2015 Fairfax County Regional EMS Conference Registration
Welcome to the 4th Annual Fairfax County Regional EMS Conference. This Regional EMS Conference has been designed to provide relevant information about new, innovative advances, and concepts into todays pre-hospital community in hopes to stimulate discussion on current and future practices in the field and hospital environments. Our targeted audience includes pre-hospital providers, nurses, physicians, allied health care professionals and other emergency responders in Fairfax County and the National Capital Region.

This years conference is being held on Monday May 18, 2015, to coincide with 2015 National EMS Week, at The Waterford Conference Center at Fair Oaks 12025 Lee Jackson Memorial Hwy Fairfax, VA 22033.

General Information:

The conference is free to all healthcare providers.

Breakfast and lunch will be provided to all registrants. Light refreshments will be available during each intermission.

Dr. Nilesh Vyas, MD, Medical Director, Cerebrovascular Program
Diagnosing Aneurysm

Dr. John Cochran, MD, FACP, FAHA, Vice Chairman, Clinical Operations
Improving Stroke Patient Outcomes

Dr. Mahan Chehrenama, DO, Medical Director of Headache; Co- Medical Director, Concussion Program
Concussion Training and Protocols

Dr. Christopher Silveri, MD, Medical Director, INOVA Spine Program
Evaluating Patients with Spinal or Cervical Injuries

Lou French, PhD, Co-Medical Director of Concussion Program
Concussion evaluation protocol

Dr. MohankumarKurukumbi, MD, Medical Director, Epilepsy Program
Evaluating Persons with Epileptic Symptoms

Dr. Christopher Crowell, MD, Medical Director Stonespring Emergency Center
STEMI Patients from EMS to the ED

Dr. Andrew Keller, MD, Medical Director of Cardiovascular Service Line- Reston Hospital Center
STEMI Patients from the ED to the Cath Lab

Technician Adam Armstrong, NREMT-P and Robin Tucker, RN, MEDSTAR Washington Hospital L&D
EMS and Midwifery: Natural Birth Partnership

Continuing Medical Education credits for Virginia EMS providers will be available. All attendees will receive a certification that can be used to assist out-of-state providers with CME.

Any questions or comments can be directed to fcfrdemsconf@gmail.com
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Full Name *
Please list your name as you wish for it to appear on your certification of attendance.
Email Address *
We will use this email address to confirm your registration once we receive it.
Highest Level of Training *
Required
Virginia OEMS Certification Number (NON VA EMS PROVIDER--N/A)
 Please include the entire number beginning with a letter. This is required for all Virginia EMS providers wishing to receive CEU hours.
National Registry Certification Number
Please include the entire number beginning with a letter if you do not have a state certification number. Example: Federal Employees
Non-Virginia EMS Providers ONLY   *Not required for Virginia EMS Providers*
Please list the information necessary to obtain CEU's with your EMS Training Officer.
County/Agency/Hospital Affiliation *
If your agency, county, or hospital affiliation is not listed below, please type it in the "Other" section.
Required
Any special dietary needs or other accommodations needed?
Food allergies, vegetarian, or special seating
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