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Exciting News! Our hotel room rates include daily buffet breakfast. Please see our lodging information inside the brochure for more details. 21 ST Annual Winter Conference on EMERGENCY MEDICINE Including Topics on: Emerging Infections, Trauma Management, Cardiogenic Pulmonary Edema, Procedural Sedation, Emergency Cardiology, Airway Management, and much more PRESIDENTE INTER-CONTINENTAL RESORT Cozumel, Mexico February 10-13, 2010 Sponsored by A Non-Profit Corporation for Continuing Medical Education Pleasant Hill, California I love conferences. They are fun and laid-back, but extremely informative. Their lectures are very up to date and thorough. helps make me a better physician. After attending several conferences, I now feel like I m part of the family! -Karen Scharlatt, MD I have attended four conferences. They are ALWAYS excellent in all categories, e.g., accommodations, extracurricular activities, program speakers, and content! Thank you! Keep up the great work it shows! -Sheila Falco, NP conferences are excellent! I have been to two now, and they are of great benefit to me. I highly recommend them. -James Simony, MD Register On-Line... for this conference or view other educational conferences at www.symposiamedicus.org

CONFERENCE DESCRIPTION This 21st Annual Winter Conference on Emergency Medicine is designed for emergency physicians, nurses, nurse practitioners, physician assistants, as well as out-of-hospital providers who see patients that need immediate care in the Emergency Department or Urgent Care setting. A wide variety of topics pertinent to the practice of the emergency care provider will be presented in lectures, case presentations, and interactive sessions. The goal of this conference is to present and critically assess recent advances and key topics in emergency medicine and to enhance the knowledge of providers, resulting in improved patient care. Content for this year s conference has been selected using extensive needs assessment data including past participant topic requests, clinical expert input, current practice guidelines, and Symposia Medicus on-line needs assessment survey of healthcare professionals involved in emergency medicine. An outstanding faculty has been selected based on their individual areas of expertise, their ability to communicate first-hand knowledge to others, and their commitment to address issues of current concern to attendees. You are sure to enjoy our 21st Annual Winter Conference on Emergency Medicine while sharing ideas and experiences with colleagues from across the U.S. and abroad in the tranquil and beautiful setting of Cozumel, Mexico. Conference OBJECTIVES At the conclusion of this conference, you should be able to: improve your approach to managing pediatric patients with fractures and non-traumatic orthopedic emergencies better apply the most up-to-date information in Emergency Department diagnostic testing, including ultrasound, MRI and ECG use appropriate clinical interventions in managing the airway improve your trauma management of cardiogenic pulmonary edema recognize and treat emerging infections better manage the patient with acute headaches and head injuries more accurately assess emergencies in the elderly better formulate individualized plans of action for procedural sedation ACCREDITATION This educational activity was planned and produced in accordance with the ACCME Essentials and Standards relating to continuing medical and nursing education. is accredited by the Accreditation Council on Continuing Medical Education (ACCME) to provide continuing medical education for physicians. is accredited as a provider of continuing education for nurses by the American Nurses Credentialing Center s Commission on Accreditation (ANCC). CONTINUING EDUCATION CREDIT Physicians designates this educational activity for a maximum of 18 AMA PRA Category 1 Credits. Application has been made to the American College of Emergency Physicians for ACEP Category 1 credit. Application for CME credit has been filed with the American Academy of Family Physicians (AAFP). Physician Assistants The American Academy of Physician Assistants accepts Category 1 CME approval from organizations accredited by ACCME. Nurse Practitioners/Nurses The ANCC contact hours awarded for the completion of this educational activity is 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 3.75 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. ROUND TABLE DISCUSSION SESSIONS Small group sessions will be held Friday afternoon. These Round Table Discussion Sessions, organized to provide an opportunity for greater participant/faculty interaction, will give you an opportunity to discuss subjects relating to your particular areas of interest. You are encouraged to bring cases or issues you are confronting in your clinical practice to discuss during these sessions. Educational Resources Each registrant will receive an extensive conference syllabus containing pertinent information on each topic presented. In an effort to reduce the environmental impact of printing on paper, this syllabus is now available on CD. You can request your syllabus on CD on our conference registration form. If you request a syllabus on CD and bring your laptop to the conference, please be aware that there are no electrical outlets at the conference tables. Make sure your laptop is fully charged each day. Extra copies of this syllabus, whether on CD or paper, are available for purchase by writing, with $45 payment to:, 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2200 (please refer to syllabus #1132 and indicate type of media preferred). Group Tours / GROUND TRANSPORTATION Tours are planned for participants and guests throughout the conference breaks. Additional information regarding tours, hotel, location and ground transportation will be sent. Each participant should only claim credit commensurate with the extent of their participation in the activity. Certificates of completion/credit will be given to participants on-site at the conclusion of the conference. Page 2

CONFERENCE FACULTY Peter M. DeBlieux, MD, FACEP Conference Co-Chair LSUHSC Clinical Professor of Pulmonary, Critical Care Medicine and Emergency Medicine University Hospital Director of Emergency Medicine Services LSUHSC EM Director of Faculty and Resident Development Louisiana State University Medical School New Orleans, Louisiana Steven A. Godwin, MD, FACEP Associate Professor Associate Chair, Dept. of Emergency Medicine Assistant Dean, Simulation Education University of Florida COM-Jacksonville Jacksonville, Florida, FAAEM, FACEP Conference Co-Chair Associate Professor of Emergency Medicine University of Maryland School of Medicine Program Director, Emergency Medicine Residency Program Baltimore, Maryland Scott W. Melanson, MD, FACEP, FAAEM Associate Professor of Emergency Medicine Temple University School of Medicine Program Director, Emergency Medicine Residency St. Luke s Hospital & Trauma Center Bethlehem, Pennsylvania George A. (Tony) Woodward, MD, MBA Professor of Pediatrics University of Washington School of Medicine Chief, Division of Emergency Medicine Medical Director, Transport Services Children s Hospital and Regional Medical Center Seattle, Washington Consistent with ACCME and ANCC policy, faculty for this educational activity are asked to disclose any commercial interests that may create or may be perceived as creating a conflict related to the material they will be presenting, as well as limitations on clinical studies presented, and any off-label use suggestions for medical products. Additionally, employees and board members of have disclosed that they have no significant financial relationships that could pose a conflict of interest in the planning of this conference. This information is intended to assist you in forming your own judgments about content presented. Disclosure information will be included in your syllabus and/or verbally disclosed at the conference. CONFERENCE SCHEDULE Wednesday, February 10 7:00am Registration & Check-in 8:00 Conference & Faculty Introduction 8:15 Ear Emergencies: 2010 Update 9:00 Emerging Infections: Bugs That Really Bite (including MRSA) (Rx = 40 minutes) 9:45 Questions & Answers / Group Discussion 10:00 Break 10:15 Update on Trauma Management 11:00 Emergencies in the Elderly: From Trauma to Medication Mishaps (Rx = 35 minutes) 11:45 Pediatric Fractures: Identification & Management 12:30pm Questions & Answers / Group Discussion 1:30 Adjourn for the Day 5:30- Group Reception 7:00pm (for Faculty, Registrants & Their Guests) Thursday, February 11 8:00am Emergency Department Ultrasound: The Basics 8:45 Current Management of Cardiogenic Pulmonary Edema: Beyond the Dogma (Rx = 30 minutes) 9:30 Questions & Answers / Group Discussion 10:00 Break 10:15 Procedural Sedation: From the Young to the Elderly Getting it Right! (Rx = 45 minutes) 11:00 The Mighty Magnet: Indications for MRI in the ED 11:45 Deadly Misdiagnoses in ECG Interpretation 12:30pm Questions & Answers / Group Discussion 1:15 Adjourn for the Day Friday, February 12 3:30pm ROUND TABLE DISCUSSIONS ~ SESSION ONE 5:00 Break Pediatric Transport & Trauma Cases In-Depth Emergency Department Ultrasound: Case Studies Challenging Cases in Mechanical Ventilation Emergency Cardiology 2010: The Articles You ve Got to Know! 5:15 ROUND TABLE DISCUSSIONS ~ SESSION TWO Session One Topics Repeated 6:45 Adjourn for the Day Saturday, February 13 8:00am Evaluation & Management of Pediatric Head Injuries 8:45 Management of Acute Headaches (Rx = 15 minutes) 9:30 Questions & Answers Group Discussion 10:00 Break (Hotel Check-Out if Applicable) 10:30 Common Airway Miscues 11:15 The Latest Airway Devices: What Should Be in Your Rescue Toolbox Noon Non-Traumatic Pediatric Orthopedic Emergencies 12:45 Questions & Answers Group Discussion 1:30 Conference Adjourns Rx = Pharmacology Credit for Prescriptive Authority will be granted for these sessions Page 3

CONFERENCE REGISTRATION INFORMATION Enrollment for this conference is limited in order to provide the best possible learning environment. Early registration is advised. Tuition Fees: EARLY REGULAR If postmarked by If postmarked after December 2, 2009 December 2, 2009 Physicians $610 $660 Residents, PA s & Nurses $510 $560 Tuition includes continuing education certification, extensive conference syllabus, group reception and refreshments. Tuition may be paid by check, money order, Visa, MasterCard or Discover Card. Register on-line at www.symposiamedicus.org or use the form in this brochure, and if paid by check, make payable and send with registration form to, 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2200; OR, Telephone registrations can be made Monday through Friday, 8:30am-5:00pm (Pacific Time), by calling (925) 969-1789 or (800) 327-3161. Registrations can also be faxed with Visa, MasterCard or Discover Card information to (925) 969-1795. Conference registration will be confirmed in writing and more information on travel, hotel and tours will be sent. Conference cancellations must be confirmed in writing and a 10% of paid tuition processing fee will be assessed. No refunds will be made if cancellation is postmarked after January 6, 2010, however, tuition, less 10% processing fee, may be applied to a future conference. In the event of conference cancellation by Symposia Medicus, full tuition refunds will be made. This conference meets the requirements for CE deductibility under the Tax Reform Act. We suggest you consult with your financial authority for more information. For additional conference or lodging information, call at (800) 327-3161 or (925) 969-1789 or email us at info@symposiamedicus.org. For information on air reservations and ticketing assistance, you may either call your travel agent or the airlines direct. Please see the Airline Travel Information portion of this brochure for further information. AIRLINE TRAVEL INFORMATION You can fly into Cozumel International Airport, which is approximately 20 minutes from the resort; however, lower fares can often be found by flying into Cancun International Airport, which is approximately an hour and a half drive to Playa Del Carmen and then a 45 minute ferry ride to Cozumel. has arranged reliable ground transportation from the Cancun airport to the Playa del Carmen ferry and from the Cozumel dock to the resort. has arranged group discounts with Alaska, American, Jet Blue and United Airlines for this conference. Reservations can be made either through each individual airlines Convention Desk at the numbers listed below or through your travel agent. IN ORDER TO RECEIVE THE DISCOUNTED RATE, YOU OR YOUR TRAVEL AGENT MUST REFER TO THE SYMPOSIA MEDICUS ID NUMBER LISTED BELOW: Airlines to Cancun, Mexico (Conference Discounts available): Alaska Airlines For discounts on Alaska Airlines flights, please book online at www.alaskaair.com and insert ECCMB1010 into the e-certificate code box. For questions, please call the Alaska Airline Convention Desk at (800) 445-4435 American Airlines (800) 433-1790 Ref # 1320SS Jet Blue Airlines For discounts on Jet Blue Airlines flights, please book online at www.jetblue.com/promo and Insert SYMPOSIA1132 into the promotion code box. The discount is only available online. United Airlines (800) 521-4041 Ref # 563JI Airlines to Cozumel, Mexico (Conference Discounts available): CONFERENCE LODGING INFORMATION Group rates have been arranged at the Presidente Inter-Continental Resort in Cozumel. These rates will also be available three days before and three days after the conference, based on availability, if you wish to extend your stay. You will receive these special rates by: Reserving on-line at www.sympoisamedicus.org Telephone reservations can be made Monday-Friday, 8:30am-5:00pm (Pacific Time), by calling (925) 969-1789 or (800) 327-3161. Reservations may also be faxed if paying with Visa, MasterCard, or Discover Card to (925) 969-1795. If paying by check, make payable to and send with registration form to 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2300. Please note that our block of rooms is limited and are on a first come, first served basis. PLEASE RESERVE EARLY as rooms may sell out and/or room rates may increase. GROUP RATES STATED BELOW ARE Single/Double Occupancy AND INCLUDE daily buffet breakfast for all guests in room (maximum occupancy cannot be exceeded): Room Types Rates Descriptions Pool View $239/night Located in the main tower, overlooking the pool and gardens. Ocean View $289/night Located in north and south 2-storied buildings. Views of the beach and the Caribbean. Beach Front $330/night Located in north and south low rise buildings, with terrace, offering direct access to the beach. * 1 Bedroom $360/night Located in main tower. All suites include balconies with sea Ocean Suite views and living room area with couch (not pullout). All rooms feature Egyptian cotton duvets, bathrobes, flat screen TV, complimentary wireless internet, in-room safe, minibar, coffee maker, hairdryer, vanity mirror, scale, complimentary bottled water, alarm clock radios with MP3 ports, and either a terrace or balcony. *These rooms are limited, please reserve early Room rates do not include federal tax of 10% and lodging tax of 2% nor $12 maid and bellman gratuities per room, per night (all subject to change). Maximum room occupancy is three adults OR two adults and two children (12 years and under) and cannot be exceeded. Additional occupant charges (includes daily buffet breakfast): - Children 12 years and under are complimentary in room with adults - Children 13 to 17 years old are an additional $22 each per night, plus taxes & gratuities - Third adult (18 & over) is an additional $50 per night, plus taxes & gratuities Cribs and Rollaways are available at no additional cost (subject to availability). Check-in time is 3:00pm; check-out time is Noon. Any departure after this time is subject to a full day s charge, unless prior arrangements have been made with front desk. In that case, there will be a $60 charge plus federal tax of 10% and lodging tax of 2%, with check out extended to 4:00pm. A 30-minute break has been allotted in our conference schedule on Saturday for those needing to check out. Two nights deposit must accompany the reservation form. The balance of lodging payment, as well as any incidental charges, is due to the hotel upon checkout. The hotel accepts most major credit cards. Per our hotel group contract, hotel cancellations must be made in writing to Symposia Medicus and you will receive a full refund of hotel deposit if postmarked by December 9, 2009. Between December 10, 2009 and January 6, 2010, one night s deposit is forfeited. After January 6, 2010, no hotel refunds can be made. All cancellations must be made in writing and postmarked by the dates stated above. American Airlines (800) 433-1790 Ref # 1320SS Airlines to Cozumel, Mexico (No Conference Discounts): Continental Airlines (800) 523-3273 www.continental.com U.S. Airways (800) 428-4322 www.usairways.com Page 4

CONFERENCE LOCATION You won t want to miss our Winter Conference on Emergency Medicine in the beautiful surroundings of Cozumel, the largest inhabited island in Mexico. The Presidente Inter-Continental Resort, our conference hotel, offers a true island experience, combining the beauty of the Caribbean with the charming hospitality of the Mexican people. Located 12 miles off the Yucatan Peninsula, Cozumel s reef system is part of the largest reef chain in the world with water visibility of up to 200 feet, thereby creating a Mecca for divers and underwater environment explorers. In addition to excellent scuba diving, other popular water activities include snorkeling and sport fishing. Float in the sparkling pool or laze the golden day away on Cozumel s most prized white coral sand beach, just steps from your room. On land, perfect your tennis game day or night on lighted courts. Shop in Cozumel s large modern plaza, or meander through the many small shops and open-air markets. Explore the ancient ruins of the mysterious Mayan civilization. If you want to tour Chichen Itza or any of the other Mayan ruins, we recommend you arrive a day or two before the conference or remain a day or so longer on the mainland. Your participation in our Winter Conference on Emergency Medicine promises to be an experience you won t forget. 2009 CALENDAR OF FUTURE CONFERENCES 1111 14th Annual Summer Conference on Primary Care Medicine Big Sky Montana (Near Yellowstone Nat l Park) Jul 15-18 1113 11th Annual Summer Conference on Pediatrics Big Sky Montana (Near Yellowstone Nat l Park) Jul 22-25 1112 Clinical Issues in Pediatric Emergencies Alaskan Cruise (Celebrity Cruise Lines) Jul 31-Aug 7 1114 4th Annual Conference on Clinical Issues in Hospital Medicine Los Cabos, Mexico Sep 9-12 1119 Current Issues in Women s Health Mediterranean Cruise (Celebrity Cruise Lines) Sep 26-Oct 3 1124 Medical Dilemmas 2009 Western Caribbean Cruise (Royal Caribbean Cruise Line) Oct 3-10 1121 25th Annual Fall Conference on Pediatric Emergencies Aruba, Dutch Caribbean Oct 21-24 1125 20th Annual Conference on Hot Topics in Primary Care Medicine Atlantis Resort, Bahamas Nov 11-14 1122 Emergencies in Pediatrics New York City, New York Dec 18-19 1130 Emergencies in Primary Care New York City, New York Dec 18-19 2010 CALENDAR OF FUTURE CONFERENCES 1135 17th Annual Winter Conference on Primary Care Breckenridge, Colorado Mar 2-6 1137 10th Annual Winter Conference on Pediatric Emergencies Keystone, Colorado Mar 2-6 1138 9th Annual Spring Conference on Challenges in Primary Care Medicine Los Cabos, Mexico Mar 10-13 1141 14th Annual Spring Conference on Pediatric Emergencies Guanacaste, Costa Rica Apr 14-17 1142 21st Annual Spring Conference on Pediatrics Kauai, Hawaii Apr 21-24 1150 15th Annual Summer Conference on Primary Care Medicine Napa Valley, California Jun 23-26 1148 12th Annual Summer Conference on Pediatrics Napa Valley, California Jul 7-10 1152 6th Annual Summer Conference on Emergency Medicine Alaskan Cruise (Celebrity Cruise Lines) Jul 30-Aug 6 For more information on any of these conferences, please write to:, 399 Taylor Blvd., Suite 201, Pleasant Hill, CA 94523-2200; call (800) 327-3161 or (925) 969-1789; email us at info@symposiamedicus.org; OR visit our website at www.symposiamedicus.org to view brochures of upcoming conferences. Brochures are available 6-8 months prior to conference. Page 5

CONFERENCE & LODGING REGISTRATION FORM Register on-line at www.symposiamedicus.org OR complete this form and mail or fax with appropriate payment to: 399 Taylor Blvd., Suite 201 Pleasant Hill, CA 94523-2200 Phone (925) 969-1789 or (800) 327-3161 Fax (925) 969-1795 PLEASE TYPE OR PRINT (Show name and one degree as you would like it printed on your conference materials): SYMPOSIA MEDICUS 21 ST Annual Winter Conference on EMERGENCY MEDICINE Presidente Inter-Continental Resort Cozumel, Mexico February 10-13, 2010 Registrant s Name: Degree: Last First Registrant s Mailing Address: Street City State Zip If this is a hospital or office address, please show name/suite # here: Work: ( ) Home: ( ) Fax: ( ) Cell: ( ) E-mail: Professional Name of Hospital Specialty: or Workplace: Do you have a copy of the brochure for this conference? Yes No In an effort to reduce the environmental impact of printing on paper, our conference syllabus is now available on CD. If you would like your syllabus on CD, please check here. *(If you request a syllabus on CD and bring your laptop to the conference, please be aware that there are no electrical outlets at the conference tables. Make sure your laptop is fully charged each day). #1132 LODGING RESERVATIONS Please reserve accommodations at the Presidente Inter-Continental Resort for: Arrival: / / Departure: / / (DAY of the week) Month Day Year (DAY of the week) Month Day Year GROUP RATES (Single / Double Occupancy) Includes daily buffet breakfast for all guests in room: Pool View Ocean View Beach Front *1-Bedroom Ocean Suite *Limited availability Reserve Early! $239/night $289/night $330/night $360/night Room rates do not include federal tax of 10% and lodging tax of 2%, nor $12 maid and bellman gratuities per room, per night (all subject to change). Maximum room occupancy is three adults OR two adults and two children (12 years and under). Additional occupant charges (includes daily buffet breakfast): - Children 12 years and under are complimentary in room with adults - Children 13 to 17 years old are an additional $22 each per night, plus taxes & gratuities - Third adult (18 & over) is an additional $50 per night, plus taxes & gratuities Preferred Bed Type: King/Queen Two Double Beds (Cannot Guarantee) Names of All Room Occupants (and ages, if children) Please circle names of room occupants (other than you) who are registered for this conference Other Comments/Requests TUITION AMOUNT DUE $ $ TWO NIGHTS LODGING DEPOSIT - ROOM RATE ONLY (Note: Balance of hotel charges will be due to hotel upon check-out) Payment Type: Check (Please Enclose) Visa MasterCard Discover $ TOTAL Card Number Expiration Date Month/Year - - - / Security # (last 3 digits on back of credit card) Billing Address: (if different from above) Street City State Zip Cardholder s Name: Signature: ALL INFORMATION STATED ABOVE WILL REMAIN CONFIDENTIAL TO SYMPOSIA MEDICUS Copies of this form can be used for additional registrations Telephone registrations may be taken with Visa, MasterCard, or Discover Monday-Friday, 8:30am-5:00pm (Pacific Time) Phones: (800) 327-3161 or (925) 969-1789, or Fax (925) 969-1795 Visit our website for other educational conferences and/or to register on-line at: www.symposiamedicus.org Page 6