineligible companies within the past 24 months. Symposia Medicus will also ensure that any and all relevant financial relationships with ineligible companies will be mitigated before the conference commences. Beyond disclosure and mitigation 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 on site.

faculty photo


Wednesday, November 13

7:00am Registration & Check-In
8:00 Welcome & Introduction
Andy Godwin, MD & Amal Mattu, MD
8:15 Can’t Miss Critical ECGs
Amal Mattu, MD
9:00 The Rapid Orthopedic Exam—Pearls for Urgent Care & Emergency Physicians
Arun Sayal, MD
9:45 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:15 Break
10:30 The Impact of ED Boarding & Workplace Violence on Quality & Patient Outcomes
Andy Godwin, MD
11:15 Think Outside the Box to Solve the Unsolvable: How Telemedicine Can Fix Crowding & Save Emergency Medicine
Andrew Herring, MD
Noon Postpartum Access, Management, and Continuity of Care: The Role of Emergency Services in the Efforts to Decrease Maternal Mortality
Carolyn K. Holland, MD, MEd
12:45pm Questions & Answers
Group Discussion

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

Thursday, November 14

8:00am Pro Tips for Procedural Sedation From the Young to the Elderly
(Rx = 40 minutes)
Andy Godwin, MD
8:45 Treating Pain Amidst the Opioid Epidemic
(Rx = 15 minutes)
Andrew Herring, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break
10:15 Hypertensive Emergencies: Pearls & Pitfalls for Management
Andy Godwin, MD
11:00 Tackling Substance Abuse Disorder in the Urgent Care & Emergency Department Settings
(Rx = 15 minutes)
Andrew Herring, MD
11:45 Best Practices in Airway Management 2024: What the Literature Really Says
Andy Godwin, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Adjourn for the Day

Friday, November 15

3:00pm Smaller Group Breakouts – Session One
. ECG Mimics of Cardiac Ischemia
Amal Mattu, MD
. Joint Dislocation & Reductions: Hands-On Demonstration
Arun Sayal, MD
. Regional Anesthesia—The Who, What, When, Where, and How to Achieve Success
Andrew Herring, MD
. Case Studies: Trauma in Kids
Carolyn K. Holland, MD, MEd
4:30 Break
4:45 Smaller Group Breakouts – Session Two
(Session One Topics Repeated)
6:15 Adjourn for the Day

Saturday, November 16

8:00am Emergency Cardiology Update: Articles You’ve Got to Know!
(Rx = 20 minutes)
Amal Mattu, MD
8:45 Pediatric Hand & Wrist Fractures—When (& Why) to Worry
(Rx = 10 minutes)
Arun Sayal, MD
9:30 Questions & Answers
Group Discussion

Faculty Panel & Audience
10:00 Break (hotel check-out, if applicable)
10:15 Recognizing Oncologic & Chemotherapy-Related Emergencies
(Rx = 15 minutes)
Carolyn K. Holland, MD, MEd
11:00 Acutely Injured Knee: 8 Diagnoses to Consider Before Writing “STI Knee”
(Rx = 10 minutes)
Arun Sayal, MD
11:45 High-Risk Arrhythmias That ACLS Will Kill
(Rx = 25 minutes)
Amal Mattu, MD
12:30pm Questions & Answers
Group Discussion

Faculty Panel & Audience
1:15 Conference Adjourns

Rx = Pharmacotherapeutic CEUs for nurses
will be granted for these sessions


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 widely-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 30-minute drive) and other tourist attractions such as Arenal Volcano National Park (130 miles) and Monteverde Cloud Forest Reserve (100 miles).

Located on Mansita Beach in Hacienda Pinilla, the JW Marriott Guanacaste Resort & Spa sits 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, riding ATVs, scuba diving, and zip-lining through the canopies of the rain forest. Costa Rica truly is a paradise for those who are in search of a combination of beauty, history, culture, and both land and water sports.

Whatever your pleasure, you’ll be sure to find it in Costa Rica, at our 24th Annual Fall Conference on Emergency Medicine & Acute Care.


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 in the following ways:

Online via our website, www.symposiamedicus.org; 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 102, Pleasant Hill, CA 94523-2287

Please visit www.symposiamedicus.org or call (925) 969-1789 for additional questions or information


If postmarked by
September 4, 2024
If postmarked after
September 4, 2024
Physicians $895 $995
Nurses, PAs, & All Others $795 $895

Discounts are available for retired healthcare providers, active U.S. military, residents, and groups of three or more. For more information, please contact Symposia Medicus prior to registering.

Tuition includes continuing education, online access to educational session materials, and break refreshments for conference registrants. Tuition also includes a group reception for faculty, registrants, and their guests.

Conference registration will be confirmed via email


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.


Type of Room Group Rates
Deluxe Garden View $214/night All rooms are 556 sq. ft. and feature either a king bed or two double beds. Guest rooms offer a closet, bathroom, high-speed internet access, 32” flat screen TV, iPod docking station, Marriott´s luxury bedding, minibar, iron & ironing board, in-room safe, work desk, hair dryer, coffee maker, voice messaging, 24-hour room service, 3 telephones per room, and a terrace or balcony. Rooms only differ by view and floor.
*Deluxe Pool View $280/night
Deluxe Ocean View $322/night
*Deluxe Ocean Front $364/night

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 Dynamic Exercise, 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.

*Units are VERY limited; reserve early. Other rooms not listed above may be available.
Please 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):
- 13% sales tax
- $7.00 mandatory housekeeping charge

Maximum guestroom occupancy is four, regardless of age (no exceptions)

Mandatory additional occupant charge (13 years & older) is $45.00 per person, per night (includes daily buffet breakfast & taxes)

Children 12 years & under are complimentary when sharing with parents (includes daily buffet breakfast
& taxes)

Rollaways & Cribs: Rollaway beds & 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 will require a credit card and will place a hold for your
total room & tax charges, plus $50/day for incidental charges, for your entire stay. Please be aware that if
you use a debit card instead of a credit card, the funds will be immediately deducted from your account (even
if you have prepaid your stay). The amount will be based on the average length of your stay, plus an estimate of incidental charges. The length of time for which these holds remain on your credit or debit account varies from bank to bank.

Parking: Both valet and self-parking are complimentary for all conference guests

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 9, 2024;
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 11, 2024. Between September 12, 2024 and
October 9, 2024, one night’s deposit is forfeited. After October 9, 2024, 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.


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 estimated 1-¼ 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.

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

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 ECMK430 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 NY35Z 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 ZNQA939938 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.