29th Annual High Risk Emergency Medicine Course

Las Vegas, NV US
September 17, 2018 to September 18, 2018

September 17 - 18, 2018 - Caesars Palace, Las Vegas, NV

Designed and taught by emergency physicians and medical malpractice attorneys, this HREM course is a comprehensive review of the medical-legal issues inherent to the practice of Emergency Medicine.
Using actual case analysis and a review of the medical literature, this CME course identifies the critical components of the history, physical exam and data collection process that are critical to assuring a well-supported evaluation, treatment and disposition. Important principles in communication, documentation, medical-legal strategies and EMTALA compliance are discussed to help participants develop an effective Emergency Department Risk Management Program.
The Twenty-Ninth Annual Edition of this emergency medicine CME course has been revised to include the most recent, relevant literature, malpractice and EMTALA cases. Participants will also receive a comprehensive Risk Management syllabus and annotated bibliography that features practical management recommendations for reducing risk while providing high quality patient care.

Target Audience

This course is designed to benefit physicians, nurses, and physician assistants providing acute care. Malpractice attorneys, hospital risk management staff, and quality management staff will also benefit from this CME course.




Standard Cost
Physicians $799.00
Advanced Practice Providers $499.00
Nurses  $499.00
Residents $349.00
Risk Managers, Administrators, Lawyers $799.00
USACS Clinicians $399.00


Cancellations must be made in writing to CEME at ceme@ceme.org. Refunds, less a $50 processing fee, are provided if cancellation occurs prior to the start of the course. 

Learning Objectives

After completing this CME course, participants should be able to:

  • Review current medical literature and analyze actual emergency medicine malpractice cases to improve patient outcomes and avoid malpractice claims.
  • Identify the critical components of the history, physical exam and data collection process that are critical to assuring a well-supported evaluation, treatment and disposition of Emergency Department patients.
  • Develop an effective Emergency Department Risk Management program.



Course summary
Available credit: 
  • 15.75 AMA PRA Category 1 Credits™
  • 15.75 Certificate of Participation
Course opens: 
Course expires: 
Event starts: 
09/17/2018 - 7:30am EDT
Event ends: 
09/18/2018 - 5:00pm EDT
Caesars Palace
3570 S. Las Vegas Blvd
Las Vegas, NV 89109
United States
+1 (866) 227-5938

To book a room in the High Risk room block at Caesars Palace, click the link below:




is a Senior Director of Quality for US Acute Care Solutions (USACS), and serves on the Board of Directors for Physicians Specialty Limited Risk Retention Group (PSLRRG).  He is a professor in the Department of Emergency Medicine at the University of Nevada, Las Vegas (UNLV) School of Medicine, where he serves as Program Director of the emergency medicine residency and Vice Chair for Quality & Education. Dr. Berkeley is an expert peer reviewer for the Nevada State Board of Medical Examiners, and serves on the Claims Committee for USACS as well as the Claims and Underwriting Committee for ProAssurance Casualty Company. He has served as the Quality Director of emergency departments in both community and academic settings, and currently co-chairs the Quality & Patient Safety Committee at University Medical Center (UMC) of Southern Nevada in Las Vegas, NV.



is a frequent speaker on the national and international CME circuit on topics related to emergency cardiology and geriatrics. He is the author of the best-selling texts ECGs for the Emergency Physician Volume 1 and Volume 2, has served as chief editor for two other popular textbooks focused on errors in emergency medicine. In 1996, he joined the faculty of emergency medicine at the University of Maryland, and since that time he has received more than a dozen teaching awards, including Teacher of the Year from the University of Maryland at Baltimore, and national teaching awards from the American Academy of Emergency Medicine and the American College of



is in the full-time practice of emergency medicine and serves as the Medical Director of the Emergency Department of Chinese Hospital in San Francisco, CA. He serves on the Board of Directors of Physicians Specialty Limited Risk Retention Group, and is a diplomat of the American Board of Emergency Medicine. Dr. Nipomnick is an Expert Medical Reviewer for CMS, Maximus Federal Services, the Medical Board of California, the Veterans Administration, and Lumetra HealthCare Solutions. Dr. Nipomnick has provided medical legal consultation to insurance companies, hospitals, and attorneys in several states since 1990.


is an Associate Professor and Director of Research for the Department of Emergency Medicine at the University of Nevada School of Medicine and practices clinically at University Medical Center of Southern Nevada. He also serves as a Deputy Chief and EMS Medical Director for Las Vegas Fire & Rescue and provides medical oversight for casino AED programs. He currently serves on the National CARES Oversight Board and is an Associate Editor for the Journal of Emergency Medicine. He is a past president of the Nevada Chapter of the American College of Emergency Medicine, is a diplomat of the American Board of Emergency Medicine, ABEM Subspecialty Board Certified in EMS, and a Fellow of the American College of Emergency Medicine.


NATHAN CLEVELAND, MD, MS, FACEPis the Director of Education for USACS Colorado Mountain South.  He is a diplomate of the American Board of Emergency Medicine and practices emergency medicine full-time in Denver, CO. He is Dr. Cleveland is also a member of the USACS Quality & Patient Safety Committee, as well as the USACS Claims Committee.


is Chief Medical Officer of USACS. He previously served as Executive Medical Director of CEME. Dr. Aldeen joined USACS in 2014 from Northwestern Memorial Hospital, where he was site principal investigator for the CMS-funded Geriatric Emergency Department Innovations project, developing protocols to improve care of older adults in the ED. He was the recipient of the Northwestern EM faculty teaching award for six years in a row, and the Amer Aldeen Junior Faculty Teaching Award is named after him. Dr. Aldeen is co-author of 1200 Questions to Help You Pass the Emergency Medicine Boards.  



is the medical director of Pediatric Emergency Services at the Children’s Hospital of Nevada at UMC in Las Vegas, NV, where he has practiced clinically for 25 years. He is a clinical professor of pediatrics and assistant professor of emergency medicine at the UNLV School of Medicine. Dr. Fisher is a three-time recipient of the Excellence in Training Award by the University of Nevada School of Medicine pediatric residency, and was recognized with the Bernard Feldman Distinguished Lectureship Award. He was the 2016 recipient of the Healthcare Heroes Care Provider award by Nevada Business Magazine.



is Vice President for Claims and Risk Management at US Acute Care Solutions. He is responsible for all malpractice litigation defense and works with clinical leadership to drive risk management initiatives throughout the organization with nearly six million patient visits annually. Dusty worked for eight years for Emergency Service Partners, now USACS Southwest, as Associate General Counsel and Director of Risk Management. Under Dusty’s leadership, the company achieved several measures of exceptional performance in claims and risk management, including rates of claims far less than one-half of local benchmarks. Dusty is co-founder of ED CLEAR™, an evidence-based video risk management program. Earlier in his career, he provided malpractice risk management counsel for ProAssurance Corporation, and practiced in litigation with Maynard, Cooper & Gale in Birmingham, Alabama.



is an assistant professor in the UNLV School of Medicine, and is the Associate Program Director for the UNLV emergency medicine residency program.  He serves as medical director for the Boulder City Fire Department as well as Lee Canyon Ski Patrol.  Dr. Patel also works at Camp Cartwheel, a camp which serves with children with chronic illness through the Nevada Children's Cancer Foundation.



 Disclosure of Faculty Financial Interests or Relationships: 

It is the policy of the Center for Emergency Medical Education (CEME) to insure balance, independence, objectivity, and scientific rigor in all its sponsored educational activities, and that all contributors present information in an objective, unbiased manner without endorsement or criticism of specific products or services and that the relationships that contributors disclose will not influence their contributions. In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Center for Emergency Medical Education (CEME) requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias. All individuals in a position to control the content of this CME activity have indicated that he/she has no relevant financial relationships, which, in the context of this CME activity, could be perceived as a potential conflict of interest. Complete disclosure of relevant (or no) financial relationships will be made to learners prior to the beginning of the CME activity. All faculty pictured may not be at all scheduled course dates. 

Available Credit

  • 15.75 AMA PRA Category 1 Credits™
  • 15.75 Certificate of Participation


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