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BLS ACLS PALS Presented By: In Cooperation With: Supported By: 2OO4 Improving the Chain of Survival through Education, Application, Evaluation EMERGENCY CARDIOVASCULAR CARE UPDATE a n d A l l T h a t J a z z ! September 30- October 3, 2004 Hilton New Orleans Riverside New Orleans, LA International Educational Conference and Exposition Preliminary Program

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B L S A C L S P A L S

Presented By:

In Cooperation With:

Supported By:

2OO4

Improving the Chain of Survival through Education, Application, Evaluation

EMERGENCY CARDIOVASCULAR CARE UPDATE

and All That Jazz!

September 30- October 3, 2004 Hilton New Orleans Riverside New Orleans, LA

International Educational Conference and Exposition

Preliminary Program

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2OO4EMERGENCY CARDIOVASCULAR CARE UPDATE

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� CONFERENCE FEESEarly Bird Registration: $350.00(If postmarked by July 30, 2004)

Registration: $375.00(If postmarked by September 10, 2004)

Onsite Registration: $425.00(If postmarked after September 10, 2004)

� THE CITYJoin us at the CCPRF/ECCU 2004 and capture the fabu-lous sights and sounds of world-famous New Orleans! The “Big Easy” is one of the most renowned cities in the world with one of the best convention venues ever. Home to plantations and Cajun country, steamboats and street-cars, voodoo and Bourbon Street. New Orleans is notori-ous for fabulous food and jivin’ jazz, Bourbon Street and the French Quarter. Not to mention Mardi Gras! Or, if you’d like a less exotic adventure, take a ride in one of New Orleans’ romantic horse drawn buggies or people watch while you’re stopping at Café du Monde for beignets and café au lait. Any way you slice it, the Crescent City’s got dining galore, music for all to enjoy, and remarkable attractions around every corner. So don’t miss CCPRF/ECCU 2004!

And while we’re at the conference, several other fabu-lous events will be going on all around us – Oktoberfest, Gretna Heritage Festival, and the unforgettable Louisiana Swamp Festival!

For more information on New Orleans and the city’s event schedule, please visit the New Orleans Convention and Visitors Bureau website at www.neworleanscvb.com.

� THE HOTELThe New Orleans Hilton Riverside is located right on the Mississippi river in the heart of the town. The hotel is con-nected to the Riverwalk Marketplace featuring over 140 shops and restaurants. The French Quarter, Aquarium and Harrah’s Casino are just steps away from the hotel. The Hilton is 20 minutes from the Louis Armstrong New Orleans International Airport. This hotel has just under-gone a $37 million renovation. Come and enjoy!!

Amenities include two outdoor pools, a fi tness center, six indoor tennis courts, an indoor basketball court, and several restaurant/lounge options. For more information about the hotel, please visit their website at www.hilton.com. There is ample parking on site for those of you that are local. The cost is $12 for 6-12 hours and $22 for 12-24 hours for self parking. Should you experience that the hotel become sold out, please visit our website at www.citizencpr.org for a listing of hotel options.

� GREETINGS FROM NEW ORLEANSOn behalf of the Citizen CPR Foundation, Inc. and the CCPRF ECCU Local Planning Committee, we invite you to the fabulous city of New Orleans, Louisiana for the CCPRF/ECCU 2004 International Educational Conference.

This 13th biennial conference promises to be an exciting, informative event. We are pleased to be hosting this event along with the American Heart Association, American Red Cross, Heart and Stroke Foundation of Canada, and National Center for Early Defi brillation. While conference presenters share a visionary look into the future of ECC Education and the perfect ECC community, concurrent sessions will highlight new programs from around the world and Scientifi c Abstract Sessions will bring new Science to the forefront.

The conference will not only be a premier educational event, but will also be an exiting opportunity for experienc-ing the fun of New Orleans and all of its attractions. Whether you choose to visit Bourbon Street, Jackson Square, the numerous local museums or just amble along the Mississippi, you will fi nd that New Orleans is a city full of his-tory and culture. We are sure this meeting will leave a lasting impression, not only for the exciting meeting content, but for the outstanding location as well.

Edward R. Stapleton, EMT-P Marc Gay, BA, EMT-P Peggy Chehardy, EdDPresident, Citizen CPR Foundation, Inc. Program Chair, Citizen CPR Foundation, Inc. Chair, Local Planning Committee

� General Information

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IMPROVING THE CHAIN OF SURVIVAL THROUGH EDUCATION, APPLICATION, EVALUATION and All That Jazz! 3

� TRANSPORTATIONNavigant/World Wide Travel Service, CCPRF’s offi cial travel agency for airline and car rental discounts, can be reached by calling (800) 823-9539. Navigant/World Wide Travel is open from 8:00 a.m. – 5:00 p.m., Central Time, Mon-day through Friday. We are pleased to offer a discount on American Airlines. The CCPRF discount number is A2994AL. Flights to the meeting will be discounted for travel between September 27 – October 6.

CCPRF has secured discounted rates through Avis Rent-A-Car. Navigant/World Wide Travel can assist you in mak-ing reservations with Avis or any other rental car company you choose. You may contact Avis directly by calling (800) 331-1600 or www.avis.com. CCPRF’s discount number is D087196.

The Airport Shuttle (www.airportshuttleneworleans.com) offers transportation to/from the New Orleans Hilton Riverside for a roundtrip fare of $26. Tickets may be purchased at the baggage claim area on the ground fl oor of the airport. Reservations are not needed for arrivals, but are required for departures. Departure reservations can be made at the time of ticket purchase or through the hotel bellman/concierge. Departures should be scheduled at least two and one-half hours prior to your fl ight. To make reservations prior to the meeting, please contact the Airport Shuttle at (504) 522-3500 or (866) 596-2699. Taxi fares are approximately $26 one way from the airport.

� TOUR INFORMATIONConvention Hospitality Services (New Orleans Steam Boat Company) would like to assist you in making your extra curricular plans. They are able to offer many tours for your pleasure, including a Super City Tour, Dinner Cruise on the Steamboat Natchez, Swamp and Bayou Tour, Tour of the Oak Alley and River Road Plantation as well as four walking tours. They also can assist in mak-ing dinner reservations at any of the local restaurants. For tour details, reservations and payment schedules, please visit www.conventionhospitalityservices.net/ or contact Penelope Packard at (800) 233-2628 ext. 711. CCPRF also offers a link to the Convention Hospitality Services web page from our website www.citizencpr.org.

� CONTINUING EDUCATIONFlorida Emergency Medicine Foundation (FEMF)

Continuing Education – Pending

This activity has been planned and implemented in accor-dance with the Essential Areas and Policies of the Accredita-tion Council for Continuing Medical Education through the joint sponsorship of FEMF and CCPRF. The Florida Emer-gency Medicine Foundation is accredited by the ACCME to provide continuing medical education for physicians.

The Florida Emergency Medicine Foundation designates this educational activity for up to 31 hours of Category 1 credit towards the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. There is a maximum of 16.5 credit hours for preconference workshops and 14.5 credit hours for general sessions.

Application has been made to the American College of Emergency Physicians for up to 32 hours of ACEP Category 1 credit.

Faculty Disclosure – The Florida Emergency Medicine Foundation adheres to ACCME standards regarding industry support of continuing medical education, and the disclosure of faculty and commercial sponsor relationships (if any) will be made known during the educational activity. Faculty is expected to openly disclose inclusion of discussion on any off-label, experimental or investigative use of drugs, devices, or equipment or any commercial sponsorship relations in their presentations.

Center for Health Education

Continuing Education – Pending

Courses are approved by the Center for Healthcare Educa-tion, Inc. for continuing education credit for EMTs, paramed-ics, and nurses. The Center for Healthcare Education, Inc. is a nationally recognized provider of high-quality continuing education courses. To ensure that participants at Emergency Cardiovascular Care Update receive up-to-date information relevant to the practice of emergency medicine, a panel of medical experts approves each speaker, session and work-shop.

Participants will receive hour for hour continuing education credit for each course attended. National regulations require that a brief post test be completed for each session attended. At the end of the conference, all post tests must be submit-ted to the continuing education desk for processing. Within four weeks after the conference, you will receive a certifi cate documenting your continuing education hours.

Accreditation is provided for nurses (BRN CEP#11246) and EMT/Paramedics (CAEMSA#33-0011) through the Center for Healthcare Education.

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� Preliminary Program

� WEDNESDAY, SEPTEMBER 29, 2004

� PRE-CONFERENCE WORKSHOP Workshop #1 – ACLS for the Experienced Provider8:00 a.m. – 5:00 p.m.Fee: $175 (Lunch included)

Bill McConnell, DO, MS, ACLS-EP Course Director/Chair, ECC Program Administration Subcommittee, Phoenix, AZPatients who don’t respond to standard ACLS algorithms present a challenge to any caregiver. Many present with asystole or PEA, where identifying and treating the cause is key to a positive outcome. Early recognition and prevention of an arrest is the best alternative. The ACLS-EP course addresses just these things in a case based interactive format. The course includes renewal of basic ACLS knowledge, fol-lowed by interactive stations addressing toxicology emergen-cies, metabolic abnormalities, special resuscitation situations and complex acute coronary syndromes. Participants with current ACLS Provider cards will qualify for renewal. All participants will receive CE/CME credit.

� THURSDAY, SEPTEMBER 30, 2004

� PRE-CONFERENCE WORKSHOPS 8:00 a.m. – 5:45 p.m.American Heart Association (AHA) National Faculty (by invitation only)

Workshop #2 – Unlocking the Hero Inside: Removing the Barriers to Response through Education 8:00 a.m. – 5:30 p.m.Fee: $ 150 (Lunch is on your own)

Susan F. Wooley, PhD, CHES, Executive Director, American School Health Association; Anthony Gallagher, MA , Senior Evaluation Associate, American Red Cross; Ted Crites, CHES, Project Manager, First Aid/CPR/AED Technical Development, American Red Cross; Emilie Parker, MS, CHES, Project Manager, American Red CrossIn this workshop research on educational interventions will be presented and applied through facilitated interactive activities that address the development of innovative ways to design and deliver education that prepares rescuers for the emotional, psychological and interpersonal experience of responding to medical emergencies. Workshop participants will take away tools for designing and delivering education that enables rescuers to overcome barriers to response.

Workshop #3 – Marketing 101 for the ECC Training Center8:00 a.m. – 5:30 p.m. Fee: $150 (Lunch is on your own)

Michael S. Erdos, MD, FACEP, Medical Director, Emergency Response Training Associates, Inc., Winchester, MAThis workshop will address the following topics: developing a marketing plan for your TC, identifying marketing opportuni-ties, identifying training partners/affiliations, recruitment and retention of instructor staff, resources for marketing – paid/free/AHA/outside sources, internal and external marketing, marketing to the healthcare audience vs. the community (public access) audience, retention and re-training of current customers, and reviewing your business plan – short and long-term goals.

Workshop #4 – National Registry of Cardiopulmonary Resuscitation (NRCPR)8:00 a.m. – 4:00 p.m.Fee: $175 (Lunch included)

Mary E. Mancini, RN, PhD, CNA, FAAN, Chair, Scientific Advisory Board of the NRCPR, Senior Vice President, Nursing Administration, Parkland Health & Hospital System, Dallas, TX; Robert A. Berg, MD, Vice Chair, Scientific Advisory Board of the NRCPR, Associate Dean for Clinical Affairs, Professor of Pediatrics, The University of Arizona College of Medicine, Tucson, AZ; Mary Ann Peberdy, MD, FACC, Immediate Past Chair, Scientific Advisory Board of the NRCPR, Assistant Professor of Internal Medicine and Emergency Medicine Virginia Commonwealth University Health System, Richmond, VA; William Kaye, MD, FACP, FCCM , Professor of Surgery and Medicine Emeritus, Brown University Medical School, Providence, RI, Co-Director, Hale Wao Lani, Kapa’au, HI; Gregory Luke Larkin, MD, MSPH, MS, FACEP, Professor of Surgery, Emergency Medicine, and Public Health, Director of Academic Department, Professor to the UT Houston School of Public Policy and Management, Advisor to the Department of Health, UK Medical Director, Violence Intervention and Prevention Center, Parkland Memorial Hospital University of Texas Southwestern Medical Center, Dallas, TX; Vinay Nadkarni, MD, Director, Pediatric Critical Care Fellowship Program, Department of Anesthesia and Critical Care, Children’s Hospital of Philadelphia, Philadelphia, PA; Joseph P. Ornato, MD, FACP, FACC, FACEP, Professor and Chairman, Department of Emergency Medicine, Virginia Commonwealth University Health System, Richmond, VA; Tanya Lane Truitt, RN, CCRN, Manager, Department of Nursing Education, Parkland Health & Hospital System, Dallas, TXThe focus of this workshop is to discuss the American Heart Association’s (AHA’s) National Registry for Cardiopulmonary Resuscitation (NRCPR). This database, started in January 2000, was designed to provide a centralized, efficient and consistent means for collecting and analyzing in-hospital resuscitation event data. During this open format, enrolled facilities will present case studies describing the influence of NRCPR on process issues and performance improvement within their facilities. The members of the NRCPR Science Advisory Board will also facilitate discussions regarding NRCPR enrollment, data collection and entry, and data report analysis and interpretation. This session will be informa-tive and beneficial to those who are already participating in NRCPR, as well as those who are interested in learning more about the registry.

______________________________Some speakers have received research or other funding from manufacturers of products related to their presentation. All actual and potential conflicts will be declared in writing in the syllabus and noted during the presentations.

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IMPROVING THE CHAIN OF SURVIVAL THROUGH EDUCATION, APPLICATION, EVALUATION and All That Jazz! 5

Workshop #5 – Beyond Basics: Ensuring AED Program Effectiveness8:00 a.m. – 12:00 p.m.Fee: $75 (Lunch not included)

Allan Braslow, PhD, President, Braslow & Associates, Greenwich, CT; Richard Brown, Esq., President, National Center for Early Defibrillation (NCED) SCA Survivor Network, Washington, D.C.; Kristin R. Hanson, Program Manager, NCED, Pittsburgh, PA; Richard A. Lazar, Esq., CEO, Early Defibrillation Law & Policy Center (EDLPC), Portland, OR; Vincent N. Mosesso Jr., MD, Medical Director, NCED, Pittsburgh, PA; Mary M. Newman, Executive Director, NCED, Pittsburgh, PAThis workshop will feature presentations by an expert panel and interactive group discussion. It is targeted to individuals respon-sible for ensuring the effectiveness of community-wide automated external defibrillation (AED) programs and/or on-site AED pro-grams. Topics will focus on issues faced by planners and manag-ers of established programs who are challenged to continuously maintain a well-trained responder team, guard against liability risk, and ensure that the response plan works reliably when emer-gencies arise. NCED will discuss its guidelines for resuscitation readiness and its new SCA Survivor Network. Audience participa-tion will be encouraged.

Workshop #6 – How to Set Up and Sustain Comprehensive CPR/AED Programs in Schools1:30 p.m. – 5:30 p.m. Fee: $75

Connie Carmody, RN, School Nurse, Open Door Christian Schools, Coordinator, P.A.D.S. (Public Access to Defibrillation in Schools) of Lorain County, Wellington, OH; Pam Connolley, RN, North Catholic High School, Pittsburgh, PA; Terry Gordon, DO, FACC, The Heart Group, Inc., Akron, OH; Kristin R. Hanson, Program Manager, NCED, Pittsburgh, PA; Vincent N. Mosesso Jr., MD, Medical Director, NCED, Pittsburgh, PA; Mary M. Newman, Executive Director, NCED, Pittsburgh, PAThis workshop will feature presentations by an expert panel and interactive group discussion. It is targeted to individuals interested in advocating for and establishing CPR/AED programs in the school setting. Audience participation will be encouraged.

7:00 p.m. – 9:00 p.m.

Welcome Reception/Exhibit Hall PremierPlease join us for the premiere opening of the exhibit hall. We will offer an array of food, cash bar (non-alcoholic beverages are complimentary) and a wonderful opportunity to network with our exhibitors and faculty.

� FRIDAY, OCTOBER 1, 2004� PLENARY SESSIONS 8:00 a.m. – 8:10 a.m.

Welcome and IntroductionsEd Stapleton, EMT-P, President of CCPRF, Assistant Professor of Clinical Emergency Medicine and Director of Pre-Hospital Education, SUNY Stony Brook Department of Emergency Medicine Stony Brook, NY; Marc Gay, EMT-P, ECCU 2004 Program Chair, Heart and Stroke Foundation of Canada, Ottawa, Ontario, Canada

8:10 a.m. – 8:30 a.m.

Local Planning Committee Welcome – New Orleans Style

8:30 a.m. – 9:15 a.m.

The Evidence Evaluation Process for C2005Mary Fran Hazinski, RN, MSN, AHA/ECC Senior Science Editor and Clinical Nurse Specialist Vanderbilt University Medical Center, Nashville, TN; Peter Morley, MBBS, FRACP, FANZCA, FJFICM , Senior Specialist, Intensive Care, Royal Melbourne Hospital, Parkville, Victoria, AustraliaThis session will describe the process used to identify questions, review the literature and debate the issues in preparation for the publication of the 2005 International Consensus on Science and Treatment Recommendations in November, 2005. The speakers will give participants examples of debates and discussions that will impact resuscitation recommendations.

9:15 a.m. – 10:00 a.m. – KEYNOTE

Predictions by Peter Morley: The 5 Emergency Cardiac Care Interventions Most Likely to Generate the Hottest Debate at the Evidence Evaluation ConferencePeter Morley, MBBS, FRACP, FANZCA, FJFICM , Senior Specialist, Intensive Care, Royal Melbourne Hospital, Parkville, Victoria, AustraliaDr. Peter Morley, an international expert in the field of ECC, will look into his crystal ball and predict 5 ECC topics that are most likely to be hotly debated at the Evidence Evaluation Conference in 2005. Dr. Morley will discuss the hot topics that he thinks are most likely to have an impact on the International Consensus on Science and Treatment Recommendations publication in 2005-2006.

10:00 a.m. – 4:45 p.m.

Exhibit Hall Open

10:00 a.m. – 10:03 a.m.

Video Minute Public Service Announcement ContestThe first of the top five PSAs submitted will be shared. You won’t want to miss seeing how your colleagues are marketing ECC.

10:03 a.m. – 10:45 a.m.

Refreshment Break/Visit with Exhibitors

10:45 a.m. – 11:30 a.m.

They Ain’t Like They Used to Be! The New CPR Learner Meets the Modern CPR InstructorTony Williams, BSc, MSc, PhD, Professor, Royal Roads University, Organizational Leadership and Learning Division, New Westminster, British Columbia, CanadaBoomers, X-Geners, and Millennials; professionals, parents and pre-teens; the modern CPR instructor must teach them all. How are they different? How are they similar? How is the 21st century CPR instructor different from those instructors who closed out the 20th Century? This session will explore the new challenges and opportunities facing CPR instructors as people and technology force us to re-look at why, how, and when we teach.

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11:30 a.m. – 12:15 p.m.

The Pros and Cons of Home DefibrillationMickey S. Eisenberg, MD, PhD, Medical Program Director, King County Emergency Medical Services, Seattle, WAThis presentation will address the potential role and limita-tions of home defibrillation in the management of out of hospital cardiac arrest. Survival from out of hospital cardiac arrest remains abysmally low. Since 75% of all cardiac arrests happen in the home setting, it seems logical to disperse home defibrillators for persons at high risk of cardiac arrest. Such a proposal, though elegantly simple in its approach, is fraught with challenges. This presentation will discuss the logic behind home defibrillation as well as the challenges, including FDA regulation, cost, identification of high-risk persons and training issues.

12:15 p.m. – 12:18 p.m.

Video Minute Public Service Announcement ContestThe second of the top five PSAs submitted will be shared. How did they compare?

12:18 p.m. – 1:35 p.m.

Lunch BreakBox lunches will be distributed in the exhibit hall. If you would like to purchase a box lunch, please mark the box on page 18. Exhibitors will be available to talk with during this time.

1:35 p.m. – 2:20 p.m.

What Are the Most Important Links in the Chain of Survival?Ian G. Stiell, MD, MSc, FRCPC, OHRI Chair of Emergency Medicine Research, Professor and Head, Department of Emergency Medicine, University of Ottawa, Ottawa, Ontario, CanadaDr. Stiell will review 10 years of research done with the Ontario Prehospital Advanced Life Support (OPALS) Study involving more than 10,000 out-of-hospital cardiac arrests. Each link of the Chain of Survival has been carefully evalu-ated, resulting in the ability to clearly comment on the relative importance of each of the four major links for survival using bystander CPR, rapid defibrillation, and early ALS.

2:20 p.m. – 2:30 p.m.

Explanation of the CEU and CME Instructions, Center for Healthcare Education Representatives

� FRIDAY, OCTOBER 1, 2004

� CONCURRENT SESSIONS (Please see the description of each session on pages 7-8.)

2:40 p.m. – 3:40 p.m. 4:20 p.m. – 5:20 p.m.

1. New Modules for PALS: Catastrophic Illnesses that 9. CPR First versus AED First and Other Novel Ideas for Present with Common Complaints and Status Epilepticus Treatment of Prolonged VF Stephen M. Schexnayder, MD, FAAP Robert A. Berg, MD 2. Beyond CPR: The Physiology and Psychology of the 10. Establishing an AHA ITO in Israel

Inexperienced First Responder Odeda Benin-Goren Patricia Bonifer-Tiedt; Barbara J. Muth; Frank Pia 3. Online CPR Renewal – One Hospital’s Pilot Program 11. Putting the “Ultimate Coronary Care Unit” into Sommers Draper; William Hammill, MD Practice: The HeartSafe Community Program

David Hiltz, NREMT-P; Michael Aries 4. An Interdisciplinary Team Looks at More Than the 12. CPR in Schools: Teaching a New Generation

ABC’s to Improve The Quality of Resuscitation. Vera Fullaway Judith Vierke 5. Taming the Beast: In-hospital Resuscitation Review 13. Use of Combined CD-ROM and a Website to Teach Beth Mehring, RN EMS Rescuers about AED use in Children < 8 Years

Dianne Atkins, MD 6. Project ADAM and the Milwaukee Public Schools 14. CPR Laboratory at a Community College Using

AED Program: Obstacle or Opportunity Heartcode Computer Learning Systems Loreen Utech, RN; Kathleen Murphy; Patty Lemel; Frank Doto, MS; William Huber Stuart Berger 7. The Center for Advanced Pediatric Education: 15. Supporting Public Access to AEDs Through Usability

State-of-the-Art Simulation-based Training in Anthony Andre, PhD Neonatal and Pediatric Resuscitation Louis Halamek 8. Protest the Silence: An Innovative Approach to Reaching 16. Decoding The Code Process: A Hospital’s Approach

High School Students with Lessons for Life to the Chain of Survival Mary Newman; Kristin Hanson; Vincent Mosesso Jr., MD Matthew Benjamin

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IMPROVING THE CHAIN OF SURVIVAL THROUGH EDUCATION, APPLICATION, EVALUATION and All That Jazz! 7

2:40 p.m. – 3:40 p.m.

� CONCURRENT SESSIONS 1. New Modules for PALS: Catastrophic Illnesses

that Present with Common Complaints and Status Epilepticus

Stephen M. Schexnayder, MD, FAAP, Chief, Division of Critical Care Medicine, University of Arkansas for Medical Sciences/Arkansas Children’s Hospital, Little Rock, ARThis session will provide instructor tips for the use of the two new optional modules for the PALS course, Catastrophic Illnesses that Present with Common Complaints and Status Epilepticus. The presenters were principal authors for these modules, and are the past and present chair of the AHA’s Pediatric Resuscitation Sub-Committee, and delegates to the International Liaison Committee on Resuscitation. The session will provide an overview of the modules and will provide instructors with information to enhance their success in teaching these new PALS modules.

2. Beyond CPR: The Physiology and Psychology of the Inexperienced First Responder

Patricia Bonifer-Tiedt, Director, Research and Product Development, American Red Cross, Falls Church, VA; Barbara J. Muth, Senior Evaluation Associate, American Red Cross, Falls Church, VA; Frank Pia, National Volunteer Technical Advisor for Lifeguard Training, American Red Cross Advisory Council on First Aid and Safety, Larchmont, NYYoung lifeguards and primary and secondary teachers have a duty or an expectation to respond in emergencies. Responding to a CPR emergency can be a highly stressful event for these inexperienced first responders. This concurrent session will pres-ent data about the physical and psychological stressors that may impair emergency response and initiation and success of CPR. Speakers will encourage participant discussion of the implications of emergency response procedure and stress exposure on train-ing, particularly for responders who are responsible for the care of children and young people in emergencies.

3. Online CPR Renewal – One Hospital’s Pilot ProgramSommers Draper, University of Virginia Life Support Center, Charlottesville, VA; William Hammill, MD, University of Virginia, Charlottesville, VAThis study compared two course formats used for CPR renewal training in the same hospital. An interactive online review course followed by a skills session compared favorably with the standard video-based course in terms of post-test scores and participant satisfaction, and reduced average course length and retraining costs

4. An Interdisciplinary Team Looks at More Than the ABC’s to Improve the Quality of Resuscitation

Judith Vierke, Edward Hospital, Naperville, IL The speaker will present an interdisciplinary approach that considers not only the ABC’s but also D-Defibrillation and D-Documentation, E-Equipment and Education and F-Focusing on process and outcomes. These factors can have a significant impact on the quality of the resuscitation care delivered within a hospital.

5. Taming the Beast: In-hospital Resuscitation ReviewBeth Mehring, RN, University of Virginia Health Systems, Faber, VA The review of in-hospital resuscitation efforts is essential to ensure that appropriate resources are available to optimize patient outcome. This presentation will isolate the necessary components for successful review. It will incorporate all needed steps to identify, plan, evaluate, and document program success.

6. Project ADAM and the Milwaukee Public Schools AED Program: Obstacle or Opportunity

Loreen Utech, RN, Children’s Hospital of Wisconsin, Milwaukee, WI; Kathleen Murphy, Milwaukee Public Schools, Milwaukee, WI; Patty Lemel, Project ADAM, Milwaukee, WI; Stuart Berger, Children’s Hospital of Wisconsin, Milwaukee, WIProject ADAM describes the obstacles and opportunities associat-ed with implementing an AED program in high schools in a large metropolitan school district without the impetus of an unfunded legislative mandate. It includes a strong educational component with support for CPR/AED certification as a requirement for high school graduation.

7. The Center for Advanced Pediatric Education: State-of-the-Art Simulation-based Training in Neonatal and Pediatric Resuscitation

Louis Halamek , Division of Neonatal and Developmental Medicine, Palo Alto, CA New methodologies and technologies present unique oppor-tunities to more fully engage the adult learner. This session will discuss the validation of simulation and virtual reality-based tools as they are currently used in the Center for Advanced Pediatric Education at Stanford and discuss future innovations in resuscita-tion training.

8. Protest the Silence: An Innovative Approach to Reaching High School Students with Lessons for Life

Mary Newman, Executive Director, NCED, Pittsburgh, PA; Kristin Hanson, NCED, Pittsburgh, PA; Vincent N. Mosesso Jr., MD, Medical Director, NCED, Pittsburgh, PAThe purpose of this session is to introduce a new, award-winning* learning tool to educators; to encourage session participants to explore CD components and discuss ways the CD can be used in the classroom, at parent-teacher assemblies, and at home; and to stimulate discussion about the effectiveness of this method for reaching high school students with lessons for life.

*Winner of 2003 Accolade Award for visual communications/healthcare category

3:40 p.m. – 4:20 p.m.

Refreshment Break/Visit with Exhibitors

______________________________Some speakers have received research or other funding from manufacturers of products related to their presentation. All actual and potential conflicts will be declared in writing in the syllabus and noted during the presentations.

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4:20 p.m. – 5:20 p.m.

� CONCURRENT SESSIONS 9. CPR First versus AED First and Other Novel

Ideas for Treatment of Prolonged VFRobert A. Berg, MD, Professor of Pediatrics, Associate Head for Clinical Affairs Department of Pediatrics, Section Chief PCCM, The University of Arizona College of Medicine, Tucson, AZDr. Berg will discuss the differences between short duration and prolonged duration VF, and novel treatment approaches to improve outcome from prolonged VF. These include the critical importance of providing forceful uninterrupted chest compressions, the pros and cons of “chest compression only-CPR”, and the value of post-shock chest compressions. In particular, Dr. Berg will focus on the exciting new information regarding CPR first versus AED first for brief duration vs. pro-longed duration VF.

10. Establishing an AHA ITO in Israel Odeda Benin-Goren, Center for Resuscitation & Emergency Medicine Education (CRÈME), Tel Aviv Medical Center, IsraelIn order to internalize the knowledge of the ACLS and PALS courses, CREME instructors developed evaluated drills per-formed in the hospital department. This training program will be present following the presentation of the ITO establish-ment in Israel.

11. Putting the “Ultimate Coronary Care Unit” into Practice: The HeartSafe Community Program

David Hiltz, NREMT-P, American Heart Association, Framingham, MA; Michael Aries, Natick Fire Department, Natick, MAThe Massachusetts Department of Public Health and the American Heart Association have developed a program that is designed to help municipalities plan, develop, and imple-ment lay-rescuer CPR and early defibrillation programs. This presentation will describe the value of collaboration and explore the methods used in the creation and maintenance of the initiative.

12. CPR in Schools: Teaching a New Generation Vera Fullaway, Columbine Ambulance Service Injury Prevention Foundation, Littleton, COA school classroom can offer the optimal setting for teaching preteens and teens Basic Life Support. The session will offer methodology, impact, effectiveness, evaluation and successful implementation and sustainability of each school program.

13. Use of Combined CD-ROM and a Website to Teach EMS Rescuers about AED use in Children < 8 Years

Dianne Atkins, MD, University of Iowa College of Medicine, Iowa City, IACD-ROMs and websites provide useful venues for medical education. Instruction on AED use in children lends itself easily to these venues as there are few differences between pediatric and adult AED use. This program will demonstrate a video and website that can be used to assist medical direc-tors in changing protocols and providing CEU credits for EMS providers.

14. CPR Laboratory at a Community College Using Heartcode Computer Learning Systems

Frank Doto, MS, County College of Morris, Randolph, NJ; William Huber, County College of Morris, Randolph, NJThis session focuses on the CPR Laboratory at a community college, using the AHA/Heartcode Computer Systems. The lab enables students to learn CPR independently, without the presence of an instructor. Using digital and video media, this presentation will show the laboratory, and present data to document the effectiveness of interactive technology in teach-ing CPR.

15. Supporting Public Access to AEDs Through Usability

Anthony Andre, PhD, San Jose University Foundation, Morgan Hill, CAThis multi-media presentation will provide important informa-tion on usability differences between AEDs in the public-use context. The audience will see actual footage of lay respond-ers attempting to resuscitate a SCA victim and will be edu-cated on how specific design approaches and features can either help or hinder the process.

16. Decoding The Code Process: A Hospital’s Approach to the Chain of Survival

Matthew Benjamin, Life Support Training and Emergency Preparedness, Jackson, NJThis presentation portrays one healthcare institution’s approach to the Chain of Survival and how they analyzed their patient resuscitation process that ultimately improved code team response times, patient survival rates, and the realization of financial benefits.

______________________________Some speakers have received research or other funding from manufacturers of products related to their presentation. All actual and potential conflicts will be declared in writing in the syllabus and noted during the presentations.

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IMPROVING THE CHAIN OF SURVIVAL THROUGH EDUCATION, APPLICATION, EVALUATION and All That Jazz! 9

� SATURDAY, OCTOBER 2, 2004

� PLENARY SESSIONS 8:00 a.m. – 8:45 a.m

Trauma Resuscitation: New Developments in Battlefield ResuscitationMichael Dubick, PhD, Senior Research Pharmacologist, US Army Institute of Surgical Research, San Antonio, TXResuscitation modified techniques developed by bench research-ers and in the major trauma centers were successfully modified for the battlefields in Iraq and Afghanistan. The speaker will describe strategies in fluid resuscitation and fluid delivery techniques and discuss implications for trauma resuscitation.

8:45 a.m. – 9:00 a.m.

Hans Dahll AwardWilliam H. Montgomery, MD, Immediate Past President of Citizen CPR Foundation, Associate Professor of Anesthesiology, Straub Clinic and Hospital, Honolulu, HI – The 2004 Hans Dahll Award will be presented to Roger D. White, MD

9:00 a.m. – 9:45 a.m.

Hans Dahll Lecture: From Fantasy to Reality – An EMS Journey

Roger D. White, MD, Professor of Anesthesiology and Internal Medicine, Mayo Clinic, Rochester, MNDr. White will highlight the changing scene and advances made in CPR, ECC and the EMS world through his experiences and contributions to these fields over four decades.

9:30 a.m. – 2:00 p.m.

Exhibit Hall Open

9:45 a.m. – 9:48 a.m.

Video Minute Public Service Announcement ContestThe third of the top five PSAs submitted will be shared. Will the third one be the charm?

9:48 a.m. – 10:30 a.m.

Refreshment Break/Visit with Exhibitors

10:30 a.m. – 11:15 a.m.

Ask the International Experts about Science, Education, and Application: Your Opportunity for InputTom P. Aufderheide, MD, Professor of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI; William Montgomery, MD, Immediate Past President of Citizen CPR Foundation, Associate Professor of Anesthesiology, Straub Clinic and Hospital, Honolulu, HI; Mary Fran Hazinski, RN, MSN, AHA ECC Senior Science Editor and Clinical Nurse Specialist, Vanderbilt University Medical Center, Nashville, TN; Peter Morley, MBBS, FRACP, FANZCA, FJFICM , Senior Specialist, Intensive Care, Royal Melbourne Hospital, Parkville, Victoria, Australia; Robert A. Berg, MD, Vice Chair, Scientific Advisory Board of the NRCPR, Associate Dean for Clinical Affairs Professor of Pediatrics,

The University of Arizona College of Medicine, Tucson, AZ; Ed Stapleton, EMT-P, President of CCPRF, Assistant Professor of Clinical Emergency Medicine and Director of Pre-Hospital Education, SUNY Stony Brook Department of Emergency Medicine Stony Brook, NY; Anthony Handley, MD, FRCP, Resuscitation Council (UK), Colchester, United Kingdom; Roger D. White, MD, Professor of Anesthesiology and Internal Medicine, Mayo Clinic, Rochester, MNA panel of emergency cardiovascular care experts will answer questions from conference participants about cardiopulmonary resuscitation and emergency cardiovascular care. This is your opportunity to clarify issues you may have and provide input about CPR science, education, teaching methods, program administration, and other aspects of CPR education.

11:15 a.m. – 12:00 p.m.

The Antidote to Evidence-Based MedicineAnthony Handley, MD, FRCP, Resuscitation Council (UK), Colchester, United KingdomWe have heard a lot about evidence-based medicine in the development of guidelines for resuscitation. Clearly it is important to base these guidelines on available science but some so-called science, can be shown to have weaknesses. It is therefore impor-tant to look critically at the published papers and the ways in which the evidence has been evaluated. This presentation will do just that, sometimes in a less-than-reverent manner, with the aim of encouraging a critical approach to the new consensus on science and treatment recommendations to be published in November 2005.

12:00 p.m. – 12:03 p.m.

Video Minute Public Service Announcement ContestThe fourth of the top five PSAs submitted will be shared. Your vote is important.

12:03 p.m. – 1:20 p.m.

Lunch BreakBox lunches will be distributed in the exhibit hall. If you would like to purchase a box lunch, please mark the box on page 18. Exhibitors will be available to talk with during this time.

1:20 p.m. – 2:05 p.m.

Hyperventilation-Induced Hypotension During CPRTom P. Aufderheide, MD, Professor of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI; Keith G. Lurie, MD, Professor of Emergency Medicine, University of Minnesota, Minneapolis, MNA recent clinical observation study revealed that professional rescuers consistently hyperventilated patients during out-of-hospital CPR. Subsequent hemodynamic and survival studies in pigs demonstrated that excessive ventilation rates during CPR significantly decreased coronary perfusion pressures and survival rates. The speakers will discuss their study results and publica-tion and their conclusions that CPR quality directly affects survival from cardiac arrest, and, in particular, that hyperventilation during CPR can reduce that survival. These findings also have significant implications for CPR guidelines, education, clinical practice, the development of future CPR devices and EMS quality assurance.

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� SATURDAY, OCTOBER 2, 2004

� CONCURRENT SESSIONS (Please see the description of each session on pages 11-13 unless Encore Presentation is noted then see pages 7-8.)

� SCIENTIFIC SESSIONS (Please see the description of each session on pages 12-13)

2:15 p.m. – 3:15 p.m. 3:45 p.m. – 4:45 p.m.

2:15 p.m. – 2:30 p.m. 3:45 p.m. – 4:00 p.m. A. Prevalence of Automated External Defibrillators at E. Locations of Cardiac Arrest, Affirmation for Community Cardiac High-Risk Sites Public Access Defibrillation (PAD) Programs Linda Becker James Fedoruk, BA, LL.B, MD; Wayne Currie

2:30 p.m. – 2:45 p.m. 4:00 p.m. – 4:15 p.m. B. BLS Infant Airway Management – A New Approach F. Pediatric Advanced Life Support (PALS) Course: Adam Reading A Dutch Experience of Multiprofessional Education in Advanced Life Support Jos Draaisma, MD, PhD; Nigel Turner

2:45 p.m. – 3:00 p.m. 4:15 p.m. – 4:30 p.m. C. Teaching High School Students CPR and AED Skills: G. Decoding The Code Process: A Hospital’s Approach A Comparison of Instructional Methods to the Chain of Survival Sheri Reder, PhD, MSPH Matthew Benjamin

3:00 p.m. – 3:15 p.m. 4:30 p.m. – 4:45 p.m. D. Is Shock Efficacy the Most Important Consideration H. Interest and Familiarity of Cardiac Patients in in Selecting a Defibrillator? Automated External Defibrillators (AEDs) for Home Use David Snyder Jeanette Previdi, RN, MPH

2:15 p.m. – 3:15 p.m. 3:45 p.m. – 4:45 p.m.

1. The Effectiveness of CPR Self-Instruction to Train Lay *9. An Interdisciplinary Team Looks at More Than the Rescuers in the Community ABC’s To Improve the Quality of Resuscitation. Bonnie Lynch, PhD & Eric Einspruch, PhD; Judith Vierke Ed Stapleton, EMT-P; Ahamed Idris, MD

2. Emergency Response: Preparing for the Unexpected *10. Establishing an AHA ITO in Israel Richard A. Bissell, PhD; Donald J. Gordon, PhD, MD; Odeda Benin-Goren David Markenson, MD, FAAP, EMT-P; Debra G. Perina, MD; Peter T. Pons, MD

*3. Supporting Public Access to AEDs Through Usability *11. Taming the Beast: In-hospital Resuscitation Review Anthony Andre, PhD Beth Mehring, RN

*4. CPR First versus AED First and Other Novel Ideas for *12. Project ADAM and the Milwaukee Public Schools Treatment of Prolonged VF AED Program: Obstacle or Opportunity Robert A. Berg, MD Loreen Utech, RN; Kathleen Murphy; Patty Lemel; Stuart Berger

*5. Putting the “Ultimate Coronary Care Unit” into Practice: *13. The Center for Advanced Pediatric Education: The HeartSafe Community program State-of-the-Art Simulation-based Training in Neonatal David Hiltz, NREMT-P; Michael Aries and Pediatric Resuscitation Louis Halamek

*6. CPR in Schools: Teaching a New Generation *14. Protest the Silence: An Innovative Approach to Vera Fullaway Reaching High School Students with Lessons for Life Mary Newman; Kristin Hanson; Vincent Mosesso Jr., MD

*7. Use of Combined CD-ROM and a Website to Teach 15. Building Effective Scenario Facilitators: Tools for EMS Rescuers about AED use in Children < 8 Years Training Instructors Dianne Atkins, MD Tom Schmidt; Mary Barber-Schmidt

*8. CPR Laboratory at a Community College Using *16. Online CPR Renewal – One Hospital’s Pilot Program Heartcode Computer Learning Systems Sommers Draper; William Hammill, MD Frank Doto, MS; William Huber

* Encore Presentation

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IMPROVING THE CHAIN OF SURVIVAL THROUGH EDUCATION, APPLICATION, EVALUATION and All That Jazz! 11

2:15 p.m. – 3:15 p.m.

� CONCURRENT SESSIONS 1. The Effectiveness of CPR Self-Instruction to Train

Lay Rescuers in the CommunityBonnie Lynch, PhD, Research Corporation, SUNY Stony Brook and University of Texas Southwestern, Dallas, TX; Eric Einspruch, PhD, Research Corporation, SUNY Stony Brook and University of Texas Southwestern, Dallas, TX; Ed Stapleton, EMT-P, President of CCPRF, Assistant Professor of Clinical Emergency Medicine and Director of Pre-Hospital Education, SUNY Stony Brook Department of Emergency Medicine Stony Brook, NY; Ahamed Idris, MD, RMC, Research Corporation, SUNY Stony Brook and University of Texas Southwestern, Dallas, TXThe American Heart Association presently trains approximately 2.5 million lay rescuers each year (less than 1% of the U.S. popu-lation), but has a goal to train 20 million lay rescuers per year by the year 2010. The current strategy, using instructor-facilitated classroom training, is not likely to achieve this critical and ambi-tious goal. Self-instruction represents an innovative method that could be used to train millions of lay rescuers in the skills of CPR in a variety of settings. This program will present the results of studies that evaluated the effectiveness of a 30 minute CPR self-instruction program compared to a traditional CPR course. The speaker will discuss implementation strategies to introduce short CPR self-instruction programs in the community.

2. Emergency Response: Preparing for the UnexpectedRichard A. Bissell, PhD, Professor, University of Maryland, Avilton, MD; Donald J. Gordon, PhD, MD, Professor, University of Texas Health Science Center at San Antonio, San Antonio, TX; David Markenson, MD, FAAP, EMT-P, Director, Program for Pediatric Preparedness, Mailman School of Public Health, Columbia University, New York, NY; Debra G. Perina, MD, Associate Professor, Department of Emergency Medicine, University of Virginia, Ruckersville, VA; Peter T. Pons, MD, Physician, Emergency Department, Denver Health Medical Center, Professor of Emergency Medicine, University of Colorado, Denver, CODisastrous events of the last several years have sorely tested our country’s emergency preparedness systems. Electrical outages, deadly storms, tragic airplane and automobile crashes and ter-rorist attacks have reminded us that we live in an unpredictable and potentially dangerous environment. There is an “all hazards” approach that we can employ to deal with medical emergencies, natural disasters or acts of terrorism to prepare our communities for catastrophic events. This session will present some of those strategies that will help us to integrate our systems and engage our communities to enhance our preparedness.

*3. Supporting Public Access to AEDs Through Usability(Encore Presentation)

Anthony Andre, PhD, San Jose University Foundation, Morgan Hill, CA

*4. CPR First versus AED First and Other Novel Ideas for Treatment of Prolonged VF (Encore Presentation)

Robert A. Berg, MD, Professor of Pediatrics, Associate Head for Clinical Affairs Department of Pediatrics, Section Chief PCCM, The University of Arizona College of Medicine, Tucson, AZ

*5. Putting the “Ultimate Coronary Care Unit” into Practice: The HeartSafe Community Program(Encore Presentation)

David Hiltz, NREMT-P, American Heart Association, Framingham, MA; Michael Aries, Natick Fire Department, Natick, MA)

*6. CPR in Schools: Teaching a New Generation (Encore Presentation)

Vera Fullaway, Columbine Ambulance Service Injury, Prevention Foundation, Littleton, CO

*7. Use of Combined CD-ROM and a Website to Teach EMS Rescuers about AED Use in Children < 8 Years(Encore Presentation)

Dianne Atkins, MD, University of Iowa College of Medicine, Iowa City, IA

*8. CPR Laboratory at a Community College Using Heartcode Computer Learning Systems (Encore Presentation)

Frank Doto, MS, County College of Morris, Randolph, NJ; William Huber, County College of Morris, Randolph, NJ

*See pages 7 and 8 for descriptions.______________________________Some speakers have received research or other funding from manufacturers of products related to their presentation. All actual and potential conflicts will be declared in writing in the syllabus and noted during the presentations.

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� SCIENTIFIC SESSIONS 2:15 p.m. – 2:30 p.m.

A. Prevalence of Automated External Defibrillators at Cardiac High-Risk Sites

Linda Becker, Cardiac Arrest Surveillance Systems, Seattle, WAWe will present the results of a telephone survey to identify the prevalence of AEDs in public sites with high risk for car-diac arrest. Prior to the study, little was known about their actual distribution. AEDs located among high-risk sites have the potential to reduce the number of deaths from cardiac arrest if they are linked with lay rescuer education programs.

2:30 p.m. – 2:45 p.m.

B. BLS Infant Airway Management – A New Approach

Adam Reading, Kewanee Hospital, Galva, IL The speaker will present the results of a 24-month experi-ment using a modified technique of BLS Infant Airway Management. The efficacy of traditional infant Airway Management vs. a new method of opening the airway will be discussed. Results suggest that a modified/alternate approach to Infant BLS airway management education should be considered for adoption.

2:45 p.m. – 3:00 p.m.

C. Teaching High School Students CPR and AED Skills: A Comparison of Instructional Methods

Sheri Reder, PhD, MSPH, Center for Health Education & Research, Seattle, WA The session will include a short lecture, accompanied by computer graphics, on the study design and findings. There will also be an opportunity for participants to try the instruc-tional CD used in the study, and participate in a discussion about study implications and next steps.

3:00 p.m. – 3:15 p.m.

D. Is Shock Efficacy the Most Important Consideration in Selecting a Defibrillator?

David Snyder, Philips Medical Systems, Seattle, WA Aspects of automated external defibrillator (AED) perfor-mance are discussed as they relate to patient survival. When viewed as part of an overall resuscitation attempt, it becomes clear that other aspects of AED performance may have a greater influence on survival than efficacy of the defibrillation shock.

3:15 p.m. – 3:45 p.m.

Refreshment Break

3:45 p.m. – 4:45 p.m.

� CONCURRENT SESSIONS *9. An Interdisciplinary Team Looks at More

Than the ABC’s To Improve the Quality of Resuscitation (Encore Presentation)

Judith Vierke, Edward Hospital, Naperville, IL

*10. Establishing an AHA ITO in Israel (Encore Presentation)

Odeda Benin-Goren, Center for Resuscitation & Emergency Medicine Education Tel Aviv Medical Center, Israel

*11. Taming the Beast: In-hospital Resuscitation Review (Encore Presentation)

Beth Mehring, RN, University of Virginia Health Systems, Faber, VA

*12. Project ADAM and the Milwaukee Public Schools AED Program: Obstacle or Opportunity (Encore Presentation)

Loreen Utech, RN, Children’s Hospital of Wisconsin, Milwaukee, WI; Kathleen Murphy, Milwaukee Public Schools, Milwaukee, WI; Patty Lemel, Project ADAM, Milwaukee, WI; Stuart Berger, Children’s Hospital of Wisconsin, Milwaukee, WI

*13. The Center for Advanced Pediatric Education: State-of-the-Art Simulation-based Training in Neonatal and Pediatric Resuscitation (Encore Presentation)

Louis Halamek , Division of Neonatal and Developmental Medicine, Palo Alto, CA

*14. Protest the Silence: An Innovative Approach to Reaching High School Students with Lessons for Life (Encore Presentation)

Mary Newman, Executive Director, NCED, Pittsburgh, PA; Kristin Hanson, NCED, Pittsburgh, PA; Vincent Mosesso Jr., MD, Medical Director, NCED, Pittsburgh, PA

15. Building Effective Scenario Facilitators: Tools for Training Instructors

Tom Schmidt, American Red Cross, Minneapolis, MN; Mary Barber-Schmidt, American Red Cross, Minneapolis, MN Instructors without scenario experience may have difficulty understanding their proper role in scenario-based skill ses-sions. During this interactive session, those who train and coach instructors will learn about – and have a chance to try out – practical methods to help instructors understand and apply concepts of scenario facilitation.

*16. Online CPR Renewal – One Hospital’s Pilot Program (Encore Presentation)

Sommers Draper, University of Virginia Life Support Center, Charlottesville, VA; William Hammill, MD, University of Virginia, Charlottesville, VA

*See pages 7 and 8 for descriptions.______________________________Some speakers have received research or other funding from manufacturers of products related to their presentation. All actual and potential conflicts will be declared in writing in the syllabus and noted during the presentations.

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IMPROVING THE CHAIN OF SURVIVAL THROUGH EDUCATION, APPLICATION, EVALUATION and All That Jazz! 13

� SCIENTIFIC SESSIONS 3:45 p.m. – 4:00 p.m.

E. Locations of Cardiac Arrest: Affirmation for Community Public Access Defibrillation (PAD) Programs

James Fedoruk, BA, LL.B, MD, City of Windsor Fire and Rescue Services, Ontario, Canada; Wayne Currie, City of Windsor Fire and Rescue Service, Ontario, CanadaThe results of a study to identify public locations and frequencies of cardiac arrest will be presented. Arrests were grouped into five categories, the number of public venues were determined. Location arrest frequencies, with their annual incidences were determined. These findings have implications to strengthen/improve responses to cardiac arrests.

4:00 p.m. – 4:15 p.m.

F. Pediatric Advanced Life Support (PALS) Course: A Dutch Experience of Multiprofessional Education in Advanced Life Support

Jos Draaisma, MD, PhD, Dutch Foundation for the Emergency Medical Care of Children, The Netherlands; Nigel Turner, Dutch Foundation for the Emergency Medical Care of Children, The NetherlandsOn completion of the PALS course the candidates are assessed using three standardized tests. There was no difference in the proportion of nurses and physicians who passed the practical tests. However, there was a difference in the MCQ-score at the end of the course, without a difference at the start.

4:15 p.m. – 4:30 p.m.

G. Decoding The Code Process: A Hospital’s Approach to the Chain of Survival

Matthew Benjamin, Life Support Training and Emergency Preparedness, Jackson, NJThis presentation portrays one healthcare institution’s approach to the Chain of Survival and how they analyzed their patient resuscitation process that ultimately improved code team response times, patient survival rates, and the realization of finan-cial benefits.

4:30 p.m. – 4:45 p.m.

H. Interest and Familiarity of Cardiac Patients in Automated External Defibrillators (AEDs) for Home Use

Jeanette Previdi, RN, MPH, Pascack Valley Hospital, Westwood, NJ The results of a study to assess whether or not cardiac patients are familiar with AEDs and their value in saving lives and if they would be interested in purchasing or leasing one for use at home will be presented. Limitations of the study and implications for future studies will also be discussed.

� SUNDAY, OCTOBER 3, 2004

� PLENARY SESSIONS 8:00 a.m. – 8:15 a.m.

Presentation of the William H. Montgomery, MD Excellence in Education AwardEd Stapleton, EMT-P, President of CCPRF, Assistant Professor of Clinical Emergency Medicine and Director of Pre-Hospital Education, SUNY Stony Brook Department of Emergency Medicine Stony Brook, NY

8:15 a.m. – 9:00 a.m.

Critical Steps in Pre-Hospital and Emergency Stroke Care: Minimizing Delays in Effective TherapyTodd Crocco, MD, Assistant Professor of Emergency Medicine, West Virginia University, Morgantown, WVThis presentation will provide a discussion of the “7 D’s” of ACLS Stroke Care. These “D’s” remind rescuers of important steps in pre-hospital and emergency care, emphasizing times when delays may occur in stroke care. The speaker will present practical approaches for pre-hospital care systems and emergency depart-ments to improve delivery and avoid delays in acute stroke care.

9:00 a.m. – 9:45 a.m.

The Changing Face of Cardiac Arrest: Past Progress and Future ChallengesThomas Rea, MD, MPH, Epidemiologist-Physician, Public Health, Seattle & King County, Seattle, WAOut of hospital cardiac arrest is a significant public health prob-lem. The current challenge of cardiac arrest reflects evolving developments of risk, resuscitation, and long-term outcomes. The optimal approach requires an understanding that incorporates each of these aspects of cardiac arrest. The report will review temporal developments in risk, resuscitation, and long-term outcomes of cardiac arrest with a focus on cardiac arrest resusci-tation.

9:45 a.m. – 9:48 a.m.

Video Minute Public Service Announcement ContestThe final PSA submitted will be shared. Now it’s time to vote!

9:48 a.m. – 10:00 a.m.

Break

10:00 a.m. – 10:45 a.m.

Sudden Cardiac Death in Athletes and High School Based AED ProgramsMark Link, MD, Associate Professor of Medicine, Tufts University School of Medicine, Boston, MADeaths of athletes, while rare, profoundly affect the general pub-lic. Dr. Link will review the data on the causes of sudden cardiac death in the athlete, focusing on the young athletes, in whom the causes of death are generally inherited cardiac diseases. He will discuss commotio cordis, an increasingly reported cause of sud-den death that occurs in the setting of normal hearts when chest walls are impacted by a projectile. Finally and briefly, he will dis-cuss sudden deaths in older athletes.

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10:45 a.m. – 11:30 a.m.

International Advisory Statements – Therapeutic Hypothermia, Drowning, Pediatric AED, EducationMary Fran Hazinski, RN, MSN, Vanderbilt University Medical Center, Nashville, TN; Peter Morley, MBBS, FRACP, FANZCA, FJFICM , Senior Specialist, Intensive Care, Royal Melbourne Hospital, Parkville, Victoria, Australia; Anthony Handley, MD, FRCP, Resuscitation Council (UK), Colchester, United KingdomThe speakers will highlight the rationale and the recommen-dations published in recent ILCOR advisory statements on therapeutic hypothermia, submersion (near-drowning), use of automated external defibrillators (AEDs) in children and resuscitation education. This is your opportunity to hear from the authors about the science and the specifics of these advisory statements.

11:30 a.m. – 11:45 a.m.

Closing and Thank YouEd Stapleton, EMT-P, President of CCPRF; Marc Gay, BA, EMT-P, ECCU 2004 Program ChairThe winner of the Video Minute Public Service Announcement Contest will be announced.

This year’s exhibits promise to be the best yet, with new, innovative and

life saving products. Plan to visit the exhibit hall early and often.

Online Registration will be available on July 7, 2004 at www.citizencpr.org.

2OO4EMERGENCY CARDIOVASCULAR CARE UPDATE

______________________________Some speakers have received research or other funding from manufacturers of products related to their presentation. All actual and potential conflicts will be declared in writing in the syllabus and noted during the presentations.

14

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� ECCU 2004 Faculty

� WORKSHOPS AND PLENARY SESSIONSTom P. Aufderheide, MDProfessor of Emergency MedicineMedical College of WisconsinMilwaukee, WI

Allan Braslow, PhDPresident, Braslow & AssociatesGreenwich, CT

Richard Brown, Esq.President, NCED SCA Survivor NetworkWashington, D.C.

Connie Carmony, RNSchool Nurse, Open Door Christian SchoolsCoordinator, P.A.D.S. (Public Access to Defi brillation in Schools) of Lorain CountyWellington, OH

Pam Connolley, RNNorth Catholic High SchoolPittsburgh, PA

Ted Crites, CHESProject ManagerFirst Aid/CPR/AED Technical DevelopmentAmerican Red Cross

Todd Crocco, MDAssistant Professor of Emergency MedicineWest Virginia UniversityMorgantown, WV

Michael Dubick, PhDSenior Research PharmacologistUS Army Institute of Surgical ResearchSan Antonio, TX

Mickey S. Eisenberg, MD, PhDMedical Program DirectorKing County Emergency Medical ServicesSeattle, WA

Michael S. Erdos, MD, FACEPMedical DirectorEmergency Response Training Associates, Inc.Winchester, MA

Anthony Gallagher, MASenior Evaluation AssociateAmerican Red Cross

Marc Gay, BA, EMT-PECCU 2004 Program ChairHeart and Stroke Foundation of CanadaOttawa, OntarioCanada

Terry Gordon, DO, FACCThe Heart Group, Inc.Akron, OH

Anthony Handley, MD, FRCPResuscitation Council (UK)Colchester, United Kingdom

Kristin R. HansonProgram ManagerNational Center for Early Defi brillationPittsburgh, PA

Mary Fran Hazinski, RN, MSNAHA ECC Senior Science EditorClinical Nurse SpecialistVanderbilt University Medical CenterNashville, TN

William Kaye, MD, FACP, FCCMProfessor of Surgery and Medicine EmeritusBrown University Medical SchoolProvidence, RICo-Director, Hale Wao LaniKapa’au, HI

Gregory Luke Larkin, MD, MSPH, MS, FACEPProfessor of Surgery, Emergency Medicine and Public HealthDirector of Academic DepartmentProfessor to the UT Houston School of Public Policy and ManagementAdvisor to the Department of HealthUK Medical Director, Violence Intervention and Prevention CenterParkland Memorial HospitalUniversity of Texas Southwestern Medical CenterDallas, TX

Richard A. Lazar, Esq.CEO Early Defi brillation Law & Policy Center(EDLPC) Portland, OR

Mark Link, MDAssociate Professor of MedicineTufts University School of MedicineBoston, MA

Keith G. Lurie, MDProfessor of Emergency MedicineUniversity of MinnesotaMinneapolis, MN

Mary E. Mancini, RN, PhD, CNA, FAANChair, Scientifi c Advisory Board of the NRCPRSenior Vice President, Nursing AdministrationParkland Health & Hospital SystemDallas, TX

Bill McConnell, DO, MSACLS-EP Course DirectorChair, ECC Program Administration SubcommitteePhoenix, AZ

William Montgomery, MDImmediate Past President of CitizenCPR FoundationAssociate Professor of AnesthesiologyStraub Clinic and HospitalHonolulu, HI

Peter Morley, MBBS, FRACP, FANZCA, FJFICMSenior Specialist, Intensive CareRoyal Melbourne HospitalParkville, VictoriaAustralia

Vincent N. Mosesso Jr., MDMedical DirectorNational Center for Early Defi brillationPittsburgh, PA

Mary M. NewmanExecutive DirectorNational Center for Early Defi brillationPittsburgh, PA

Vinay Nadkarni, MDDirector, Pediatric Critical Care Fellowship ProgramDepartment of Anesthesia and Critical CareChildren’s Hospital of PhiladelphiaPhiladelphia, PA

Joseph P. Ornato, MD, FACP, FACC, FACEPProfessor and ChairmanDepartment of Emergency MedicineVirginia Commonwealth University Health SystemRichmond, VA

Emilie Parker, MS, CHESProject ManagerAmerican Red Cross

Mary Ann Peberdy, MD, FACCImmediate Past Chair, Scientifi c Advisory Board of the NRCPRAssistant Professor of Internal Medicine and Emergency MedicineVirginia Commonwealth University Health SystemRichmond, VA

Thomas Rea, MD, MPHEpidemiologist-PhysicianPublic Health –Seattle & King CountySeattle, WA

Ed Stapleton, EMT-PPresident of CCPRFAssistant Professor of Clinical Emergency Medicine and Director of Pre-Hospital EducationSUNY Stony BrookDepartment of Emergency MedicineStony Brook, NY

Ian G. Stiell, MD, MSc, FRCPCOHRI Chair of Emergency Medicine ResearchProfessor and Head, Department of Emergency MedicineUniversity of OttawaOttawa, OntarioCanada

Tanya Lane Truitt, RN, CCRNManager, Department of Nursing EducationParkland Health & Hospital SystemDallas, TX

Roger D. White, MDProfessor of Anesthesiology and Internal MedicineMayo ClinicRochester, MN

IMPROVING THE CHAIN OF SURVIVAL THROUGH EDUCATION, APPLICATION, EVALUATION and All That Jazz! 15

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Tony Williams, BSc, MSc, PhDProfessor, Royal Roads UniversityOrganizational Leadership and Learning DivisionNew Westminster, British Columbia,Canada

Susan F. Wooley, PhD, CHES Executive DirectorAmerican School Health Association

� CONCURRENT AND SCIENTIFIC PRESENTERSAnthony Andre, PhDSan Jose University FoundationMorgan Hill, CA

Michael AriesNatick Fire DepartmentNatick, MA

Dianne Atkins, MDUniversity of Iowa College of MedicineIowa City, IA

Mary Barber-SchmidtAmerican Red CrossMinneapolis, MN

Linda Becker Cardiac Arrest Surveillance SystemsSeattle, WA

Matthew BenjaminLife Support Training and Emergency PreparednessJackson, NJ

Odeda Benin-Goren, RNCenter for Resusitation and Emergency Medicine EducationTel-Aviv Sourasky Medical CenterIsrael

Robert A. Berg, MDVice ChairScientifi c Advisory Board of the NRCPRAssociate Dean for Clinical Affairs Professor of PediatricsThe University of Arizona College of MedicineTucson, AZ

Stuart BergerChildren’s Hospital of WisconsinMilwaukee, WI

Richard A. Bissell, PhDProfessorUniversity of MarylandAvilton, MD

Patricia Bonifer-TiedtDirector, Research and Product DevelopmentAmerican Red CrossFalls Church, VA

Wayne CurrieCity of Windsor Fire and Rescue ServicesWindsor, OntarioCanada

Frank Doto, MSCounty College of MorrisRandolph, NJ

Sommers DraperUniversity of Virginia Life Support CenterCharlottesville, VA

Jos Draaisma, MD, PhDDutch Foundation for the Emergency Medical Care of ChildrenThe Netherlands

Eric Einspruch, PhDResearch CorporationSUNY Stony BrookUniversity of Texas SouthwesternDallas, TX

James Fedoruk, BA, LL.B, MDCity of Windsor Fire and Rescue ServicesOntario, Canada

Vera FullawayColumbine Ambulance Service InjuryPrevention FoundationLittleton, CO

Donald J. Gordon, PhD, MDProfessorUniversity of Texas Health Science Center San Antonio, TX

Louis HalamekDivision of Neonatal and Developmental MedicinePalo Alto, CA

William Hammill, MDUniversity of VirginiaCharlottesville, VA

David Hiltz, NREMT-PAmerican Heart AssociationFramingham, MA

William HuberCounty College of MorrisRandolph, NJ

Ahamed Idris, MDRMC Research CorporationSUNY Stony Brook University of Texas SouthwesternDallas, TX

Patty LemelProject ADAMMilwaukee, WI

Bonnie Lynch, PhDResearch CorporationSUNY Stony BrookUniversity of Texas SouthwesternDallas, TX

David Markenson, MD, FAAP, EMT-PDirector, Program for Pediatric PreparednessMailman School of Public HealthColumbia UniversityNew York, NY

Beth Mehring, RNUniversity of Virginia Health SystemsFaber, VA

Kathleen MurphyMilwaukee Public SchoolsMilwaukee, WI

Barbara J. MuthSenior Evaluation AssociateAmerican Red CrossFalls Church, VA

Debra G. Perina, MDAssociate ProfessorDepartment of Emergency MedicineUniversity of VirginiaRuckersville, VA

Frank PiaNational Volunteer Technical Advisor for Lifeguard TrainingAmerican Red Cross Advisory Council on First Aid and SafetyLarchmont, NY

Peter T. Pons, MDPhysician, Emergency DepartmentDenver Health Medical CenterProfessor of Emergency MedicineUniversity of ColoradoDenver, CO

Jeanette Previdi, RN, MPHPascack Valley HospitalWestwood, NJ

Adam ReadingKewanee HospitalGalva, IL

Sheri Reder, PhD, MSPHCenter for Health Education & ResearchSeattle, WA

Stephen M. Schexnayder, MD, FAAPChief, Division of Critical Care MedicineUniversity of Arkansas for Medical SciencesArkansas Children’s HospitalLittle Rock, AR

Tom SchmidtAmerican Red CrossMinneapolis, MN

David SnyderPhilips Medical Systems Seattle, WA

Nigel TurnerDutch Foundation for theEmergency Care of ChildrenThe Netherlands

Loreen Utech, RNChildren’s Hospital of WisconsinMilwaukee, WI

Judith VierkeEdward HospitalNaperville, IL

2OO4EMERGENCY CARDIOVASCULAR CARE UPDATE

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IMPROVING THE CHAIN OF SURVIVAL THROUGH EDUCATION, APPLICATION, EVALUATION and All That Jazz! 17

September 30 – October 3, 2004Hilton New Orleans RiversideNew Orleans, LA

� REGISTRATION AND BADGE INFORMATIONPlease print or type your name as you wish it to appear on your badge, using ONE form per registrant. Registrations received after September 10, 2004 will be processed on-site. Payment is due at the time the registration form is returned.

Name/Credential: _______________________________________________________________________ First Middle Initial Last Credentials

How would you like your name badge to read? ________________________________________________________________________________________Note: we can include up to two credentials

Are you a physician? ■■ Yes ■■ No

Title/Position: _______________________________________________________________________

Employer: __________________________________________________________________________

Business Address:____________________________________________________________________

City:_______________________________________ State/Province:___________________________

Zip Code/Postal Code: _______________________ Country: _______________________________

Business Phone: _____________________________ Fax: ____________________________________

E-mail:______________________________________________________________________________

In case of emergency at the meeting, contact (Name/Telephone Numbers/Relationship):____________________________________________________________________________________

� Please specify any special needs/dietary restrictions: __________________________________

______________________________________________________________________________

Is this the first CCPRF/ ECCU Conference that you have attended? ■■ Yes ■■ No

Occupation/Position (please check all that apply):

■■ a. Physician■■ b. Nurse■■ c. Administrator/Supervisor■■ d. Paramedic/EMT Provider■■ e. CPR/ECC/EMS Instructor/ Coordinator■■ f. Respiratory Therapist■■ g. EMS Dispatcher■■ h. Other

How did you hear about the ECCU 2004 International Educational Conference? (Please check all that apply)

■■ a. Currents■■ b. CCPRF Website■■ c. Jems Advertisement■■ d. Direct mailing of brochure■■ e. Past participant■■ f. Other

Your affiliation (please check all that apply):

■■ 1. American Heart Association

■■ 2. American Red Cross

■■ 3. Emergency Medical Service (please identify) _____________________________

■■ 4. Heart and Stroke Foundation of Canada

■■ 5. InterAmerican Heart Foundation

■■ 6. Other (please identify) _____________________________

ECCU 2004 International Education Conference Registration Form

CCPRF will be distributing a roster of names and contact information of attendees who pre-register for the meeting. Your registration must be postmarked to the CCPRF Executive Office by September 10, 2004 to be included.

■ ■ Check here if you DO NOT want to allow CCPRF to print your name and contact information on the pre-registeration roster.

Cancellation Policy: Written notice of cancellation received on or before September 10, 2004 will be refunded minus a $50 processing fee (to be processed after the conference). No refunds will be issued after September 10, 2004. Substitutions of registrants are allowed.

CONTINUED ON BACK. If faxing registration form, you MUST include pages 17 and 18.

Mail completed registration form and appropriate fees to: CCPRF Executive Office, P.O. Box 15945-314, Lenexa, KS 66285-5945

Courier service only: CCPRF Executive Office, 8310 Nieman Road, Lenexa, KS 66214, (913) 495-9816 Fax (913) 599-5340 E-mail: [email protected]

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2OO4EMERGENCY CARDIOVASCULAR CARE UPDATE

� SCHEDULE OF FEES (listed in U.S. dollars)

Registration fees include: all educational sessions, continental breakfast on Friday, Saturday and Sunday, beverage breaks, and the Welcome Reception on Thursday. Please note that lunches are on your own.

■■ Early Bird Registration . . . . . . . . . . . . . . $350 Postmarked by July 30, 2004

■■ Registration . . . . . . . . . . . . . . . . . . . . . $375 Postmarked by September 10, 2004

■■ On Site Registration . . . . . . . . . . . . . . . $425 Postmarked after September 10, 2004

Single Day Registration Please check one of the following.

Single day registration fees include any educational sessions, continental breakfast, and beverage breaks offered that day.

■■ Friday, October 1, 2004 . . . . . . . . . . . . $175

■■ Saturday, October 2, 2004 . . . . . . . . . . $175

■■ Sunday, October 3, 2004 . . . . . . . . . . . . $85

LunchesBox sandwich lunches will be available in the exhibit hall on Friday and Saturday for an additional fee of $29. Please check below if you are interested in purchasing a lunch for one or both days.

■■ Friday, October 1, 2004 – Lunch . . . . . . . $29

■■ Saturday, October 2, 2004 – Lunch . . . . . $29

Group DiscountMultiple Registration Discounts – $20.00 per person if three or more attendees are from the same organization and pay-ment is made together. Please complete separate registration forms, but submit them together with payment.

Note: other names that are submitted to receive the multiple discount below:

1. ________________________________________________

2. ________________________________________________

3. ________________________________________________

4. ________________________________________________

Welcome ReceptionOne ticket for the ECCU 2004 Welcome Reception is included with full registration.

Additional Welcome Reception Tickets

Please reserve ___ ticket(s) at $49 each.

Pre-Conference WorkshopsPlease mark appropriate box. Additional fee required. Please note: You may attend a Workshop without registering for the conference. Workshops are subject to cancellation if minimum numbers are not achieved.

Wednesday, September 29

■■ 8:00 a.m. – 5:00 p.m. (limited to 32 participants… first come, first served) Workshop #1 ACLS for the Experienced Provider (includes lunch) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $175

Thursday, September 30

■■ 8:00 a.m. – 5:30 p.m. Workshop #2 Unlocking the Hero Inside: Removing the Barriers to Response Through Education (no lunch) . . . . . . . $150

■■ 8:00 a.m. – 5:30 p.m. Workshop #3 “Marketing 101” for the ECC Training Center (no lunch) . . . . . . . . . . . . . . . . . . . . . . . . . . . . $150

■■ 8:00 a.m. – 4:00 p.m. Workshop #4 NRCPR (includes lunch). . . . . . . . . . . . . . . . . . . $175

■■ 8:00 a.m. – 12:00 p.m. Workshop #5 Beyond Basics: Ensuring AED Program Effectiveness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $75

■■ 1:30 p.m. – 5:30 p.m. Workshop #6 How to Set Up and Sustain Comprehensive CPR/AED Programs in Schools . . . . . . . . . . . . . . $75

� TOTAL FEES International funds MUST be submitted on a U.S. bank in U.S. funds.

Total Registration Fee . . . . . . . . . . . . . . . . . . . $________

Total Lunch Fee . . . . . . . . . . . . . . . . . . . . . . . $________

Total Workshop Fee . . . . . . . . . . . . . . . . . . . . $________

Additional Welcome Reception Ticket Fee . . . . $________

Group Discount (less $20 per person) . . . . . . <$________>

Total Payment Enclosed $________

(payment is due with the registration form)

� METHOD OF PAYMENT �Please Check One:

■■ Check #___________ (made payable to the Citizen CPR Foundation (CCPRF) in U.S. funds Please write registrant’s name on the check.

■■ VISA ■■ MasterCard ■■ American Express

Card Number

Expiration Date

Signature

Cardholder’s Name (please print)

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IMPROVING THE CHAIN OF SURVIVAL THROUGH EDUCATION, APPLICATION, EVALUATION and All That Jazz! 19

Hotel Reservation Form

For reservations, complete the hotel reservation form below and return it, along with deposit payment, to the address below. Please do not mail this form to CCPRF Executive Office.

In order to confirm your sleeping room reservation, the hotel requires the first night’s deposit, refundable only if the reservation is cancelled by 72 hours prior to arrival. After that, the deposit is non-refundable. All credit cards will be charged the first nights’ deposit immediately upon receipt. The hotel does not except debit cards as method of payment for first night’s deposit.

Include any special requests for non-smoking or accessible rooms. YOUR RESERVATION MUST BE RECEIVED PRIOR TO AUGUST 29, 2004. After that time, rooms will be on a space available basis. If the group rate is not available, you will be confirmed at the nearest available rate. For changes in accommodations, please contact reservations at (504) 584-3999. If you call the hotel to make reservations, please be sure to mention you are attending the CCPRF conference.

Arrival Date:_______________ Hour:____________ Departure Date:_______________ Hour:____________

Name:________________________________________________ Share With: ___________________________

Company:____________________________________________________________________________________

Address: ______________________________________________ Daytime Phone: (_______) _______________

City:__________________________________________________ State:___________ Zip: _________________

CCPRF has negotiated the following special discounted rates for its attendees. These rates are based on a per day charge and do not include tax. Please indicate the desired accommodations below.

■■ $199 Classic/Deluxe Single – 1 person ■■ $249 Towers Single – 1 person

■■ $199 Classic/Deluxe Double – 2 people ■■ $249 Towers Double – 2 people

■■ $229 Classic/Deluxe Triple – 3 people ■■ $279 Towers Single – 1 person

■■ $259 Classic/Deluxe Quad – 4 people ■■ $309 Towers Quad – 4 people

Contact the Reservations Department for suite information. Room type requests subject to availability at time of arrival. All reservations subject to 13% state and $3 city/occupancy per room per night. The room rate is commissionable to the CCPRF. The commission is utilized to defray program costs and keep registration fees affordable and reasonable.

� Specific Requests (requests subject to availability):

________________________________________________________________________________________

________________________________________________________________________________________

The hotel’s check-in time is 3:00 p.m. All reservations must be guaranteed with a first night’s deposit refundable up to 72 hours in advance of arrival date. The hotel’s check-out time is 12 noon. Should a later departure be necessary, arrangements can be made for storage of luggage. In the event you check out prior to the reserved check-out date, there is a one time early check-out fee of $50 plus tax.

Signature:______________________________________________

� METHOD OF PAYMENT �■■ Check (made payable to the Hilton New Orleans Riverside)

■■ VISA ■■ MasterCard ■■ American Express

■■ Diner’s Club ■■ Discover

Card No.

Exp. Date

Signature

Print name as it appears on card

September 30 – October 3, 2004

Hilton New Orleans Riverside

Two Poydras Street

New Orleans, LA 70140

(504) 561-0500

Reservations(504) 584-3999

Reservation Fax(504) 584-3979

Should you experience that the hotel become sold out, please visit our website at www.citizencpr.org for a listing of hotel options.

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