2013 conference REGISTRATION BROCHURE. A multi-discipline critical care meeting innovated by social media

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1 A multi-discipline critical care meeting innovated by social media 2013 conference march 2013 Sydney convention & exhibition Centre SYDNEY NSW AUSTRALIA REGISTRATION BROCHURE social media and critical care 2013 conference 1

2 Acknowledgements The Organising Committee is grateful to the following companies for their support of the conference: Platinum Sponsors Gold Sponsor Organising Committee Andrew Baker Christine Bowles Oliver Flower Roger Harris (Chair) Ming Le Cong Lewis Macken Matthew MacPartlin Venue The SMACC 2013 Conference will be held: Sydney Convention and Exhibition Centre: Darling Street Darling Harbour NSW 2000 Australia Tel: Web: SMACC 2013 Secretariat SMACC 2013 Secretariat C/- The Association Specialists Pty Ltd PO Box 576 Crows Nest NSW 1585 Australia Tel: Fax: smacc2013@theassociationspecialists.com.au Call for Abstracts The conference is calling for oral and poster presentations. Each abstarct will be judged in the following categories: Best Scientific, Best Educational Initiative, Best Social Media/Online- Resource. The winner in each category will be invited to present as part of the plenary program and receive a prize. Full author guidelines can be accessed on the SMACC 2013 website. Abstracts can only be submitted online via the SMACC 2013 website. Abstract Submission close now extended to Monday 10th December Website The SMACC 2013 Conference website will be updated regularly. For further information about the venue, sponsoring or exhibiting, provisional program, accommodation, social functions and registration information, please visit 2 social media and critical care 2013 conference

3 Key Dates Early Bird Registration Close: 1 February 2013 Conference: March 2013 Welcome Reception: 11 March 2013 conference Dinner: 12 March 2013 Invitation I am proud to present the program for SMACC This conference is the most exciting innovation in critical care education to date. We have assembled an outstanding lineup of speakers, combining the best from the emergency medicine, intensive care, anaesthesia, rural critical care and pre-hospital care specialties. You ve experienced Life in the Fast Lane, Emcrit and Intensive Care Network on-line. Now you can translate that virtual interaction into a personal experience and meet with their creators for real. SMACC 2013 will be using cutting-edge social media to deliver innovative meducation. You will be connected to the speakers, and each other, through live Twitter feeds, podcasts, vodcasts, Sim-wars, Sonogames, Pecha Kucha, Digital posters, the conference App and webinar transmissions. There will also be an incredible social program in Sydney, one of the best cities on the planet with the conference venue located in the heart of the city, right on our picturesque harbour. I invite you to register for SMACC Get involved now. Submit an abstract online, make a Pecha Kucha, register for Sonogames and Simwars. Follow us on smacc2013 (#smacc2013). Help us shape SMACC We look forward to meeting you at the Sydney Convention Centre in March. Roger Harris On behalf of the SMACC 2013 Organising Committee social media and critical care 2013 conference 3

4 Keynote Speakers Victoria Brazil Victoria is a Senior Staff Specialist at Royal Brisbane and Womens Hospital, where she has worked in clinical emergency medicine practice, and at the coalface of teaching, since Dr Brazil is also an Associate Professor within the School of Medicine at Bond University on the Gold Coast, where she is Theme Lead for Doctor as Practitioner. She is a previous Fulbright scholar (2002) and received the ACEM Teaching Excellence award in Victoria s interests in technology for medical education include simulation and scenario based learning, and modest contributions on Twitter...@Socratic_EM. Some of the latter are inadvertently made by her children playing on her ipad. Mike Cadogan Emergency Physician, sports doctor and social media tragic. Mike spends his spare time writing medical textbooks and devising numerous medical education resources. He is the founder of and medical editor for the medical blog Life in the Fast Lane, and founder of the Global Medical Education Project, imeducate and HealthEngine. Simon Carley Simon Carley is Professor of Emergency Medicine in Manchester, England. He is an active clinician at Manchester Royal Infirmary and the Royal Manchester Children s Hospital. He has published over 100 papers in clinical journals with research interests in disaster medicine, diagnostics, evidence base medicine and medical education. He has additional roles as associate editor of the Emergency Medicine Journal, as a General Medical Council associate in education, as director of the foundation training program in central Manchester and a co-lead for the MSc in Emergency Medicine at Manchester Metropolitan University. As a co-founder and developer of the BestBets and St.Emlyn s websites he has integrated web based learning into all levels of EM education. He developed the StEmlyns Blog to share learning across the globe in the true spirit of #FOAM. Simon Finfer Simon Finfer is a Senior Staff Specialist in the Intensive Care Unit at Royal North Shore Hospital in Sydney, a Conjoint Professor at the University of Sydney and a Professorial Fellow in the Division of Critical Care and Trauma at The George Institute for Global Health. At Royal North Shore, Professor Finfer is responsible for the intensive care unit s clinical research program and was a founder member of the ANZICS Clinical Trials Group. A former Chair of the ANZICS Clinical Trials Group, Professor Finfer led the two largest ICU-based clinical trials conducted anywhere in the world to date. He has published over 100 scientific papers, many in the highest profile journals in the world. He is a much sought after international speaker and has delivered over 100 presentations at international conferences. His research has resulted in changes to treatment recommendations by many national and international bodies including the US Food & Drug Administration, American Diabetes Association, American College of Physicians and the Institute for Healthcare Improvement. He is currently a guest editor for the New England Journal of Medicine and an editor of the Oxford Textbook of Critical Care. Anthony Holley Anthony is a dual qualified Intensivist and Emergency Physician, working as a full time staff specialist at Royal Brisbane and Women s Hospital. He is also the supervisor of intensive care training at RBWH and is a senior lecturer with the University of Queensland Medical School. Anthony has authored/co-authored more than twenty five peer reviewed papers and is the recipient of several study grants. He serves as an intensive care representative for the National Blood Authority Critical Care Expert Group. Anthony is currently the Queensland Chairman for ANZICS. His teaching interests include the Early Management of Severe Trauma and Basic Assessment and Support in Intensive Care. Anthony is also a serving officer in the Royal Australian Navy Reserve and has deployed overseas on a number of occasions including to Bougainville, East Timor, The South Pacific, Asia, The Persian Gulf and most recently to Afghanistan. Joe Lex Dr Joe Lex started in Emergency Medicine in 1967 as an Army medic with the 25th Infantry Tropic Lightning Division in Vietnam. He spent several years as an Emergency Medicine Technician and Certified Emergency Nurse before beginning Medical School at age 35. After an Emergency Medicine residency, he was a community pit doc for 14 years before joining the staff at Temple University in Philadelphia. While still practicing in the community, he was appointed Chair of Education for the American Academy of Emergency Medicine. 4 social media and critical care 2013 conference

5 The AAEM honored him by renaming the Educator of the Year award the Joe Lex Award. Over the past 10 years, he has been an invited speaker at more than 350 conferences regionally, nationally, and internationally. He has also been a featured speaker on Audio- Digest Emergency Medicine, Practical Reviews in Emergency Medicine, and Emergency Medicine Reviews and Perspectives (EMRAP). His free website, Free Emergency Talks, has helped educate emergency medicine practitioners around the world. He belongs to Emergency Medicine organisations on 4 continents, is an honorary member of Sociedad Argentina de Emergencias and Polskie Towarzystwo Medycyny Ratunkowej, and a founding member of the American Academy of Emergency Medicine and the African Federation for Emergency Medicine. He still works three clinical shifts weekly in a busy inner-city Emergency Department - 3 pm to 11 pm on Friday, Saturday, and Sunday. After more than 45 years in Emergency Medicine, he s still not sure what his next step will be. John A Myburgh Professor Myburgh is Professor of Critical Care at the Faculty of Medicine, University of New South Wales; Director of the Division of Critical Care and Trauma at the George Institute for International Health and senior intensive care physician at the St George Hospital, Sydney. He holds honorary professorial appointments at University of Sydney and Monash University School of Public Health. He has an extensive research track record over 20 years and is regarded as a national and international expert in catecholamine neurophysiology and pharmacology, trials of clinical management of traumatic brain injury and in the development and co-ordination of multi-centred clinical studies in Intensive Care Medicine. He is a Foundation Member and Immediate Past-Chairman of the Australian and New Zealand Intensive Care Society Clinical Trials Group. He was instrumental in the establishment of the ANZIC Research Centre at the Monash University School of Public Health. His list of publications include over 130 refereed research publications (including 7 papers in the New England Journal of Medicine) and 19 book chapters. He has received over $35M in grant funding including 15 NHMRC project grants, an NHMRC enabling grant, international, institutional unrestricted commercial grants. In 2012, he was awarded a NHMRC Practitioner Fellowship. He has delivered over 250 presentations at national and international scientific meetings since 1994, including 25 plenary presentations at major international scientific congresses. In addition to his research profile, he has a long-established national profile in education in Intensive Care Medicine, both at undergraduate and postgraduate levels. He was instrumental in establishing the College of Intensive Care Medicine, serving as an examiner for twelve years, on the Board for ten years and as the first elected President from Chris Nickson Chris Nickson is a Kiwi Emergency Physician and an advanced trainee in intensive care (CICM), currently working in ICU at Royal Darwin Hospital in Australia. Together with Dr Mike Cadogan he runs the Lifeinthefastlane.com website and is committed to free open access meducation (FOAM) that is available to anyone, anywhere at anytime. An avowed Oslerphile, he is also co-creator of iteachem.net, a website dedicated to the art, science and fun of medical education. He is particularly passionate about the intersection of emergency medicine and intensive care, and is on the editorial board of EM Critical Care. Originally a biochemist that lost his way, he is fascinated by poisons and venoms, and trained as a toxicology registrar at Sir Charles Gairdner Hospital in Perth. His other interests including tropical medicine, medical history and anecdotes, clinical epidemiology and blowing bubbles. No bubble is so iridescent or floats longer than that blown by the successful teacher. Sir William Osler Cliff Reid Cliff Reid is the Director of Training for the Greater Sydney Area Helicopter Emergency Medical Service. Having trained and worked in emergency, intensive care, and prehospital & retrieval medicine, he is interested in the provision of resuscitation and critical care to adults and children regardless of location. His passions include teaching, human factors, and how to make things happen in critical resuscitation situations. Cliff runs the popular blog Resus.ME for front line resuscitation clinicians. Scott Weingart Dr Weingart received his medical degree and completed a residency in Emergency Medicine at the Mount Sinai School of Medicine. He then went on to a fellowship in Trauma and Surgical Critical Care at the Shock Trauma Center in Baltimore. He is currently an attending in the Department of Emergency Medicine at the Elmhurst Hospital Center; and an associate professor and the director of ED Critical Care at the Mount Sinai School of Medicine. He has received numerous teaching awards and is recognised as a master educator by Mount Sinai s Institute of Medical Education. He is best known for his podcast on ED Critical Care called the EMCrit Podcast; it currently receives > 100,000 downloads per month. social media and critical care 2013 conference 5

6 Conference Provisional Program Monday, 11 March Opening Ceremony Resuscitation Plenary Chair: Roger Harris Twitter Moderator: Oliver Flower The Essence of Critical Care: Upstairs Care, Anywhere! Scott Weingart Crashing Sepsis Simon Finfer Catecholamines, Resuscitation and Resurrection: Fact or Fiction? John Myburgh Making Things Happen Cliff Reid Discussion (Q&A) Morning Break Concurrent 1 Chair: Mike Cadogan Paediatric SMACCdown Relax, Children are Just Little Adults Simon Carley When Enough is Enough Andrew Numa Neonatal Nightmares Mary McCaskill Fluids and Kids: FEAST or Famine Matt O Meara Concurrent 2 Chair: Lewis Macken Shock! Tubing the Shocked Patient Scott Weingart Goal Directed Therapy Where are the Goalposts? Anthony Delaney Fluid Resuscitation: Which, When and How Much? John Myburgh Challenging the Assessment of Shock Do We Know It When We See It? Michelle Johnston Concurrent 3 Chair: Cliff Reid Trauma! War What is it Good For? Anthony Holley There will be Blood! (Massive Transfusion & Hemostatic Resuscitation) Cath Hurn Lifting the Lid off TBI Simon Finfer Trauma Before & Beyond the Hospital Brian Burns Discussion Time (Q&A) Discussion Time (Q&A) Discussion Time (Q&A) 6 social media and critical care 2013 conference

7 Lunch Concurrent 4 Chair: Matthew Mac Partlin SonoMythbusters IVC Filling: The Ultimate Myth Justin Bowra Lung: The Final Frontier Marek Nalos Cardiac: Traps for Young Players Adrian Goudie Ultrasound Algorithms: Pathways to Disaster James Rippey Discussion Time (Q&A) Afternoon Break Concurrent 5 Chair: Simon Finfer SMACC Year in Review ICU in Review Ian Seppelt EM in Review Richard Paoloni PHARM in Review Alex Tzannes FOAM in Review Kane Guthrie Discussion Time (Q&A) Concurrent 6 Chair: Oliver Flower SMACC Q&A Panel Joe Lex Scott Weingart Mike Cadogan Simon Carley Chris Nickson Oliver Flower SMACC Q&A Panel Questions and Discussion Only Future of Education Plenary Chair: Anthony Holley Twitter Moderator: Matt MacPartlin From Hippocrates to Osler to FOAM Joe Lex Technology Versus Learning Victoria Brazil Educational Leadership and Subversion Simon Carley Panel Discussion on FOAM/ Social Media Building a Road Map Panel: Victoria Brazil, Mike Cadogan, Simon Carley, Joe Lex, Chris Nickson, Ming Le Cong, Anthony Holley welcome reception, Exhibition Area social media and critical care 2013 conference 7

8 Conference Provisional Program Tuesday, 12 March Social Media and Critical Care Plenary Chair: Chris Nickson Twitter Moderator: Minh Le Cong Forget Social Media... Get #FOAMed! Mike Cadogan The Road to Insanity Scott Weingart Anarchy in the UK Simon Carley An Old Dog Learning New Tricks Joe Lex Be Seen, Be Heard (The View from Google/Youtube) Karen Stocks Discussion (Q&A) Morning Break Concurrent 7 Chair: Oliver Flower Lessons for Us All 45 Years on the Frontline Joe Lex Lessons from the Classics Michelle Johnston To Air is Human Karel Habig The MacGyver Dilemma Casey Parker Concurrent 8 Chair: Mike Cadogan Social Media & Tech Law and Order in Social Media Julian Walter Present Better with Tech Victoria Brazil Achieving Quality in FOAM Tony Burrell How to Create a Medical App Tessa Davis Concurrent 9 Chair: Cliff Reid Critical Care Controversies Fever: Friend or Foe? Paul Young Roids in Sepsis Jeremy Cohen Therapeutic Hypothermia Lewis Macken Coagulation/Transfusion Anthony Holley Lunch Discussion Time (Q&A) Discussion Time (Q&A) Discussion Time (Q&A) 8 social media and critical care 2013 conference

9 Concurrent 10 Chair: Minh Le Cong Free Papers Afternoon Break Concurrent 11 Chair: Andy Baker Free Papers Concurrent 12 Chair: Lewis Macken Free Papers SonoGames Plenary Chair/Judges Matthew MacPartlin, James Rippey, Sharon Kay, Adrian Goudie Conference DINNER social media and critical care 2013 conference 9

10 Conference Provisional Program Wednesday, 13 March The Mind of the Resuscitationist Plenary Chair: Oliver Flower Twitter Moderator: Matthew MacPartlin The Right Stuff Scott Weingart How to be a Hero Cliff Reid All Doctors are Jackasses Chris Nickson Wrestling with Risk Simon Carley Discussion (Q& A) Morning Break Concurrent 13 Chair: Matthew MacPartlin Neuro & Imaging Time is Brain: The Neurocritical Airway Scott Weingart Time is Spine: Acute Spinal Cord Injury Oliver Flower Stroke Thrombolysis: Clot Busters Busted Domhnall Brannigan Clot Retrieval and the Future of Stroke Tim Harrington Concurrent 14 Chair: Minh Le Cong Know Your Weapons Always Carry a Scalpel Brian Burns Has Video Killed the Laryngoscope Star? Toby Fogg ROTEM/TEG in the Real World Cath Hurn Cardiac Output in the Resus Room: Pressure Versus Flow Roger Harris Concurrent 15 Chair: Roger Harris The Heart of the Matter Taking the Pain Out of ACS Louise Cullen Extreme ECG Encounters John Larkin Echo for Everyone: 5 Things Never to Miss Sharon Kay ECMO Anywhere Roger Pye Pump or No IABP That is the Question Ed Litton Discussion Time (Q & A) Discussion Time (Q & A) Discussion Time (Q & A) 10 social media and critical care 2013 conference

11 Lunch Concurrent 16 Chair: Chris Nickson All Things are Poison Does Antivenom Work? Geoff Isbister Paracetamol: More Than Meets the Eye Nick Buckley Tox Asian Style Andrew Dawson More Tox! Mark Little Afternoon Break Concurrent 17 Chair: Anthony Holley Get Ready for Combat! SNAFU? FUBAR? Communication in the Heat of Battle Victoria Brazil You Can t Handle the Truth: Chains of Command Sarah Webb Courage Under Fire John Vassiliadis Guerilla Sim: Anywhere, Anytime, Anyone Jon Gatward Concurrent 18 Chair: Cliff Reid Seconds from Disaster Just Crack the Chest! Scott Weingart Airway Clean Kills Minh Le Cong Anaphylaxis: The Dying Breaths Gerard Fennessey Mass Casualties and Real Disasters Michaela Cartner Final Moments Caught on Film Richard Marr SimWars Plenary Chair/Judges: Scott Weingart, Cliff Reid, Jon Gatwood, isimulate, John Vassiliadis SMACC Awards and Closing Ceremony social media and critical care 2013 conference 11

12 Accommodation Accommodation has been sourced at the Novotel Sydney on Darling Harbour, Hotel Ibis Darling Harbour and Oaks Goldsbrough Apartments. Accommodation options are available to book through the online process. Prices indicated will only apply when booking through the SMACC 2013 Secretariat. Ibis Sydney Darling Harbour HHH 70 Murray Street, Darling Harbour NSW 2009 Tel: Pyrmont View Room: $ per room per night (room only) Harbour View Room: $ per room per night (room only) Ibis Sydney Darling Harbour is in the heart of the tourist district of Sydney, with many of the 256 hotel rooms offering spectacular views of Darling Harbour and the city. The Star, Sydney Aquarium, the Maritime Museum and the Powerhouse Museum are all within walking distance. The hotel features Internet access, a restaurant, bar and easy access to the Monorail and Lightrail services. Novotel Sydney Darling Harbour HHHH1/2 100 Murray Street, Darling Harbour NSW 2009 Tel: Pyrmont View Room: $ per room per night (room only) Harbour View Room: $ per room per night (room only) Novotel Sydney on Darling Harbour boasts spectacular harbour views. Novotel rooms are of high quality and designed for natural living each featuring a cosy duvet and soft pillows for the ultimate night s sleep. Choose a Harbour View Room to really take advantage of the excellent location and enjoy the stunning views of Darling Harbour. Oaks Goldsbrough Apartments HHHH1/2 243 Pyrmont Street, Darling Harbour NSW 2009 Tel: Bedroom Apartment: $ per apartment per night (apartment only) Oaks Goldsbrough provides two bedroom fully self-contained apartments with full kitchen facilities, most with harbour views. Maximum Guests using existing bedding is 4. One Queen and 2 x singles. Additional bedding (double fold out sofa or a single rollaway) accommodates up to 2 extra guests. Extra Bed charge is $44.00 per person per night. Oaks Goldsbrough Apartments, offer central Sydney accommodation in an architecturally renovated historic landmark building. Situated in the hub of Darling Harbour and combining the charm and elegance of the 1800 s, with all the modern amenities for your business or leisure stay. Located ideally for conference and event guests, Oaks Goldsbrough combines superior facilities and impeccable service of a luxury hotel with the privacy and spaciousness of self-contained apartments. Please Note: Rooms are booked on an availability basis Only bookings through the SMACC 2013 Secretariat will obtain these rates These bookings are room only and do not include breakfast To secure your accommodation booking, credit card details must be supplied during the 12 social media and critical care 2013 conference

13 online registration process, as these will be passed on to the hotel to secure your booking. You will not be charged by SMACC or The Association Specialists for your accommodation Your account (for all room costs and incidentals) must be paid directly to the hotel on your departure Late arrivals: if you plan to arrive after 1800 hours, please advise the SMACC 2013 Secretariat to ensure the room is held for you. Any alterations and cancelations to accommodation bookings must be made in writing to the SMACC 2013 Secretariat Any accommodation cancelled within 30 days of arrival will incur a 100% cancellation fee. Rooms cancelled 30 days prior to the conference will be subject to a cancellation fee equal to one night s accommodation Social Functions Welcome Reception Date: Monday, 11 March 2013 Venue: Sydney Convention and Exhibition Centre, Bayside Gallery, Level 1 Time: hours Cost: Included in full registration delegates. Guests and one day delegates: $65.00 per person Held in the Bayside Gallery overlooking spectacular water views of Darling Harbour. Coneference Dinner Date: Tuesday, 12 March 2013 Venue: Doltone House, Jones Bay Wharf, Pymont Time: hours Cost Included in full registration delegates. Guest and One Day Delegates: $ per person The Conference Dinner will be held in a unique heritage venue situated on the historic finger wharf at the recently restored Jones Bay Wharf, Pyrmont. It is a spectacular waterfront venue on the foreshore of Sydney Harbour, with views of the Harbour Bridge, city skyline and the Darling Harbour precinct. Entertainment will include a live band and a guest speaker. A memorable evening not to be missed. Smacc Social Debrief Date: Wednesday, 13 March 2013 Time: hours For those who don t have to rush off after the conference please join us for a short networking and farewell get together in Darling Harbour. Venue to be advised. social media and critical care 2013 conference 13

14 General Information Registration Desk The registration desk will be located outside the Bayside Gallery, Level 1 of the Sydney Convention & Exhibition Centre for the duration of the event. Staff at the registration desk will be happy to help with any queries. Name Badges Each delegate will be given a name badge at registration. This badge will be the official pass to sessions, breaks, lunches and official social functions. It is necessary for delegates to wear their name badges at all times when onsite. Credit Cards Credit cards accepted at the registration desk are MasterCard, Visa and American Express. The majority of hotels, restaurants and shops will accept all major credit cards. Insurance As you will be incurring considerable expense when attending this event, it is strongly recommended that you take out an insurance policy of your choice when booking your travel arrangements. Messages A message board will be located next to the registration desk throughout the event. Air Travel Please visit the following websites for airfares to Sydney: Should you require assistance in organising your international or domestic travel please contact Louise Leatherbarrow at louisel@travelmanagers. com.au or call direct on Disclaimer of Liability The Organising Committee, including the SMACC 2013 Secretariat, will not accept liability for damages of any nature sustained by participants or their accompanying persons or loss of or damage to their personal property as a result of the conference or related events. Trade & Poster Area The industry exhibition will be open for the duration of the conference and will become a hub for delegates. All catering stations will be located in the trade exhibition area, including the Welcome Reception. There are currently sponsorship and exhibition opportunities still available. For more information, or to discuss other options please contact the SMACC 2013 Secretariat. 14 social media and critical care 2013 conference

15 Registration Fees Fees Early Bird Rate Standard Rate On or before 1 February 2013 After 1 February 2013 Full Delegate $ $1, Registrars/Allied Health $ $ One Day Full Delegate $ $ One Day Registrar/Allied Health $ $ Full Delegate Registration includes: Entry to all conference sessions taking place from Monday, 11 March 2013 Wednesday, 13 March 2013 Entry to trade exhibition & poster area Morning/afternoon breaks and lunches during the conference Admittance to the Welcome Reception and Gala Dinner (additional tickets to all social functions can be purchased for guests) Delegate Satchel Final Program & Abstract Book One Day Delegate Registration includes: Entry to all conference sessions on your specified day Entry to trade exhibition & poster area on your specified day Morning/afternoon breaks and lunches during the conference on your specified day Delegate Satchel Final Program & Abstract Book *One Day Delegate Fees do NOT include tickets to the Welcome Reception or Gala Dinner, however you are welcome to attend for an additional fee. To purchase tickets, please indicate ticket numbers in the relevant section of the online registration process. Cancellation Policy All cancellations or alterations should be put in writing to the SMACC 2013 Secretariat. Please note that there is no refund on accommodation bookings. If cancellation is received in writing: Before 14 January 2013 $ cancellation fee will apply From 14 January February % of registration monies paid will be refunded From 5 February 2013 no refund on monies paid Register Online To register for SMACC 2013 you must complete the online registration process and provide credit card details for payment please visit social media and critical care 2013 conference 15

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17 Registration Form 2013 conference ABN All Figures Are In Australian Dollars And Include Gst. Section A: Delegate Surname: Title: Given Name: Twitter Handle: Organisation: Position: Organisation Address: Suburb: State: Country: Postcode: Telephone: ( ) Facsimile: ( ) (Required for your ed confirmation details) Dietary Requirements (This is not dietary preferences but actual requirements such as vegetarian, vegan, lactose intolerant, etc) Section B: Registration Fees Early Bird Rate Standard Rate Payment on or before 1 Feb 2013 After 1 Feb 2013 Full Delegate $ , $ Registrars/Allied Health $ $ $ One Day Full Delegate $ $ $ One Day Registrar/Allied Health $ $ $ Please tick day of attendance for one day delegates Mon, 11 March Tues, 12 March Wed, 13 March TOTAL REGISTRATION FEES $ Section C: SOCIAL FUNCTIONS Date Function Cost No. of tickets Payment 11 March Welcome Reception Full Delegate N/A Please tick (3) box Attending Yes or No Extra Ticket $65.00 $ 12 March Gala Dinner Full Delegate N/A Please tick (3) box Attending Yes or No Extra Ticket $ $ TOTAL SOCIAL FUNCTIONS $ social media and critical care 2013 conference 1

18 Please complete and return to: SMACC 2013 Secretariat C/- The Association Specialists PO Box 576, Crows Nest NSW 1585 Australia Tel: Fax: smacc2013@theassociationspecialists.com.au Section D: Accommodation Date of arrival: March 2013 Date of departure: March 2013 Number of Nights: Room type: Please tick (3) Single Double Twin 2 Bedroom Apartment Smoking room Non-smoking room Sharing with: Hotel Room Type (room only) Rate Per Night Ibis Sydney Darling Harbour Pyrmont View Room Single, Double, Twin Room $ Harbour View Room Single, Double, Twin Room $ Novotel Sydney Darling Harbour Pyrmont View Room Single, Double, Twin Room $ Harbour View Room Single, Double, Twin Room $ Oaks Goldsbrough Apartments 2 Bedroom Apartment $ Credit card details need to be provided in Section F to secure your booking, these will be passed onto the hotel. No accommodation charges will be debited by The Association Specialists. Section E: Total Payment All cheques and bank drafts must be in Australian Dollars & drawn on an Australian Bank. Please make payable to The Association Specialists SMACC Conference Payment Section B Registration Fees... $ Payment Section C Social Functions... $ TOTAL PAYMENT DUE $ Section F: Credit Card Payment Please tick (3) box: Mastercard Visa American Express (note: Diners is NOT accepted) Cardholder Name: Expiry Date: / Card Number: Signature: Date: PRIVACY CLAUSE In registering for this event relevant details will be incorporated into a delegate list (name & organisation only) and may be made available to parties directly related to the event including Organising Committee, accommodation providers (for the purpose of room bookings only) and key sponsors. This information will also be added to a database for future SMACC events. I do not wish my details to be added to this database. 2 social media and critical care 2013 conference