The Pennsylvania College of Emergency Physicians and the national American College of Emergency Physicians (ACEP) held an international symposium on ED computer systems, November 12-15 2010 in Miami. This was the fifteenth year for the conference. The focus was on how to effectively and efficiently use computer technology for ED process improvement. There were attendees from the 6000-bed Chang Gung Memorial Hospital in Taipei, and from the UK. Reviews from the attendees and from the vendors seemed quite positive. In 2009, there was no conference due to the worldwide recession. The 2010 conference’s attendance was below projections. There are various theories as to why this was so: the continued economic slump, the transition in many hospitals to being forced to use the ED module of an enterprise system rather than a niche system, and others. Regardless, PACEP and national ACEP have determined not to offer this conference in the future. This website documents some of the important ideas discussed at these conferences, still relevant in 2025.